SOUTHEASTERN MEDICAL ONCOLOGY CENTER

$3.91M

Total Medicaid Paid

175,791

Total Claims

133,729

Beneficiaries

41

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		16,512	13,698	$840K
96413		8,952	5,908	$509K
J1437	Inj. fe derisomaltose 10 mg	231	183	$461K
J1439	Inj ferric carboxymaltos 1mg	727	574	$397K
99213		10,322	9,002	$345K
99215	Prolong outpt/office vis	4,796	3,552	$316K
85025		43,513	32,134	$202K
96365		5,712	4,235	$160K
Q0138	Ferumoxytol, non-esrd	729	520	$132K
96367		5,600	3,651	$117K
80053		21,511	16,241	$104K
96372		9,459	7,220	$84K
J2469	Palonosetron hcl	643	450	$48K
99204		486	392	$48K
36415		25,441	19,883	$33K
82728		3,411	2,950	$26K
96375		1,380	987	$20K
83550		1,771	1,556	$10K
99232		186	50	$9K
96417		211	152	$9K
83540		1,772	1,556	$7K
83735		1,632	1,120	$6K
J1200	Diphenhydramine hcl injectio	735	494	$6K
99203		72	57	$5K
96415		192	126	$4K
Q5106	Inj retacrit non-esrd use	36	27	$3K
96361		185	114	$2K
J1100	Dexamethasone sodium phos	3,744	2,383	$2K
96360		54	24	$1K
99443		15	13	$1K
J3420	Vitamin b12 injection	4,670	3,686	$994.32
G2211	Complex e/m visit add on	296	263	$731.36
90674		104	84	$394.52
99211		28	25	$291.72
J9190	Fluorouracil injection	15	12	$205.01
J7030	Normal saline solution infus	167	51	$64.68
81001		12	12	$36.99
J3490	Drugs unclassified injection	39	25	$0.60
J9271	Inj pembrolizumab	16	12	$0.03
J9999	Chemotherapy drug	360	254	$0.00
G0008	Admin influenza virus vac	54	53	$0.00

Medicaid Provider Spending