ST JUDE HOSPITAL INC

$382K

Total Medicaid Paid

36,785

Total Claims

30,077

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
A0429	Bls-emergency	1,058	652	$212K
0450		4,417	3,868	$77K
0241U		520	508	$19K
0270		2,189	1,005	$9K
99281		177	162	$8K
0301		130	40	$7K
93005		1,971	1,791	$7K
70450		333	324	$6K
74176		289	283	$4K
0300		80	41	$3K
85025		3,685	3,214	$2K
80053		2,504	2,258	$2K
0306		57	39	$2K
80307		342	299	$2K
0324		34	33	$2K
71045		1,368	1,261	$2K
U0003	Cov-19 amp prb hgh thruput	221	205	$2K
83880		492	449	$2K
96374		269	248	$2K
84484		1,529	1,203	$2K
96372		539	481	$1K
96375		214	172	$1K
84145		575	540	$969.15
83605		890	737	$871.30
87040		627	344	$755.79
0305		33	19	$740.00
81001		1,915	1,758	$425.40
J1100	Dexamethasone sodium phos	37	37	$363.73
80048		1,169	1,023	$361.44
84703		926	877	$357.35
83690		1,054	971	$352.54
96365		15	15	$317.56
76705		26	26	$313.68
0240U		13	13	$285.26
87635		132	118	$256.55
J2405	Ondansetron hcl injection	73	68	$220.52
J1885	Ketorolac tromethamine inj	109	100	$169.94
71046		141	137	$163.26
U0005	Infec agen detec ampli probe	203	187	$150.00
J3490	Drugs unclassified injection	2,782	1,348	$128.75
J7030	Normal saline solution infus	58	55	$101.68
85610		715	659	$100.11
85379		14	14	$32.56
85730		370	340	$24.11
J0696	Ceftriaxone sodium injection	12	12	$4.94
0250		48	29	$0.00
99283		1,095	974	$0.00
87086		159	151	$0.00
G1004	Cdsm ndsc	947	770	$0.00
81003		191	181	$0.00
87502		26	26	$0.00
85380		12	12	$0.00

Medicaid Provider Spending