SHRINERS HOSPITALS FOR CHILDREN

$4.28M

Total Medicaid Paid

91,413

Total Claims

71,488

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
J3490	Drugs unclassified injection	4,730	1,819	$1.65M
99211		23,469	22,147	$644K
77073		5,564	5,349	$355K
97530		7,693	2,012	$221K
72082		3,726	3,586	$178K
72081		3,166	2,992	$171K
73620		5,233	4,026	$161K
72170		2,861	2,712	$134K
97110		4,752	1,755	$115K
73600		3,146	2,286	$97K
J7120	Ringers lactate infusion	1,117	944	$88K
99202		3,406	3,334	$77K
99213		2,372	2,165	$71K
97116		3,442	1,375	$65K
99201		1,776	1,701	$42K
97161		1,803	1,682	$29K
73560		1,257	954	$28K
73100		242	199	$27K
99203		910	884	$20K
99212		738	703	$18K
81003		112	104	$11K
76000		335	316	$10K
36415		92	89	$10K
73630		211	173	$9K
97112		293	111	$7K
99204		297	291	$6K
73590		80	67	$5K
72020		25	25	$4K
G0463	Hospital outpt clinic visit	142	141	$4K
96001		290	283	$4K
81025		15	14	$3K
73090		33	27	$2K
97760		25	24	$2K
73120		26	26	$2K
73070		17	13	$2K
29405		33	26	$2K
97535		27	13	$1K
97165		111	105	$891.13
97162		25	24	$710.76
73610		12	12	$589.95
99215	Prolong outpt/office vis	14	14	$464.50
J2405	Ondansetron hcl injection	1,827	1,704	$210.91
J1885	Ketorolac tromethamine inj	1,252	972	$125.34
J0690	Cefazolin sodium injection	1,607	1,410	$110.15
J1100	Dexamethasone sodium phos	956	902	$70.48
J2704	Inj, propofol, 10 mg	1,581	1,453	$61.08
J1170	Hydromorphone injection	337	303	$58.69
J3010	Fentanyl citrate injection	222	208	$2.24
96002		13	13	$0.00

Medicaid Provider Spending