ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT

$1.98M

Total Medicaid Paid

77,677

Total Claims

34,856

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		13,441	10,716	$1.58M
99282		1,706	1,403	$140K
87426		1,078	962	$35K
87804		2,575	1,179	$35K
99214		894	382	$34K
80053		3,764	3,308	$28K
85025		3,483	3,064	$19K
36415		6,129	5,086	$13K
87880		692	625	$10K
82306		428	381	$9K
84443		660	618	$9K
84481		681	621	$8K
99215	Prolong outpt/office vis	89	58	$7K
80061		591	525	$7K
92507		157	36	$6K
71045		110	92	$5K
84436		871	811	$5K
87070		617	551	$5K
84479		857	796	$5K
93005		98	79	$4K
M0243	Casirivi and imdevi inj	17	12	$2K
81003		1,434	1,249	$2K
97110		128	25	$2K
80307		31	28	$2K
J1885	Ketorolac tromethamine inj	90	76	$1K
83036		148	135	$1K
84484		105	89	$878.03
82553		89	77	$481.66
J7030	Normal saline solution infus	27	24	$475.00
82550		112	101	$374.54
84439		59	48	$333.74
81025		29	25	$230.13
83880		17	14	$196.30
85027		15	12	$74.20
85007		15	12	$34.10
99212		24	12	$33.00
Q0244	Casirivi and imdevi 1200 mg	17	12	$0.03
90791		50	48	$0.00
90853		20,321	820	$0.00
G0177	Opps/php/iop; train & educ	5,039	283	$0.00
90832		161	110	$0.00
U0001	2019-ncov diagnostic p	32	27	$0.00
G0410	Grp psych php/iop 45-50	10,757	297	$0.00
90834		14	13	$0.00
05983		25	14	$0.00

Medicaid Provider Spending