UHS OF OKLAHOMA, LLC

$4.86M

Total Medicaid Paid

54,457

Total Claims

50,764

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99284		6,324	6,235	$1.51M
99283		9,178	9,104	$1.47M
99285		3,557	3,519	$1.11M
96374		2,205	2,157	$280K
36415		9,585	8,706	$130K
11042		350	199	$59K
43239		112	112	$39K
96375		887	854	$37K
85025		5,426	4,963	$36K
99282		305	304	$28K
71045		1,969	1,930	$24K
87804		1,435	748	$21K
80053		2,312	2,262	$20K
96372		186	183	$11K
88305		105	93	$11K
97597		1,292	575	$9K
80055		217	217	$9K
81001		2,711	2,678	$8K
93005		1,288	1,238	$7K
87389		244	244	$5K
71046		288	283	$5K
87086		418	417	$3K
88312		40	26	$3K
87653		91	91	$3K
80048		371	368	$3K
86803		216	216	$3K
81025		329	324	$2K
84484		205	179	$2K
U0003	Cov-19 amp prb hgh thruput	31	30	$2K
87426		31	31	$1K
87430		94	94	$1K
G0480	Drug test def 1-7 classes	12	12	$1K
87081		206	206	$1K
96361		38	38	$1K
81002		362	256	$977.75
83690		155	151	$852.07
83605		69	61	$699.91
87420		55	55	$687.66
U0005	Infec agen detec ampli probe	30	30	$665.00
85027		124	120	$661.25
81003		310	266	$625.83
87491		12	12	$561.78
82950		118	118	$481.18
82962		162	67	$292.84
85018		130	130	$263.54
85014		130	130	$263.54
87661		12	12	$187.26
87591		12	12	$187.26
83735		18	18	$107.28
J2405	Ondansetron hcl injection	229	222	$95.76
J1885	Ketorolac tromethamine inj	378	375	$70.50
J3010	Fentanyl citrate injection	42	42	$46.94
J1100	Dexamethasone sodium phos	13	13	$0.00
Q9967	Locm 300-399mg/ml iodine,1ml	38	38	$0.00

Medicaid Provider Spending