ARKANSAS DEPARTMENT OF HEALTH PAYROLL OFFICE

$732K

Total Medicaid Paid

70,647

Total Claims

52,618

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
U0004	Cov-19 test non-cdc hgh thru	11,820	6,592	$411K
90686		23,185	17,017	$225K
0001A		1,343	1,061	$26K
0002A		1,370	1,101	$25K
90471		2,515	2,079	$12K
J1050	Medroxyprogesterone acetate	1,256	1,093	$5K
0012A		671	642	$5K
0031A		487	450	$3K
90656		233	230	$3K
87426		878	823	$2K
0124A		139	130	$2K
99211		2,442	1,482	$1K
0011A		208	198	$1K
0052A		52	42	$1K
G0008	Admin influenza virus vac	3,119	2,951	$1K
87636		90	83	$998.41
0051A		33	30	$950.34
0053A		47	40	$880.00
87428		79	79	$809.35
99401		510	349	$800.00
0072A		33	26	$720.00
87491		637	574	$595.96
87591		638	576	$595.96
0071A		24	16	$560.00
0134A		56	52	$520.00
0073A		21	12	$480.00
90672		63	28	$458.88
87389		452	391	$397.28
U0002	Covid-19 lab test non-cdc	163	158	$256.63
81025		649	509	$199.95
90460		10,987	8,314	$144.77
96372		560	538	$138.96
99402		223	156	$133.65
86703		14	13	$50.14
90480		191	178	$33.20
86592		299	287	$24.85
91300		2,161	1,757	$10.05
87210		37	24	$6.10
91307		675	440	$2.79
91301		937	890	$1.67
91305		201	173	$1.21
91303		474	438	$0.67
J0696	Ceftriaxone sodium injection	25	17	$0.65
91312		144	135	$0.47
91313		58	54	$0.13
91322		179	166	$0.00
J7307	Etonogestrel implant system	30	19	$0.00
90662		44	42	$0.00
90473		21	13	$0.00
11981		30	19	$0.00
90632		125	118	$0.00
86803		19	13	$0.00

Medicaid Provider Spending