1982952180

$463K

Total Medicaid Paid

68,698

Total Claims

59,007

Beneficiaries

35

Codes Billed

2018-01

First Month

2022-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
80307		7,734	5,964	$191K
G0480	Drug test def 1-7 classes	2,179	1,671	$87K
G0483	Drug test def 22+ classes	2,427	2,110	$48K
U0004	Cov-19 test non-cdc hgh thru	498	432	$35K
U0005	Infec agen detec ampli probe	497	431	$12K
G0481	Drug test def 8-14 classes	331	228	$10K
80336		2,038	1,780	$8K
80372		2,465	2,122	$8K
80373		2,465	2,122	$8K
80367		2,037	1,779	$7K
80368		2,061	1,796	$7K
80366		2,055	1,791	$7K
80370		2,062	1,797	$7K
80323		2,059	1,792	$7K
80320		2,072	1,808	$6K
80171		2,071	1,807	$5K
82540		2,044	1,784	$2K
80346		2,003	1,759	$642.36
80364		2,004	1,760	$640.89
80361		2,003	1,759	$609.35
80354		2,002	1,758	$479.59
80348		2,003	1,759	$479.59
80365		2,003	1,759	$416.03
80325		1,991	1,750	$415.65
80358		2,003	1,759	$414.68
80359		1,991	1,750	$410.80
G0482	Drug test def 15-21 classes	243	98	$404.40
80349		2,019	1,774	$367.58
80345		1,992	1,749	$355.44
80356		1,573	1,416	$315.89
80351		1,591	1,428	$314.54
80353		1,594	1,432	$311.84
83992		1,599	1,437	$277.28
80362		1,981	1,741	$41.00
82542		1,008	905	$0.00

Medicaid Provider Spending