OKOLOCHA MEDICAL CORP.

$3.27M

Total Medicaid Paid

125,576

Total Claims

100,100

Beneficiaries

55

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		31,749	27,372	$1.39M
99214		25,802	21,535	$1.26M
99231		7,423	2,469	$139K
99232		3,110	1,376	$103K
99238		1,803	1,573	$64K
80305		12,863	10,567	$64K
99222		895	780	$61K
96372		5,828	4,709	$31K
87426		635	569	$16K
83036		3,297	2,867	$15K
99233	Prolong inpt eval add15 m	403	224	$15K
82962		8,340	7,031	$11K
93000		1,777	1,458	$11K
99203		179	159	$10K
36415		3,251	2,870	$7K
99000		3,505	3,079	$7K
99394		68	64	$5K
99217		137	125	$5K
99204		33	32	$4K
99212		143	122	$4K
87880		501	392	$4K
J1030	Methylprednisolone 40 mg inj	809	640	$4K
81002		1,999	1,775	$4K
99396		99	84	$3K
20610		93	79	$3K
99223	Prolong inpt eval add15 m	43	38	$3K
87804		350	255	$3K
99215	Prolong outpt/office vis	31	12	$3K
J3420	Vitamin b12 injection	3,318	2,749	$3K
93925		90	37	$2K
99393		26	25	$2K
94640		509	382	$2K
90688		166	152	$2K
90471		148	139	$2K
J1885	Ketorolac tromethamine inj	2,205	1,705	$1K
99219		23	18	$1K
99225		23	13	$787.52
94060		120	94	$783.62
93306		96	45	$476.48
87428		17	17	$402.20
99442		38	34	$332.33
93922		21	14	$242.28
J1010	Inj, methylpred acetate 1 mg	58	53	$234.77
81025		72	61	$229.45
J3490	Drugs unclassified injection	439	293	$195.45
90658		13	13	$195.00
82044		55	50	$72.43
99173		76	74	$55.96
81003		120	72	$31.72
82570		60	50	$18.68
J7611	Albuterol non-comp con	561	366	$7.62
G0008	Admin influenza virus vac	29	28	$0.00
99070		2,069	1,313	$0.00
99395		32	25	$0.00
99401		26	22	$0.00

Medicaid Provider Spending