ORO VALLEY HOSPITAL LLC

$2.45M

Total Medicaid Paid

57,325

Total Claims

53,769

Beneficiaries

46

Codes Billed

2018-06

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		8,305	7,879	$1.24M
99284		3,919	3,653	$539K
74177		600	572	$282K
99285		578	553	$169K
99282		2,137	2,042	$158K
74176		73	71	$29K
70450		77	75	$25K
94640		186	150	$3K
80307		17	14	$772.15
96361		2,169	1,984	$623.57
87804		1,291	1,260	$461.58
84484		948	828	$433.43
93005		1,610	1,482	$123.74
80053		3,242	2,999	$85.98
96360		240	233	$51.30
85025		4,177	3,872	$6.75
81001		1,511	1,435	$6.74
81003		1,071	1,009	$1.96
71045		1,258	1,210	$0.00
96374		2,554	2,373	$0.00
87635		2,131	2,058	$0.00
87086		676	645	$0.00
83690		1,708	1,574	$0.00
J1885	Ketorolac tromethamine inj	1,476	1,390	$0.00
96365		52	52	$0.00
96375		1,666	1,502	$0.00
96372		519	488	$0.00
36415		4,506	4,145	$0.00
80048		730	700	$0.00
82150		13	12	$0.00
84703		1,106	1,046	$0.00
J1100	Dexamethasone sodium phos	158	154	$0.00
83735		15	15	$0.00
85027		12	12	$0.00
87807		17	17	$0.00
85379		24	24	$0.00
J2405	Ondansetron hcl injection	1,276	1,175	$0.00
87880		673	657	$0.00
C9803	Hopd covid-19 spec collect	2,032	1,956	$0.00
81025		619	598	$0.00
Q9967	Locm 300-399mg/ml iodine,1ml	1,024	976	$0.00
71046		384	370	$0.00
J2270	Morphine sulfate injection	126	112	$0.00
J1200	Diphenhydramine hcl injectio	39	36	$0.00
J7030	Normal saline solution infus	354	335	$0.00
73130		26	26	$0.00

Medicaid Provider Spending