GARDEN CITY TREATMENT CENTER, INC.

$6.39M

Total Medicaid Paid

158,752

Total Claims

140,560

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		38,560	35,598	$1.68M
99214		21,699	20,347	$1.33M
99203		14,527	14,170	$1.14M
87811		16,921	16,442	$574K
99204		3,504	3,339	$372K
71046		11,591	11,049	$329K
87804		20,775	10,120	$255K
87880		9,170	8,851	$115K
99212		2,447	2,281	$76K
70210		3,696	3,463	$75K
72100		2,486	2,399	$59K
87635		1,159	1,075	$58K
72040		2,464	2,398	$52K
L4360	Pneumat walking boot pre cst	239	222	$47K
99202		628	617	$32K
74018		1,214	1,164	$27K
73610		793	713	$25K
96372		953	822	$16K
93000		847	812	$15K
73630		769	699	$14K
L0627	Lo sag ri an/pos pnl pre cst	49	41	$12K
92567		789	714	$11K
99211		571	523	$11K
99201		321	320	$10K
73562		329	314	$10K
99215	Prolong outpt/office vis	122	110	$9K
73030		421	398	$8K
94640		293	239	$7K
71045		265	252	$6K
96374		129	122	$6K
86328		80	75	$4K
73110		136	117	$3K
73560		110	96	$2K
87426		54	54	$2K
L1810	Ko elastic with joints	26	25	$2K
73130		87	77	$2K
90715		24	12	$900.00
J2405	Ondansetron hcl injection	56	53	$877.92
96360		13	13	$650.00
72070		29	29	$569.08
90471		26	26	$520.00
81003		320	312	$467.22
74022		16	16	$411.18
94664		29	29	$326.01
J3301	Triamcinolone acet inj nos	15	12	$122.32

Medicaid Provider Spending