ST. ALEXIUS MEDICAL CENTER

$3.59M

Total Medicaid Paid

71,494

Total Claims

52,952

Beneficiaries

58

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		9,491	8,516	$927K
99213		11,189	9,741	$673K
99232		9,180	2,976	$540K
99239		1,418	1,311	$172K
90834		2,204	1,305	$172K
93306		2,075	1,913	$119K
99284		1,019	949	$114K
93010		13,010	9,762	$94K
99233	Prolong inpt eval add15 m	1,452	440	$89K
99215	Prolong outpt/office vis	590	558	$86K
99223	Prolong inpt eval add15 m	312	284	$79K
00170		613	582	$72K
99222		349	302	$62K
71045		7,412	4,812	$52K
90833		951	708	$52K
74177		465	432	$49K
71046		4,816	4,485	$48K
99285		224	200	$32K
99283		518	483	$30K
70450		840	745	$28K
90791		111	106	$19K
99231		679	270	$18K
99204		75	68	$10K
99203		74	67	$6K
62323		29	29	$6K
90960		52	50	$4K
99212		119	104	$4K
99220		17	13	$3K
99205	Prolong outpt/office vis	13	13	$3K
76377		75	68	$3K
90962		44	42	$2K
77067		27	26	$2K
74176		33	26	$2K
71275		27	24	$2K
95811		16	13	$2K
99201		41	40	$2K
36415		896	728	$2K
95251		56	53	$2K
87880		81	77	$1K
76705		29	26	$926.73
99443		14	12	$889.22
71250		16	13	$773.43
74018		93	70	$636.62
93296		53	53	$510.72
87426		25	14	$494.62
81003		356	169	$423.67
72100		46	40	$386.50
87804		21	16	$331.02
93227		14	12	$262.19
73130		24	18	$255.98
J3301	Triamcinolone acet inj nos	96	86	$233.05
73030		26	24	$209.82
76376		20	18	$151.53
80053		16	12	$135.11
73630		13	12	$112.42
85025		13	12	$104.91
77063		13	12	$30.69
Q9967	Locm 300-399mg/ml iodine,1ml	13	12	$0.00

Medicaid Provider Spending