ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC

$4.38M

Total Medicaid Paid

79,515

Total Claims

55,920

Beneficiaries

56

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		23,853	21,454	$1.26M
77014		21,795	6,378	$1.09M
99204		7,783	7,389	$737K
77386		269	79	$200K
99213		5,327	4,824	$191K
31231		740	712	$107K
99244		563	537	$79K
77385		134	38	$77K
G6015	Radiation tx delivery imrt	429	135	$77K
99203		1,144	1,073	$72K
77427		424	258	$59K
78815		67	65	$54K
17311		211	123	$34K
99223	Prolong inpt eval add15 m	417	375	$34K
76770		392	367	$30K
52000		280	244	$29K
95115		4,054	2,224	$28K
76775		899	796	$23K
51741		2,220	2,033	$19K
54161		134	122	$18K
G6012	Radiation treatment delivery	91	36	$18K
51798		1,846	1,684	$15K
17312		72	50	$15K
92567		1,188	1,148	$14K
92557		413	401	$12K
51728		71	67	$10K
A9552	F18 fdg	59	54	$9K
G6017	Intrafraction track motion	58	25	$6K
17110		57	55	$6K
77334		25	12	$6K
95165		40	37	$5K
69436		25	25	$5K
99205	Prolong outpt/office vis	27	27	$4K
77336		58	37	$4K
95117		422	242	$4K
99215	Prolong outpt/office vis	39	37	$3K
76642		44	39	$3K
99202		67	64	$3K
51784		115	110	$2K
74177		12	12	$2K
71260		26	26	$2K
70486		72	71	$2K
99254		13	13	$2K
31575		13	13	$1K
81002		601	557	$1K
92588		38	38	$1K
81000		438	403	$1K
99232		34	26	$992.59
96372		85	81	$907.95
Q9967	Locm 300-399mg/ml iodine,1ml	128	119	$801.72
92587		45	39	$718.01
J3301	Triamcinolone acet inj nos	68	68	$418.69
99212		13	12	$374.08
81003		56	53	$121.67
99072		2,003	998	$56.40
A4550	Surgical trays	18	15	$0.00

Medicaid Provider Spending