EDWARD W. SPARROW HOSPITAL ASSOCIATION

$2.61M

Total Medicaid Paid

73,185

Total Claims

63,979

Beneficiaries

59

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
59426		783	774	$635K
59409		726	717	$539K
99214		4,012	3,857	$213K
99213		5,723	5,349	$209K
59430		861	852	$137K
76816		2,798	2,590	$111K
76817		2,338	2,156	$83K
59400		39	39	$83K
76815		2,337	1,713	$69K
76830		1,709	1,695	$66K
76805		1,239	1,236	$56K
76801		1,167	1,074	$51K
59025		2,450	1,321	$45K
76820		2,480	1,410	$41K
99395		637	637	$39K
59514		45	45	$37K
59510		13	13	$30K
76856		1,065	1,057	$30K
76811		267	266	$27K
54150		429	429	$24K
99204		325	324	$24K
90715		333	332	$10K
99203		150	149	$7K
99212		292	285	$6K
76818		158	108	$6K
99215	Prolong outpt/office vis	58	55	$5K
76819		215	143	$5K
58300		118	117	$4K
81025		560	530	$4K
87210		885	804	$4K
90471		511	504	$4K
90686		140	140	$2K
99459		653	642	$2K
81002		408	390	$964.05
57454		12	12	$888.45
99396		13	13	$876.30
96372		73	54	$707.20
83986		26	26	$17.71
0501F		57	55	$0.00
G8754	Dias bp less 90	278	264	$0.00
G8420	Calc bmi norm parameters	430	401	$0.00
1036F		6,057	5,628	$0.00
3074F		4,934	4,360	$0.00
3079F		1,181	1,134	$0.00
3080F		28	25	$0.00
3075F		407	388	$0.00
G8419	Calc bmi out nrm param nof/u	53	51	$0.00
0500F		12	12	$0.00
1111F		15	14	$0.00
4004F		1,062	989	$0.00
0502F		5,818	3,323	$0.00
G8427	Docrev cur meds by elig clin	7,157	6,670	$0.00
G8484	Flu immunize no admin	3,046	2,838	$0.00
G8417	Calc bmi abv up param f/u	1,282	1,204	$0.00
3078F		4,250	3,769	$0.00
G8752	Sys bp less 140	245	233	$0.00
G8482	Flu immunize order/admin	335	317	$0.00
G8938	Bmi doc onl fup nt doc	460	420	$0.00
3077F		30	26	$0.00

Medicaid Provider Spending