HAYS MEDICAL CENTER INC

$597K

Total Medicaid Paid

35,890

Total Claims

32,760

Beneficiaries

59

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		5,341	5,132	$225K
99284		4,845	4,568	$180K
80053		5,652	5,235	$53K
99285		1,190	1,117	$41K
85025		5,598	5,178	$27K
0241U		188	181	$18K
G0463	Hospital outpt clinic visit	5,290	4,690	$10K
76805		92	89	$6K
87631		56	56	$5K
97110		85	24	$4K
71250		55	49	$3K
93005		329	307	$3K
76816		45	42	$3K
81001		465	432	$2K
97597		32	16	$2K
96374		143	130	$2K
96365		23	13	$2K
83690		222	207	$1K
71046		66	65	$1K
96361		63	54	$1K
96375		41	32	$965.43
11042		20	12	$962.12
99282		28	28	$875.36
87804		40	22	$654.35
76815		13	12	$612.20
99211		38	20	$589.05
96372		48	40	$585.28
84484		60	56	$465.94
87086		41	28	$379.54
81025		57	55	$356.52
83735		89	82	$316.89
71045		87	78	$273.72
87088		29	22	$271.22
99070		93	52	$225.78
36415		3,960	3,552	$155.48
85730		41	38	$125.60
81003		154	134	$123.83
J1885	Ketorolac tromethamine inj	83	78	$123.32
85610		41	38	$114.83
80048		14	12	$108.32
87070		35	29	$85.28
J7050	Normal saline solution infus	97	39	$67.53
J7120	Ringers lactate infusion	99	69	$48.53
J7030	Normal saline solution infus	217	193	$42.21
J1642	Inj heparin sodium per 10 u	17	12	$38.61
J2405	Ondansetron hcl injection	97	70	$38.03
J1100	Dexamethasone sodium phos	27	19	$34.55
J3010	Fentanyl citrate injection	100	76	$23.31
J2704	Inj, propofol, 10 mg	139	91	$18.75
J0690	Cefazolin sodium injection	19	14	$13.68
J0171	Adrenalin epinephrine inject	13	12	$7.48
J2001	Lidocaine injection	37	24	$5.76
J0330	Succinycholine chloride inj	15	12	$1.94
J2250	Inj midazolam hydrochloride	26	26	$0.56
A9270	Non-covered item or service	124	39	$0.00
87205		20	14	$0.00
81002		12	12	$0.00
31624		20	14	$0.00
Q9967	Locm 300-399mg/ml iodine,1ml	19	19	$0.00

Medicaid Provider Spending