WEISER VALLEY HOSPITAL DISTRICT

$1.81M

Total Medicaid Paid

23,257

Total Claims

19,553

Beneficiaries

56

Codes Billed

2018-01

First Month

2024-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		1,636	1,415	$465K
99284		1,017	837	$366K
99285		808	656	$355K
99282		528	459	$96K
93005		913	775	$92K
96374		850	743	$89K
96361		593	499	$78K
96375		540	467	$78K
96372		452	328	$35K
96365		129	61	$24K
80053		2,143	1,841	$17K
85025		2,430	2,026	$14K
74177		80	75	$11K
36415		3,639	2,709	$10K
96360		28	27	$8K
71046		546	469	$6K
87804		414	393	$6K
U0003	Cov-19 amp prb hgh thruput	82	75	$6K
70450		141	107	$5K
83605		531	466	$5K
84443		415	401	$5K
84484		580	439	$5K
87880		330	319	$5K
81000		801	735	$3K
83690		305	289	$2K
U0002	Covid-19 lab test non-cdc	46	46	$2K
81025		279	265	$2K
C9803	Hopd covid-19 spec collect	118	103	$2K
80048		310	276	$2K
87086		265	250	$2K
36000		38	37	$1K
71045		249	182	$1K
87070		150	144	$1K
85610		192	157	$1K
J1885	Ketorolac tromethamine inj	266	226	$1K
J2405	Ondansetron hcl injection	481	422	$980.68
87801		19	18	$891.54
81003		314	293	$796.87
82009		106	94	$669.04
82550		84	64	$545.31
82553		50	39	$475.56
87088		49	43	$472.83
83880		27	25	$407.86
83036		66	65	$267.96
73630		16	14	$191.20
87040		12	12	$173.59
80061		41	40	$160.20
82948		16	13	$141.87
87077		14	12	$109.82
84439		14	13	$58.98
J1170	Hydromorphone injection	31	25	$58.63
J3490	Drugs unclassified injection	14	12	$47.82
86140		12	12	$37.72
Q9967	Locm 300-399mg/ml iodine,1ml	16	15	$0.00
93010		15	12	$0.00
96376		16	13	$0.00

Medicaid Provider Spending