TOLEDO CHILDRENS HOSPITAL

$1.53M

Total Medicaid Paid

15,149

Total Claims

8,796

Beneficiaries

50

Codes Billed

2018-05

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
96361		1,222	545	$517K
G0378	Hospital observation per hr	4,884	2,141	$516K
99284		563	470	$93K
0202U		458	377	$79K
96366		259	119	$68K
96365		503	389	$64K
99285		283	229	$53K
94640		287	233	$44K
99283		244	190	$39K
96360		111	85	$13K
70450		26	24	$13K
U0003	Cov-19 amp prb hgh thruput	42	29	$9K
94664		216	145	$6K
95700		29	24	$6K
80307		237	180	$3K
80053		856	594	$2K
85025		1,248	834	$942.23
96375		332	173	$699.05
71045		70	49	$695.42
80048		210	161	$510.48
84439		80	54	$368.96
80143		63	39	$230.92
82077		71	49	$204.94
84443		80	54	$195.05
81003		199	133	$132.04
80179		58	37	$115.50
U0005	Infec agen detec ampli probe	42	29	$112.15
87040		56	44	$109.10
81025		95	69	$106.53
86140		51	44	$85.17
71046		37	33	$80.13
96374		76	55	$67.00
96376		79	38	$66.35
93005		30	27	$52.10
84145		16	13	$32.05
J7050	Normal saline solution infus	463	138	$29.49
J3480	Inj potassium chloride	790	414	$19.88
85610		15	12	$18.53
82947		46	32	$17.13
J1100	Dexamethasone sodium phos	165	130	$11.43
83690		19	15	$10.22
J2405	Ondansetron hcl injection	200	131	$5.66
85014		43	31	$0.00
82565		25	16	$0.00
84520		25	16	$0.00
94761		148	87	$0.00
J3010	Fentanyl citrate injection	26	13	$0.00
94760		28	24	$0.00
80051		25	16	$0.00
J2704	Inj, propofol, 10 mg	18	12	$0.00

Medicaid Provider Spending