CHESTER RIVER HOSPITAL CENTER

$627K

Total Medicaid Paid

28,494

Total Claims

22,540

Beneficiaries

46

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99285		1,335	1,127	$291K
99284		2,266	1,948	$272K
99283		676	583	$30K
G0463	Hospital outpt clinic visit	411	377	$7K
71046		710	639	$5K
87804		369	164	$5K
U0004	Cov-19 test non-cdc hgh thru	755	623	$4K
80053		4,601	3,552	$3K
85025		5,218	3,907	$2K
99281		474	351	$2K
80050		294	268	$1K
84484		1,170	936	$1K
36415		2,259	1,782	$1K
82306		269	214	$580.30
80061		751	584	$412.50
81001		1,705	1,457	$310.06
70450		112	91	$215.38
87086		146	125	$167.25
83036		150	108	$163.20
84443		497	359	$141.15
83880		46	41	$113.97
71045		335	286	$97.30
85610		97	91	$85.69
94640		31	15	$83.81
85730		26	24	$61.63
J1100	Dexamethasone sodium phos	18	12	$48.86
83735		1,274	954	$41.52
82948		70	29	$36.75
J2250	Inj midazolam hydrochloride	80	54	$14.50
J7030	Normal saline solution infus	882	668	$9.94
83690		29	26	$8.89
84439		58	52	$0.00
84550		14	13	$0.00
83655		119	79	$0.00
G1004	Cdsm ndsc	723	563	$0.00
J7120	Ringers lactate infusion	67	51	$0.00
81003		43	42	$0.00
J2405	Ondansetron hcl injection	64	52	$0.00
J7050	Normal saline solution infus	42	25	$0.00
87636		127	124	$0.00
83605		35	26	$0.00
82550		48	42	$0.00
0241U		46	39	$0.00
80048		15	12	$0.00
82962		17	12	$0.00
J1030	Methylprednisolone 40 mg inj	20	13	$0.00

Medicaid Provider Spending