LOWER VALLEY HOSPITAL ASSOCIATION

$847K

Total Medicaid Paid

16,098

Total Claims

14,378

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		4,287	3,844	$297K
99284		1,762	1,595	$165K
99213		2,292	2,019	$111K
99283		1,551	1,450	$80K
99203		652	605	$49K
99204		299	280	$36K
99215	Prolong outpt/office vis	290	272	$28K
74177		242	228	$14K
99282		411	362	$12K
71046		904	772	$10K
73630		646	493	$6K
11721		332	313	$5K
95886		85	82	$4K
70450		118	106	$4K
27096		30	28	$3K
95911		25	24	$3K
20553		115	62	$3K
L3020	Foot longitud/metatarsal sup	13	12	$2K
71045		211	196	$2K
0001A		54	50	$2K
0002A		49	46	$2K
73721		30	29	$1K
62321		16	13	$1K
72148		16	14	$789.30
87428		35	33	$740.23
99417	Prolong home eval add 15m	14	12	$555.52
73110		47	38	$515.76
90471		28	26	$482.38
J3301	Triamcinolone acet inj nos	40	37	$467.80
36415		223	193	$413.68
99212		13	13	$407.80
72110		54	39	$389.02
77067		13	13	$347.93
96127		55	47	$241.38
G2211	Complex e/m visit add on	367	344	$203.23
87880		41	39	$193.56
11730		24	24	$174.48
J0702	Betamethasone acet&sod phosp	34	24	$151.99
73140		12	12	$84.90
97026		17	12	$61.63
11732		12	12	$43.65
G8427	Docrev cur meds by elig clin	268	237	$0.00
G8417	Calc bmi abv up param f/u	81	64	$0.00
G8482	Flu immunize order/admin	22	21	$0.00
1036F		127	115	$0.00
G9903	Pt scrn tbco id as non user	141	128	$0.00

Medicaid Provider Spending