GREAT LAKES BAY HEALTH CENTERS

$867K

Total Medicaid Paid

38,298

Total Claims

33,898

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0467	Fqhc visit, estab pt	11,423	9,601	$653K
G0470	Fqhc visit, mh estab pt	1,981	1,613	$115K
99214		3,657	3,389	$34K
99213		5,622	4,974	$34K
G0466	Fqhc visit new patient	94	94	$8K
99212		1,445	1,332	$6K
99000		1,326	1,254	$6K
99215	Prolong outpt/office vis	349	342	$4K
90832		308	274	$2K
96372		721	584	$1K
36415		1,794	1,710	$1K
90471		369	359	$774.61
90686		287	285	$760.68
H0004	Alcohol and/or drug services	149	138	$559.25
96127		970	920	$480.83
H0001	Alcohol and/or drug assess	57	57	$372.60
96160		77	77	$346.58
83036		96	94	$186.33
82962		410	382	$116.58
90632		16	16	$113.38
J1885	Ketorolac tromethamine inj	69	46	$94.34
99202		76	75	$83.80
94010		24	24	$80.84
90656		15	15	$67.05
3079F		310	300	$0.00
3008F		1,197	1,081	$0.00
1125F		338	316	$0.00
1126F		273	264	$0.00
3074F		1,086	987	$0.00
3351F		81	81	$0.00
G8510	Scr dep neg, no plan reqd	26	25	$0.00
94760		110	104	$0.00
S0281	Medical home, maintenance	887	635	$0.00
2000F		82	79	$0.00
36416		101	99	$0.00
3075F		31	31	$0.00
G0447	Behavior counsel obesity 15m	12	12	$0.00
G8431	Pos clin depres scrn f/u doc	449	432	$0.00
G0444	Depression screen annual	522	490	$0.00
G8417	Calc bmi abv up param f/u	70	66	$0.00
3078F		851	775	$0.00
1160F		474	408	$0.00
1159F		63	58	$0.00

Medicaid Provider Spending