SEMINOLE HMA, LLC

$3.46M

Total Medicaid Paid

54,343

Total Claims

52,948

Beneficiaries

58

Codes Billed

2018-01

First Month

2022-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		8,983	8,838	$1.38M
99284		3,816	3,764	$854K
99285		1,201	1,176	$286K
96374		1,514	1,474	$173K
87426		2,044	2,002	$92K
96372		1,253	1,219	$77K
99282		696	691	$62K
G2023	Specimen collect covid-19	2,859	2,793	$59K
87804		2,013	1,987	$56K
87636		371	365	$51K
99281		863	858	$43K
87880		2,883	2,866	$41K
80053		4,019	3,895	$38K
96375		844	809	$33K
11042		228	133	$33K
85025		3,898	3,767	$27K
71045		2,334	2,283	$24K
87428		377	377	$21K
74176		221	220	$15K
87081		2,147	2,137	$13K
36415		5,363	5,128	$12K
87430		804	793	$12K
80307		139	138	$8K
96361		161	157	$7K
87420		448	445	$5K
97597		286	144	$5K
84443		340	340	$5K
70450		77	76	$3K
93005		463	454	$3K
85027		350	349	$2K
71046		123	120	$2K
83690		296	286	$2K
84439		233	233	$2K
96365		15	15	$2K
83036		176	176	$1K
81001		512	505	$1K
U0003	Cov-19 amp prb hgh thruput	20	20	$1K
81003		628	614	$1K
81025		151	151	$1K
74177		12	12	$1K
80061		83	83	$945.62
87635		15	15	$769.65
G0463	Hospital outpt clinic visit	79	58	$480.72
84484		25	25	$321.98
82306		12	12	$315.96
87591		12	12	$312.10
87491		12	12	$304.10
94640		20	20	$235.40
83655		14	14	$172.20
87040		12	12	$161.85
J2405	Ondansetron hcl injection	234	225	$101.04
87086		14	14	$96.52
82550		12	12	$69.48
J2270	Morphine sulfate injection	26	25	$0.00
J7510	Prednisolone oral per 5 mg	119	118	$0.00
J1100	Dexamethasone sodium phos	25	25	$0.00
J1885	Ketorolac tromethamine inj	451	441	$0.00
J1170	Hydromorphone injection	17	15	$0.00

Medicaid Provider Spending