INDIANA UNIVERSITY HEALTH PAOLI INC

$4.44M

Total Medicaid Paid

102,811

Total Claims

86,308

Beneficiaries

72

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		10,177	9,376	$1.43M
99284		6,072	5,405	$781K
99285		6,812	5,713	$696K
96374		3,716	3,193	$211K
93005		4,490	3,720	$206K
71045		2,233	1,856	$206K
G0463	Hospital outpt clinic visit	1,830	1,583	$195K
71046		835	744	$78K
85025		12,988	10,910	$59K
80053		9,723	8,236	$56K
36415		13,380	10,652	$50K
96361		1,531	1,274	$43K
74177		100	97	$37K
U0004	Cov-19 test non-cdc hgh thru	476	433	$32K
99212		268	255	$32K
87502		414	394	$30K
U0002	Covid-19 lab test non-cdc	823	708	$29K
80050		242	222	$29K
99282		145	138	$25K
84484		3,654	2,567	$21K
83605		3,408	2,590	$20K
99201		131	122	$17K
99202		100	92	$12K
83880		834	647	$12K
87635		382	357	$12K
11721		232	160	$12K
87503		414	394	$10K
87426		407	326	$9K
11056		34	31	$8K
80061		911	814	$7K
C9803	Hopd covid-19 spec collect	85	77	$6K
96375		1,418	1,138	$6K
80048		1,725	1,383	$5K
81003		3,021	2,328	$5K
80307		157	133	$5K
83036		813	745	$5K
70450		40	38	$5K
81001		2,313	2,007	$5K
U0005	Infec agen detec ampli probe	296	267	$3K
82800		481	403	$3K
85379		407	321	$2K
83690		505	436	$2K
99203		13	13	$2K
96372		110	91	$2K
87276		326	281	$2K
96365		172	132	$2K
87880		123	122	$2K
87275		326	281	$2K
82043		398	364	$2K
82570		425	389	$1K
87804		162	152	$1K
81025		278	257	$1K
85027		716	641	$1K
84443		104	101	$1K
G0480	Drug test def 1-7 classes	17	14	$1K
87040		318	142	$996.31
83735		316	269	$960.88
82803		119	70	$952.07
87086		309	264	$757.70
76805		12	12	$729.44
87651		63	62	$461.40
87389		30	29	$385.25
96360		20	12	$357.78
86803		40	38	$352.91
85610		158	112	$283.73
80076		28	27	$213.34
85730		53	39	$141.45
G0127	Trim nail(s)	19	15	$130.80
82550		13	13	$27.73
94640		47	24	$25.90
82948		16	13	$8.42
J1885	Ketorolac tromethamine inj	57	44	$0.00

Medicaid Provider Spending