RAI CARE CENTERS OF SOUTHERN CALIFORNIA II, LLC

$8.42M

Total Medicaid Paid

270,185

Total Claims

87,938

Beneficiaries

45

Codes Billed

2018-01

First Month

2023-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		39,462	5,050	$7.33M
90945		7,441	260	$863K
A4657	Syringe w/wo needle	63,587	4,151	$136K
J0604	Cinacalcet, esrd on dialysis	359	176	$36K
85018		8,288	4,320	$17K
80051		4,823	4,671	$7K
84100		6,190	4,822	$5K
84520		9,494	4,750	$5K
0250		633	203	$5K
J0887	Epoetin beta esrd use	4,401	3,137	$2K
83970		3,916	3,662	$2K
J1756	Iron sucrose injection	6,788	2,499	$2K
82310		5,327	4,731	$1K
J1270	Injection, doxercalciferol	20,277	2,981	$1K
86706		476	458	$1K
90686		169	169	$1K
0001A		24	24	$920.00
0002A		20	20	$760.00
83550		3,722	3,620	$752.62
84155		5,105	4,942	$728.01
82565		4,837	4,660	$643.69
J1644	Inj heparin sodium per 1000u	42,435	1,723	$122.34
82728		2,396	2,325	$39.04
87340		1,607	1,538	$38.58
85025		5,025	4,864	$35.07
84466		1,332	1,267	$34.19
83540		5,126	4,952	$29.41
83735		1,375	1,339	$13.32
82040		4,880	4,705	$13.27
84075		1,405	1,372	$10.29
85046		2,476	2,417	$5.52
84132		192	138	$0.00
90688		77	74	$0.00
82607		133	127	$0.00
G0009	Admin pneumococcal vaccine	50	47	$0.00
G0008	Admin influenza virus vac	302	299	$0.00
86803		209	206	$0.00
82746		279	271	$0.00
86580		29	27	$0.00
90732		31	29	$0.00
80069		27	27	$0.00
A6216	Non-sterile gauze<=16 sq in	5,059	489	$0.00
90662		58	58	$0.00
82108		329	325	$0.00
90740		14	13	$0.00

Medicaid Provider Spending