ORTHOWEST

$3.48M

Total Medicaid Paid

98,736

Total Claims

88,954

Beneficiaries

60

Codes Billed

2021-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		19,066	17,890	$1.12M
99204		7,162	7,035	$589K
99213		17,659	16,377	$537K
99203		6,410	6,236	$292K
20610		6,376	5,645	$244K
73564		5,217	4,547	$99K
73030		3,304	2,985	$57K
72100		2,134	2,080	$46K
73110		2,363	1,964	$46K
72110		1,533	1,507	$44K
73562		2,064	1,230	$41K
73610		1,831	1,591	$33K
99215	Prolong outpt/office vis	504	493	$32K
73130		1,684	1,431	$29K
29075		510	428	$26K
J1030	Methylprednisolone 40 mg inj	4,153	3,971	$21K
72040		970	952	$20K
73502		918	858	$20K
20550		870	765	$19K
72050		692	683	$18K
73630		1,204	1,056	$18K
J3301	Triamcinolone acet inj nos	3,022	2,852	$18K
29881		66	59	$16K
73080		707	608	$14K
A4590	Special casting material	618	495	$10K
72082		184	182	$10K
22612		20	13	$9K
J1010	Inj, methylpred acetate 1 mg	730	556	$7K
99205	Prolong outpt/office vis	81	80	$7K
27447		23	15	$6K
73560		489	398	$5K
29125		147	136	$4K
73140		362	332	$4K
29826		25	24	$4K
97140		1,729	604	$3K
29876		15	12	$3K
73221		13	12	$3K
72170		170	167	$2K
73521		58	55	$2K
73503		49	49	$1K
97110		1,322	528	$943.76
29515		17	12	$820.36
73590		58	50	$788.86
73000		60	53	$634.89
20611		315	271	$571.97
20605		48	41	$504.58
99423		22	22	$345.26
97150		19	13	$207.44
99421		43	41	$188.56
20600		29	27	$184.29
72070		30	30	$184.15
99422		24	22	$145.51
J2001	Lidocaine injection	1,380	1,300	$145.00
20936		25	13	$101.04
97530		36	25	$99.05
20930		24	13	$90.92
A6450	Lt compres band >=5"/yd	57	53	$40.65
97162		13	13	$35.00
97112		52	24	$0.00
99202		30	30	$0.00

Medicaid Provider Spending