HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS

$654K

Total Medicaid Paid

33,651

Total Claims

26,315

Beneficiaries

64

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		3,890	2,581	$147K
99214		5,528	3,969	$117K
99284		1,553	905	$61K
99282		1,556	1,096	$42K
0241U		214	207	$32K
87635		312	291	$18K
80345		633	352	$15K
80355		1,095	1,026	$13K
80366		1,095	1,026	$13K
80346		376	352	$12K
80361		636	352	$11K
80371		1,096	1,027	$11K
80349		929	846	$11K
80358		375	352	$10K
80352		863	799	$10K
80053		1,135	863	$10K
80348		375	352	$10K
80321		325	307	$9K
80324		577	349	$8K
80306		358	181	$8K
99213		561	390	$7K
82542		1,266	1,166	$7K
80362		1,112	1,044	$7K
U0003	Cov-19 amp prb hgh thruput	97	92	$7K
80369		374	351	$5K
80354		375	352	$5K
80356		375	352	$5K
80353		374	351	$5K
80372		356	333	$5K
87798		92	89	$4K
80365		221	212	$4K
0240U		19	19	$4K
87651		92	89	$3K
85025		851	629	$3K
87804		129	111	$3K
83992		78	78	$2K
99285		40	25	$2K
U0005	Infec agen detec ampli probe	67	63	$2K
99281		23	13	$856.79
81001		204	160	$773.02
84443		60	52	$671.98
87880		54	48	$646.70
71046		51	35	$336.55
87086		51	43	$325.24
J3490	Drugs unclassified injection	75	54	$223.56
80373		12	12	$197.50
99070		169	149	$155.73
87184		30	26	$153.48
87077		30	26	$152.94
87081		13	13	$121.74
80048		34	25	$114.77
85610		74	54	$113.75
U0002	Covid-19 lab test non-cdc	78	41	$97.18
86140		16	15	$81.24
83036		39	38	$73.46
85652		16	15	$63.37
80305		788	522	$42.33
93005		21	13	$38.79
36415		1,407	1,054	$29.65
G0480	Drug test def 1-7 classes	573	509	$10.40
A4335	Incontinence supply	28	28	$3.89
C9803	Hopd covid-19 spec collect	286	275	$0.00
G0482	Drug test def 15-21 classes	105	104	$0.00
C1751	Cath, inf, per/cent/midline	14	12	$0.00

Medicaid Provider Spending