MISSOURI BAPTIST MEDICAL CENTER

$1.30M

Total Medicaid Paid

22,447

Total Claims

21,085

Beneficiaries

61

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
X4011		525	479	$198K
99284		999	916	$172K
99285		690	642	$160K
99283		982	954	$151K
85025		4,921	4,615	$129K
96374		705	657	$62K
77067		522	519	$50K
80053		3,750	3,578	$49K
11042		428	218	$29K
93005		901	843	$27K
X4006		36	30	$21K
77063		521	518	$19K
71046		280	258	$17K
Y7506		157	146	$16K
36415		601	528	$14K
81001		416	398	$14K
0202U		38	38	$14K
87591		356	350	$13K
87491		338	333	$13K
80307		92	71	$13K
80048		57	55	$12K
76816		76	65	$8K
84443		546	540	$7K
80061		651	642	$7K
87660		192	183	$7K
G0145	Scr c/v cyto,thinlayer,rescr	332	331	$7K
87480		160	153	$6K
84484		432	367	$6K
87510		75	73	$5K
87081		583	573	$5K
0241U		87	86	$5K
87086		156	150	$4K
74177		18	17	$4K
88175		103	101	$4K
G0463	Hospital outpt clinic visit	57	51	$4K
87801		64	62	$3K
G0472	Hep c screen high risk/other	105	102	$3K
88305		16	14	$2K
80081		13	13	$2K
96375		94	86	$2K
81025		186	184	$2K
87624		112	112	$2K
83036		145	143	$2K
G0476	Hpv combo assay ca screen	46	46	$2K
U0003	Cov-19 amp prb hgh thruput	65	64	$700.00
86850		13	13	$500.02
84439		67	66	$487.85
G0475	Hiv combination assay	28	28	$427.09
86696		28	28	$378.74
83690		109	105	$365.30
86592		129	129	$338.78
86695		28	28	$258.03
87340		29	29	$207.71
86140		49	49	$180.77
81003		86	81	$99.64
85652		49	49	$94.20
C9803	Hopd covid-19 spec collect	35	34	$47.81
85027		13	12	$47.74
84550		16	15	$35.64
J3490	Drugs unclassified injection	124	100	$0.00
U0005	Infec agen detec ampli probe	15	15	$0.00

Medicaid Provider Spending