CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

$2.22M

Total Medicaid Paid

49,378

Total Claims

35,774

Beneficiaries

50

Codes Billed

2020-04

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		1,647	1,548	$577K
U0004	Cov-19 test non-cdc hgh thru	10,111	4,827	$524K
99284		476	418	$362K
99213		4,742	4,412	$169K
99214		4,353	3,409	$128K
U0005	Infec agen detec ampli probe	8,481	3,789	$115K
99285		187	122	$95K
87880		3,856	3,684	$76K
87635		813	777	$44K
87400		2,379	2,290	$44K
99215	Prolong outpt/office vis	295	286	$18K
80053		1,800	1,560	$14K
87811		727	529	$14K
93228		20	17	$10K
85025		1,987	1,717	$7K
0002A		164	163	$3K
93005		102	91	$3K
0001A		204	198	$2K
99393		26	26	$2K
82948		459	346	$2K
36415		3,048	2,622	$2K
0241U		17	17	$1K
96374		99	89	$1K
94760		50	40	$1K
J3490	Drugs unclassified injection	470	306	$1K
80061		142	140	$908.13
99392		16	15	$744.58
90471		192	183	$635.88
81002		211	193	$447.27
99394		25	25	$420.80
G0463	Hospital outpt clinic visit	1,129	863	$327.94
80050		47	47	$271.52
87807		13	13	$252.66
96160		57	56	$229.00
Q3014	Telehealth facility fee	12	12	$226.46
90472		30	30	$207.18
J7030	Normal saline solution infus	32	27	$132.85
84445		119	117	$92.75
83690		12	12	$86.98
81003		110	97	$75.34
90686		44	44	$0.14
83036		75	74	$0.00
91301		50	49	$0.00
81015		13	12	$0.00
0011A		27	27	$0.00
0012A		12	12	$0.00
91300		430	379	$0.00
93010		39	36	$0.00
0003A		15	15	$0.00
0013A		13	13	$0.00

Medicaid Provider Spending