UNIVERSITY OF COLORADO HOSPITAL AUTHORITY

$3.82M

Total Medicaid Paid

78,070

Total Claims

63,347

Beneficiaries

43

Codes Billed

2018-06

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		19,743	17,596	$2.45M
99284		4,970	4,439	$653K
99285		2,813	2,365	$294K
96361		944	801	$277K
99282		679	592	$79K
80053		1,171	957	$28K
0241U		171	155	$16K
87651		256	230	$9K
87502		108	97	$4K
J3490	Drugs unclassified injection	15,419	8,698	$4K
74177		12	12	$3K
84484		208	167	$3K
85025		4,405	3,861	$1K
96374		2,088	1,783	$1K
80051		3,269	2,881	$1K
93005		541	445	$827.85
81003		3,186	2,905	$389.89
82947		3,670	3,079	$305.94
82565		3,273	2,880	$288.73
84520		3,276	2,880	$282.51
96375		859	714	$193.30
81025		1,058	986	$165.59
96372		224	205	$120.46
J7030	Normal saline solution infus	928	746	$38.16
J1885	Ketorolac tromethamine inj	1,329	1,058	$18.89
Q9967	Locm 300-399mg/ml iodine,1ml	14	14	$12.00
71045		260	230	$8.11
82977		213	186	$5.12
82150		213	186	$4.58
84460		213	186	$3.66
84450		213	186	$3.53
84075		213	186	$3.30
82247		213	186	$3.27
82040		213	186	$3.22
J8597	Antiemetic drug oral nos	50	39	$3.06
84155		213	186	$2.37
J8499	Oral prescrip drug non chemo	338	267	$1.20
J2405	Ondansetron hcl injection	338	264	$1.03
71046		251	216	$0.00
81002		431	237	$0.00
84702		53	33	$0.00
J7512	Prednisone ir or dr oral 1mg	15	14	$0.00
J1100	Dexamethasone sodium phos	16	13	$0.00

Medicaid Provider Spending