CRIMSON URGENT CARE, LLC

$1.45M

Total Medicaid Paid

71,603

Total Claims

56,573

Beneficiaries

41

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		7,955	6,677	$355K
99214		5,057	4,193	$316K
99203		2,863	2,619	$206K
87426		5,784	5,230	$99K
87804		11,887	5,116	$79K
99204		634	574	$69K
99212		2,455	2,053	$58K
99202		1,325	1,141	$49K
87428		1,040	937	$44K
96372		5,094	4,300	$42K
87811		2,355	1,811	$36K
87880		3,194	2,804	$29K
87635		533	454	$18K
71046		1,196	1,033	$18K
G2023	Specimen collect covid-19	5,372	4,730	$13K
87807		712	611	$5K
94640		684	586	$4K
J0696	Ceftriaxone sodium injection	1,953	1,679	$3K
81002		1,263	1,115	$2K
M0245	Bamlan and etesev infusion	16	13	$2K
J1885	Ketorolac tromethamine inj	997	868	$1K
J1100	Dexamethasone sodium phos	2,750	2,370	$985.11
81025		320	285	$599.79
81003		74	51	$114.00
J3420	Vitamin b12 injection	84	77	$110.93
S0077	Injection, clindamycin phosp	34	31	$43.12
J7644	Ipratropium bromide non-comp	630	540	$0.52
J7613	Albuterol non-comp unit	681	585	$0.14
3079F		78	69	$0.00
2010F		396	349	$0.00
3074F		353	303	$0.00
1170F		667	568	$0.00
3008F		539	462	$0.00
3080F		25	24	$0.00
2001F		531	469	$0.00
1160F		538	474	$0.00
A7003	Nebulizer administration set	349	330	$0.00
1159F		539	475	$0.00
3078F		244	209	$0.00
1494F		390	346	$0.00
3077F		12	12	$0.00

Medicaid Provider Spending