PRESENTATION MEDICAL CENTER

$8.84M

Total Medicaid Paid

67,187

Total Claims

50,953

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99284		9,620	6,387	$2.98M
99283		11,346	8,114	$2.48M
99282		15,655	9,900	$2.38M
96372		2,464	2,034	$223K
99285		239	162	$190K
80053		2,379	2,088	$60K
85025		3,661	3,140	$53K
71046		707	657	$40K
36415		8,757	7,347	$38K
87880		1,748	1,681	$34K
87428		555	533	$32K
99281		282	268	$30K
93005		446	383	$30K
99213		247	216	$29K
G0480	Drug test def 1-7 classes	76	69	$26K
97110		230	90	$24K
94640		109	91	$24K
80050		406	370	$20K
87804		718	680	$19K
96374		214	186	$17K
87070		1,290	1,237	$15K
87635		214	202	$12K
96361		73	66	$8K
90471		186	173	$8K
81015		1,870	1,707	$7K
96375		37	29	$6K
96365		13	12	$5K
J1885	Ketorolac tromethamine inj	340	315	$5K
87086		445	410	$4K
J7030	Normal saline solution infus	648	423	$3K
87807		144	139	$3K
87491		43	41	$3K
81003		767	693	$2K
81001		240	222	$2K
J0696	Ceftriaxone sodium injection	150	91	$2K
84484		93	79	$2K
87591		43	41	$2K
87186		121	115	$2K
81025		114	108	$1K
80061		46	36	$1K
74019		12	12	$953.80
83036		78	72	$921.28
80048		57	51	$730.34
87088		55	55	$639.33
84443		13	12	$626.40
90686		92	88	$545.27
83690		46	40	$367.52
86140		29	25	$235.24
90662		13	13	$230.40
85610		13	12	$168.73
83605		16	12	$71.75
J1100	Dexamethasone sodium phos	13	13	$12.57
A9270	Non-covered item or service	14	13	$0.00

Medicaid Provider Spending