CHEROKEE HEALTH SYSTEMS

$4.66M

Total Medicaid Paid

110,968

Total Claims

83,475

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
S0280	Medical home, initial plan	28,057	23,978	$4.14M
99213		4,299	3,320	$134K
90832		2,219	1,617	$109K
99214		3,195	2,707	$81K
G0467	Fqhc visit, estab pt	4,483	3,750	$56K
90460		884	746	$38K
96110		2,522	1,253	$24K
G0511	Ccm/bhi by rhc/fqhc 20min mo	4,412	4,039	$18K
90834		239	177	$17K
3008F		2,070	1,785	$7K
99393		91	73	$7K
G2025	Dis site tele svcs rhc/fqhc	550	436	$7K
99212		148	131	$5K
3074F		991	829	$3K
90791		27	24	$3K
3078F		723	620	$3K
99394		18	15	$2K
99391		18	12	$1K
87804		120	43	$1K
87880		89	80	$1K
99392		14	12	$1K
36415		1,117	844	$1K
90686		503	447	$1K
90785		46	37	$573.76
90471		34	34	$491.10
3079F		141	108	$390.00
92551		30	28	$249.11
80061		14	12	$210.42
G9005	Mccd, risk adj, maintenance	20,054	13,090	$177.10
G9010	Mccd, risk adj, level 4	8,969	6,169	$176.84
80053		14	12	$166.04
80305		16	14	$128.95
81025		12	12	$93.96
99442		34	28	$74.70
92015		17	12	$34.66
99173		12	12	$30.00
99443		13	12	$29.88
96372		15	12	$28.00
G0071	Comm svcs by rhc/fqhc 5 min	30	26	$5.42
92250		37	26	$2.94
81003		31	25	$2.51
J2315	Naltrexone, depot form	16	13	$0.57
G9004	Mccd, risk adj lo, initial	19,606	13,047	$0.12
G9011	Mccd, risk adj, level 5	3,828	2,839	$0.03
G9006	Mccd, home monitoring	557	407	$0.00
4037F		474	425	$0.00
90688		36	33	$0.00
90461		76	54	$0.00
0502F		67	50	$0.00

Medicaid Provider Spending