LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER

$1.74M

Total Medicaid Paid

101,022

Total Claims

90,518

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
93306		15,893	14,402	$820K
93010		52,374	47,168	$302K
99214		8,314	7,295	$253K
99213		9,901	8,949	$178K
93000		10,015	8,923	$73K
99204		1,011	873	$58K
78452		278	239	$24K
99203		211	193	$8K
93018		1,236	1,085	$8K
87636		44	41	$4K
99205	Prolong outpt/office vis	33	33	$3K
A9500	Tc99m sestamibi	25	24	$2K
93016		177	160	$1K
93458		23	12	$1K
93244		94	88	$1K
99221		42	38	$1K
99212		45	45	$943.54
87651		45	36	$914.70
99223	Prolong inpt eval add15 m	37	24	$878.78
93015		17	15	$614.80
93242		97	89	$579.73
99233	Prolong inpt eval add15 m	24	12	$533.49
74176		14	14	$462.02
99232		42	28	$371.36
76937		52	48	$252.29
93296		27	25	$112.72
71045		50	48	$103.27
71046		18	16	$6.82
T1015	Clinic service	158	139	$0.00
H0036	Comm psy face-face per 15min	187	61	$0.00
1003F		20	20	$0.00
1159F		32	23	$0.00
1158F		20	20	$0.00
3078F		26	26	$0.00
H2017	Psysoc rehab svc, per 15 min	152	41	$0.00
1160F		32	23	$0.00
99024		53	40	$0.00
1036F		26	26	$0.00
1126F		15	15	$0.00
1111F		27	27	$0.00
2000F		20	20	$0.00
2010F		20	20	$0.00
Q9969	Non-heu tc-99m add-on/dose	25	24	$0.00
3074F		29	29	$0.00
2001F		21	21	$0.00
3008F		20	20	$0.00

Medicaid Provider Spending