THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON

$1.02M

Total Medicaid Paid

69,105

Total Claims

56,855

Beneficiaries

54

Codes Billed

2018-01

First Month

2021-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99284		8,130	6,746	$379K
99283		10,918	9,363	$298K
85025		7,082	5,792	$46K
87880		3,498	3,029	$44K
80053		5,193	4,183	$39K
99282		1,723	1,407	$34K
87070		2,383	2,066	$23K
87088		3,032	2,487	$22K
87804		2,161	908	$20K
81001		5,002	4,159	$14K
87400		3,121	2,419	$14K
87430		827	777	$11K
93005		1,234	1,003	$10K
71046		1,186	1,018	$10K
99285		29	27	$7K
87426		328	271	$6K
70450		87	73	$5K
43239		61	53	$5K
87086		497	456	$4K
71045		1,008	824	$4K
D9420		16	14	$3K
81025		1,015	879	$3K
J0696	Ceftriaxone sodium injection	1,934	1,653	$2K
J1885	Ketorolac tromethamine inj	2,183	1,790	$2K
87420		139	131	$2K
99281		90	90	$2K
80307		46	39	$2K
84703		266	256	$2K
J0561	Penicillin g benzathine inj	16	13	$1K
83690		241	201	$1K
82150		245	200	$1K
J1100	Dexamethasone sodium phos	1,604	1,360	$979.53
80048		121	91	$875.43
84484		70	59	$482.89
83605		73	56	$482.03
96372		1,441	1,269	$303.49
94640		51	40	$296.56
80076		37	37	$284.24
82550		38	32	$211.20
83735		31	24	$139.84
87077		17	12	$98.78
87186		12	12	$90.99
87081		14	14	$70.77
Q9967	Locm 300-399mg/ml iodine,1ml	17	13	$56.10
J2405	Ondansetron hcl injection	217	179	$52.56
J7030	Normal saline solution infus	108	93	$26.28
88305		12	12	$25.68
96374		59	51	$0.00
J2704	Inj, propofol, 10 mg	79	69	$0.00
36415		119	90	$0.00
81015		187	112	$0.00
J2001	Lidocaine injection	308	220	$0.00
93010		784	669	$0.00
00170		15	14	$0.00

Medicaid Provider Spending