SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC

$2.99M

Total Medicaid Paid

45,030

Total Claims

38,262

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		9,815	9,108	$558K
99214		5,864	5,612	$498K
99204		2,822	2,788	$399K
72148		2,067	2,044	$340K
99203		2,881	2,853	$254K
73721		806	783	$161K
97110		3,906	1,148	$157K
20610		1,996	1,874	$86K
97530		2,023	866	$74K
72141		455	450	$73K
72100		2,741	2,694	$72K
73221		300	290	$55K
97140		1,385	596	$37K
73630		1,025	870	$31K
L0648	Lso sag r an/pos pnl pre ots	37	37	$27K
73562		981	865	$26K
L4361	Pneuma/vac walk boot pre ots	103	102	$24K
99212		634	595	$20K
64483		135	135	$20K
S9999	Sales tax	1,449	1,268	$19K
73610		258	231	$9K
97112		229	105	$8K
72110		135	132	$6K
J1030	Methylprednisolone 40 mg inj	954	916	$5K
97162		48	48	$4K
73600		220	176	$4K
95911		18	18	$3K
73030		135	129	$3K
73110		65	59	$2K
95886		18	18	$2K
29425		40	37	$2K
97164		63	52	$2K
93922		33	31	$2K
A4590	Special casting material	15	15	$1K
72050		28	28	$1K
77085		43	42	$1K
Q9966	Locm 200-299mg/ml iodine,1ml	171	169	$836.23
J1040	Methylprednisolone 80 mg inj	81	81	$784.51
J1100	Dexamethasone sodium phos	899	874	$631.77
73650		26	18	$481.48
73620		25	18	$438.05
73502		12	12	$312.30
J7318	Inj, durolane 1 mg	14	13	$290.90
97116		24	12	$257.94
77089		12	12	$166.10
J3301	Triamcinolone acet inj nos	14	13	$53.57
99024		25	25	$0.00

Medicaid Provider Spending