STATE UNIVERSITY OF IOWA
NPI: 1699541870
· IOWA CITY, IA 52245
· 282N00000X
$189K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,139 |
$189K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
743 |
697 |
$104K |
| 99284 |
|
287 |
267 |
$57K |
| 0241U |
|
111 |
108 |
$9K |
| 96374 |
|
76 |
74 |
$8K |
| 99282 |
|
57 |
56 |
$6K |
| 96375 |
|
63 |
60 |
$2K |
| 96361 |
|
58 |
52 |
$2K |
| 71046 |
|
29 |
29 |
$909.57 |
| 99281 |
|
86 |
86 |
$893.22 |
| G0463 |
Hospital outpt clinic visit |
20 |
15 |
$485.41 |
| 36415 |
|
167 |
132 |
$32.80 |
| 85025 |
|
475 |
422 |
$15.06 |
| J2405 |
Ondansetron hcl injection |
48 |
45 |
$0.00 |
| 93005 |
|
15 |
14 |
$0.00 |
| J7030 |
Normal saline solution infus |
65 |
60 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26 |
24 |
$0.00 |
| 84702 |
|
16 |
12 |
$0.00 |
| 81003 |
|
13 |
12 |
$0.00 |
| 80053 |
|
448 |
400 |
$0.00 |
| 84703 |
|
55 |
54 |
$0.00 |
| 83690 |
|
57 |
54 |
$0.00 |
| A9270 |
Non-covered item or service |
106 |
57 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
47 |
43 |
$0.00 |
| 81001 |
|
46 |
41 |
$0.00 |
| 87651 |
|
13 |
13 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |