MONROE COUNTY HEALTH CARE AUTHORITY

$1.84M

Total Medicaid Paid

66,049

Total Claims

58,510

Beneficiaries

59

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99284		10,338	9,362	$629K
99283		13,251	12,333	$551K
87637		1,170	1,100	$128K
99285		420	354	$79K
87635		1,798	1,700	$71K
85025		6,448	5,048	$45K
80053		4,257	3,494	$38K
G2024	Spec coll snf/lab covid-19	1,971	1,869	$35K
87804		3,180	2,914	$35K
87631		452	432	$34K
87880		2,264	2,060	$31K
87651		764	734	$30K
99282		417	393	$21K
93010		4,040	3,312	$21K
87081		1,881	1,709	$16K
71045		2,810	2,446	$14K
G0463	Hospital outpt clinic visit	443	313	$14K
93005		1,023	876	$8K
81001		2,048	1,827	$7K
G0378	Hospital observation per hr	26	26	$7K
99222		45	40	$3K
87420		231	202	$3K
80306		348	301	$3K
83690		623	534	$3K
82150		570	487	$2K
99238		42	40	$2K
82553		258	205	$2K
87086		114	101	$1K
82550		263	209	$1K
J1885	Ketorolac tromethamine inj	896	813	$1K
J0696	Ceftriaxone sodium injection	525	478	$795.56
J3410	Hydroxyzine hcl injection	70	67	$793.94
83880		38	34	$762.14
76815		33	28	$758.43
84484		133	108	$721.76
71046		78	72	$623.73
99214		24	13	$603.82
81025		151	135	$496.33
J2930	Methylprednisolone injection	117	111	$458.87
83735		49	46	$369.28
74022		13	13	$253.70
84443		14	14	$223.08
81003		41	41	$134.54
96374		153	139	$84.50
85610		54	24	$75.01
86592		13	13	$72.72
86850		13	13	$72.33
96372		1,106	1,034	$49.75
J2405	Ondansetron hcl injection	171	145	$39.36
85730		40	12	$32.12
86900		12	12	$29.61
86901		12	12	$29.34
J7120	Ringers lactate infusion	14	12	$27.61
99213		215	200	$0.00
36415		385	332	$0.00
96361		74	66	$0.00
90677		13	13	$0.00
J7030	Normal saline solution infus	61	55	$0.00
99392		36	34	$0.00

Medicaid Provider Spending