CRAWFORD COUNTY MEMORIAL HOSPITAL

$2.96M

Total Medicaid Paid

55,142

Total Claims

46,399

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99284		3,696	3,169	$720K
99283		4,591	3,981	$533K
80053		8,271	6,675	$497K
85025		9,294	7,450	$322K
87880		6,592	6,219	$273K
87804		1,973	1,771	$124K
36415		11,383	9,048	$109K
87811		680	647	$38K
U0003	Cov-19 amp prb hgh thruput	508	457	$34K
71046		307	259	$27K
93005		490	399	$26K
84443		430	381	$24K
87635		401	369	$20K
99285		68	55	$20K
99282		246	215	$19K
85027		516	414	$17K
81001		814	718	$17K
96374		237	206	$14K
C9803	Hopd covid-19 spec collect	1,513	1,365	$12K
83735		346	279	$12K
0241U		102	92	$11K
80048		215	157	$11K
83655		225	212	$9K
84100		311	251	$8K
96375		95	75	$7K
86140		224	197	$7K
87807		114	107	$5K
84484		88	70	$5K
96372		96	76	$5K
83605		156	125	$5K
81025		57	52	$4K
71045		72	67	$4K
96365		30	26	$3K
81002		225	151	$3K
83880		43	32	$3K
87389		41	39	$2K
76815		13	12	$2K
J2360	Orphenadrine injection	65	55	$2K
80305		32	26	$2K
85651		70	58	$2K
J1885	Ketorolac tromethamine inj	229	179	$1K
85018		53	51	$1K
83690		27	25	$1K
83036		14	14	$932.10
94760		28	25	$810.74
86787		15	12	$723.39
96361		12	12	$539.24
87088		15	12	$450.14
87491		12	12	$434.57
81003		27	26	$369.23
J7040	Normal saline solution infus	31	28	$323.90
85730		18	17	$224.83
85610		18	17	$174.20
J2405	Ondansetron hcl injection	13	12	$106.19

Medicaid Provider Spending