CAPITAL HEALTH SYSTEM INC

$6.14M

Total Medicaid Paid

161,005

Total Claims

54,832

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		32,472	2,475	$2.51M
Q4081	Epoetin alfa, 100 units esrd	9,847	1,073	$620K
J1270	Injection, doxercalciferol	7,443	819	$600K
Q5105	Inj retacrit esrd on dialysi	17,694	1,372	$364K
A4657	Syringe w/wo needle	12,483	2,617	$148K
J1756	Iron sucrose injection	6,509	1,232	$148K
90935		1,009	64	$144K
84520		4,529	2,497	$141K
84132		3,251	2,394	$99K
84100		3,325	2,456	$96K
82310		3,368	2,392	$95K
82040		3,136	2,387	$95K
83970		3,172	2,493	$95K
84295		2,964	2,377	$94K
82728		3,109	2,498	$94K
82374		2,966	2,378	$94K
84075		2,214	1,858	$94K
84466		2,169	1,857	$94K
82565		2,973	2,377	$94K
83540		3,122	2,498	$94K
82435		2,965	2,377	$94K
84155		2,213	1,856	$94K
82108		1,055	856	$34K
87340		2,344	1,772	$32K
86706		1,821	1,397	$21K
36415		3,647	888	$20K
J2501	Paricalcitol	10,832	915	$9K
82306		121	121	$9K
J1644	Inj heparin sodium per 1000u	534	164	$4K
G0008	Admin influenza virus vac	47	46	$3K
J0604	Cinacalcet, esrd on dialysis	44	36	$2K
90686		12	12	$2K
85014		1,499	601	$939.61
85018		1,498	600	$939.01
85027		14	14	$517.56
85025		846	576	$178.23
86803		926	633	$151.07
80053		79	49	$48.20
83550		944	639	$30.14
J2916	Na ferric gluconate complex	221	57	$29.57
82947		637	462	$24.22
84460		810	568	$12.91
86317		141	79	$5.60

Medicaid Provider Spending