SINAI HOSPITAL OF BALTIMORE INC

$6.45M

Total Medicaid Paid

148,665

Total Claims

74,039

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99232		70,013	18,392	$2.73M
99233	Prolong inpt eval add15 m	17,113	5,628	$802K
99213		17,876	14,622	$789K
99223	Prolong inpt eval add15 m	5,198	4,693	$507K
99214		9,182	7,679	$479K
99220		3,133	2,767	$272K
99239		6,425	5,787	$248K
99222		3,518	3,109	$220K
99231		5,234	1,867	$59K
99221		1,210	1,091	$57K
99217		1,551	1,375	$48K
99238		1,064	979	$30K
99291		100	94	$22K
99254		241	166	$21K
99219		561	473	$18K
99252		440	339	$17K
S9110	Telemonitoring/home per mnth	324	278	$15K
99225		703	487	$14K
90471		168	156	$10K
99203		130	120	$10K
99218		176	145	$10K
90662		432	393	$9K
99226		268	214	$8K
99253		105	85	$7K
99212		369	206	$7K
0012A		132	127	$5K
0011A		140	128	$5K
99204		105	100	$4K
90686		214	189	$3K
G0439	Ppps, subseq visit	380	347	$3K
99385		31	26	$3K
96127		290	273	$3K
99442		143	130	$2K
G0008	Admin influenza virus vac	704	633	$2K
90682		31	30	$2K
99386		14	13	$2K
99441		176	168	$2K
82962		279	255	$1K
93000		72	69	$1K
99215	Prolong outpt/office vis	12	12	$688.65
0064A		12	12	$480.00
99453		320	307	$243.84
90656		13	13	$197.80
G2012	Brief check in by md/qhp	22	22	$118.47
91301		17	16	$0.00
G0009	Admin pneumococcal vaccine	12	12	$0.00
91306		12	12	$0.00

Medicaid Provider Spending