BETHANY MEDICAL CENTER

$1.50M

Total Medicaid Paid

86,531

Total Claims

64,579

Beneficiaries

69

Codes Billed

2020-03

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		10,833	8,147	$540K
80307		3,249	2,654	$210K
G0480	Drug test def 1-7 classes	2,949	2,433	$187K
99213		4,471	3,339	$138K
G0481	Drug test def 8-14 classes	1,064	887	$111K
99199		10,233	5,867	$65K
99204		459	355	$39K
99406		5,187	3,802	$37K
81025		3,342	2,498	$21K
99401		865	634	$20K
83970		394	320	$17K
96372		1,399	952	$14K
82306		428	349	$13K
80053		1,030	823	$9K
85025		1,060	836	$8K
36415		3,988	2,973	$6K
93000		533	414	$5K
94375		336	255	$5K
72100		341	242	$5K
84480		308	242	$4K
80061		335	271	$4K
86769		92	89	$4K
84439		388	312	$4K
87426		126	67	$3K
82607		215	168	$3K
83036		352	290	$3K
84443		164	148	$3K
99203		46	40	$3K
87502		48	38	$2K
99443		42	27	$2K
82728		145	120	$2K
72050		123	81	$2K
82746		110	90	$2K
86703		137	107	$2K
83550		160	131	$1K
72070		109	70	$1K
99442		29	14	$996.78
G2211	Complex e/m visit add on	342	255	$977.55
90756		109	76	$926.77
83540		118	95	$797.53
90471		116	92	$725.57
80050		78	69	$716.94
81002		540	383	$651.36
86431		89	68	$513.09
82962		330	238	$493.28
84550		92	71	$415.42
J3420	Vitamin b12 injection	702	532	$238.07
83735		28	26	$214.76
87905		15	12	$209.46
90688		17	14	$178.50
J1885	Ketorolac tromethamine inj	86	71	$77.70
3074F		5,652	4,394	$50.00
3008F		10,399	7,995	$50.00
82044		12	12	$28.24
J1100	Dexamethasone sodium phos	68	60	$25.09
G0446	Intens behave ther cardio dx	36	31	$25.05
3079F		2,245	1,819	$25.00
3078F		5,326	4,151	$25.00
G0442	Annual alcohol screen 15 min	38	33	$17.66
3075F		1,120	921	$0.00
3044F		783	603	$0.00
1125F		51	46	$0.00
3080F		190	167	$0.00
3048F		89	76	$0.00
G0439	Ppps, subseq visit	36	31	$0.00
1170F		18	16	$0.00
4004F		1,206	951	$0.00
1159F		762	586	$0.00
3077F		748	600	$0.00

Medicaid Provider Spending