SSM HEALTH CARE ST. LOUIS

$7.68M

Total Medicaid Paid

93,716

Total Claims

87,389

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
X4011		7,805	7,384	$1.95M
99284		5,287	4,918	$963K
99283		6,061	5,762	$907K
G0463	Hospital outpt clinic visit	9,311	8,782	$782K
85025		17,493	16,090	$749K
80053		16,069	14,911	$709K
96374		4,718	4,415	$512K
93005		4,549	4,198	$171K
87880		3,781	3,702	$96K
99282		1,046	1,009	$78K
76816		599	568	$72K
99285		261	231	$72K
96375		1,801	1,650	$71K
71045		1,226	1,144	$54K
99214		477	470	$53K
X4003		993	900	$52K
G0378	Hospital observation per hr	90	63	$41K
99203		964	955	$37K
87400		513	489	$37K
87081		484	479	$32K
84484		2,393	1,918	$29K
0241U		310	295	$27K
87426		1,003	972	$24K
76817		43	40	$19K
76805		38	38	$18K
99213		1,000	985	$17K
96361		350	328	$13K
81025		26	26	$11K
71046		91	90	$10K
87804		26	13	$10K
C9803	Hopd covid-19 spec collect	863	830	$10K
81001		504	473	$9K
83690		887	826	$6K
87428		226	221	$6K
83735		87	77	$6K
U0003	Cov-19 amp prb hgh thruput	454	443	$5K
84703		974	931	$5K
73030		99	97	$4K
J3490	Drugs unclassified injection	143	36	$3K
70450		25	24	$2K
88305		28	26	$2K
U0005	Infec agen detec ampli probe	403	392	$2K
0240U		14	14	$1K
74177		12	12	$960.57
83605		94	84	$564.52
76818		22	12	$61.27
87086		12	12	$54.31
80048		14	13	$27.04
99204		29	29	$0.00
36415		18	12	$0.00

Medicaid Provider Spending