COUNTY OF MONROE

$1.35M

Total Medicaid Paid

44,494

Total Claims

43,342

Beneficiaries

64

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
0001A		5,482	5,480	$202K
0002A		4,869	4,867	$188K
90460		3,264	3,190	$119K
99214		1,577	1,464	$118K
0004A		2,167	2,164	$85K
H0033	Oral med adm direct observe	885	878	$82K
99213		1,167	1,102	$64K
0012A		1,858	1,857	$56K
0011A		1,978	1,976	$53K
99215	Prolong outpt/office vis	424	417	$47K
0031A		1,187	1,187	$44K
0064A		766	766	$29K
G0008	Admin influenza virus vac	1,593	1,593	$26K
99401		1,045	1,041	$26K
86703		1,955	1,952	$25K
0071A		599	599	$24K
0072A		498	498	$20K
99392		213	212	$16K
99211		824	718	$14K
90707		193	171	$12K
0054A		163	163	$6K
90715		434	141	$6K
90471		354	352	$6K
99393		77	76	$6K
90686		402	308	$6K
Q0144	Azithromycin dihydrate, oral	231	230	$5K
86328		107	103	$5K
87210		1,030	1,020	$5K
96160		1,910	1,910	$5K
0124A		117	117	$5K
90716		70	55	$4K
90480		109	109	$4K
99443		95	93	$4K
96110		441	422	$4K
90632		78	54	$3K
86580		500	484	$3K
87389		164	164	$3K
0034A		59	59	$2K
90472		141	140	$2K
81025		262	258	$2K
J8499	Oral prescrip drug non chemo	429	368	$2K
36415		927	915	$2K
96372		104	99	$2K
0052A		33	33	$1K
87205		332	330	$1K
99394		14	12	$1K
92551		142	142	$917.82
G0010	Admin hepatitis b vaccine	54	54	$842.25
S9445	Pt education noc individ	18	18	$778.50
83986		297	293	$706.05
0051A		16	16	$640.00
99423		14	13	$516.88
99173		138	138	$247.03
99204		12	12	$213.49
90713		14	14	$179.08
90734		40	34	$150.60
90619		48	45	$75.30
96127		13	13	$47.06
J0696	Ceftriaxone sodium injection	57	57	$40.71
91300		1,569	1,442	$2.52
91301		667	640	$0.62
91306		101	101	$0.20
91303		114	114	$0.00
91307		53	49	$0.00

Medicaid Provider Spending