CLAIBORNE MEDICAL CENTER

$3.41M

Total Medicaid Paid

104,421

Total Claims

90,208

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		14,806	13,231	$1.75M
99282		8,443	7,695	$609K
99284		2,045	1,869	$344K
G0378	Hospital observation per hr	743	588	$204K
87426		4,526	3,991	$95K
85025		20,605	16,392	$69K
99281		1,186	1,080	$53K
71045		4,052	3,519	$35K
80053		11,360	9,506	$29K
87276		4,396	4,083	$28K
74176		370	325	$22K
96374		523	467	$22K
87880		3,041	2,840	$22K
87275		4,439	4,108	$19K
99285		139	113	$18K
84484		1,715	1,442	$16K
96375		381	340	$8K
87081		1,496	1,396	$7K
80307		296	261	$6K
80048		3,239	2,415	$6K
U0004	Cov-19 test non-cdc hgh thru	90	64	$6K
71046		221	209	$5K
36415		3,908	3,413	$5K
96365		97	87	$4K
93005		4,528	3,895	$4K
83690		963	837	$3K
93306		15	14	$2K
87040		269	240	$2K
83605		396	354	$2K
87635		63	59	$2K
83880		323	282	$1K
87086		385	343	$1K
81001		2,439	2,177	$1K
96361		63	59	$1K
96372		229	207	$1K
70450		103	90	$971.82
81025		311	285	$888.37
87807		64	59	$565.90
71250		15	12	$334.60
J1650	Inj enoxaparin sodium	57	24	$293.76
83735		128	114	$291.40
87804		32	29	$230.82
J2930	Methylprednisolone injection	73	68	$141.96
81003		366	308	$140.92
84703		13	12	$137.50
85027		63	53	$112.86
86308		30	27	$97.53
82550		12	12	$36.86
85610		16	15	$0.00
J1885	Ketorolac tromethamine inj	1,147	1,016	$0.00
J0696	Ceftriaxone sodium injection	185	167	$0.00
J1100	Dexamethasone sodium phos	16	16	$0.00

Medicaid Provider Spending