SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER

$565K

Total Medicaid Paid

26,750

Total Claims

23,033

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		6,448	5,491	$249K
99282		1,947	1,835	$77K
99284		1,463	1,256	$67K
80053		4,542	3,959	$34K
87637		344	331	$32K
99285		351	292	$19K
85025		4,102	3,534	$14K
96372		510	413	$11K
96365		204	164	$10K
87804		425	221	$8K
87631		65	64	$8K
96375		187	158	$6K
84443		526	502	$5K
93005		297	245	$3K
81000		901	818	$3K
96374		122	113	$2K
83036		414	401	$2K
81001		729	674	$2K
87086		220	211	$2K
71046		76	75	$2K
80307		37	31	$2K
80061		177	166	$2K
87426		42	41	$1K
J3490	Drugs unclassified injection	398	186	$1K
70450		15	13	$834.32
99281		45	40	$711.86
87880		81	78	$677.87
81025		97	90	$648.98
84484		55	46	$418.88
71045		99	85	$338.16
94640		29	12	$331.39
96361		13	12	$281.12
87186		31	29	$261.36
85027		39	36	$235.86
80048		39	31	$156.03
87088		12	12	$121.69
J1885	Ketorolac tromethamine inj	67	55	$104.99
94760		17	12	$81.27
82570		15	13	$65.77
J2550	Promethazine hcl injection	18	14	$38.42
36415		805	640	$38.20
J2405	Ondansetron hcl injection	62	58	$31.86
J7120	Ringers lactate infusion	41	28	$23.42
C9803	Hopd covid-19 spec collect	363	344	$12.44
J7030	Normal saline solution infus	194	144	$7.79
J3010	Fentanyl citrate injection	16	13	$4.96
A4216	Sterile water/saline, 10 ml	52	35	$1.95
J2704	Inj, propofol, 10 mg	18	12	$0.00

Medicaid Provider Spending