STEELE MEMORIAL MEDICAL CENTER

$718K

Total Medicaid Paid

19,607

Total Claims

16,164

Beneficiaries

59

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99284		821	636	$196K
99283		1,234	970	$169K
99285		324	212	$83K
99214		775	729	$53K
97110		1,074	344	$34K
99282		225	187	$22K
93005		329	299	$20K
87502		214	208	$18K
80053		2,046	1,754	$17K
85025		2,239	1,886	$14K
96375		98	86	$10K
84443		737	713	$10K
87651		271	259	$8K
99211		1,645	1,394	$6K
36415		2,473	2,135	$6K
96372		201	172	$5K
92507		71	15	$4K
96374		118	112	$4K
97140		159	51	$4K
J7120	Ringers lactate infusion	261	227	$4K
81001		976	870	$3K
71046		256	246	$3K
96365		35	27	$2K
84703		250	235	$2K
80061		195	194	$2K
80048		267	242	$2K
82306		54	54	$1K
83036		254	249	$1K
J2001	Lidocaine injection	111	82	$1K
J7030	Normal saline solution infus	191	166	$1K
J2405	Ondansetron hcl injection	185	158	$1K
87086		172	155	$1K
85610		270	208	$915.68
96361		16	15	$765.85
84484		74	54	$754.25
87804		54	53	$691.91
87491		16	16	$623.99
81003		196	182	$564.94
87635		12	12	$540.00
J3010	Fentanyl citrate injection	31	25	$449.75
70450		12	12	$430.30
J2704	Inj, propofol, 10 mg	47	41	$351.97
87070		41	39	$341.33
J2250	Inj midazolam hydrochloride	30	27	$335.87
80305		28	26	$319.10
90460		25	25	$293.81
J7050	Normal saline solution infus	136	72	$292.98
83690		47	42	$290.29
84439		26	25	$213.62
90471		13	13	$195.00
J1100	Dexamethasone sodium phos	25	25	$193.72
87430		13	13	$158.29
85027		24	24	$144.53
99213		43	37	$114.85
87186		13	12	$96.00
87077		13	12	$89.70
86140		21	21	$78.70
J1885	Ketorolac tromethamine inj	43	41	$32.73
A9270	Non-covered item or service	77	25	$0.00

Medicaid Provider Spending