CABIN CREEK HEALTH CENTER, INC.

$6.32M

Total Medicaid Paid

103,786

Total Claims

87,376

Beneficiaries

53

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic service	40,229	32,292	$5.91M
99213		22,288	19,000	$197K
99214		5,099	4,538	$41K
90471		1,966	1,786	$35K
D9999		136	114	$24K
90832		2,211	1,697	$22K
90686		1,028	969	$21K
96127		1,962	1,600	$14K
90472		707	462	$14K
90834		486	447	$4K
99212		1,000	874	$4K
D0140		111	87	$4K
G8417	Calc bmi abv up param f/u	501	391	$3K
83036		1,391	1,311	$3K
99394		188	180	$2K
87804		782	367	$2K
G9226	3 comp foot exam completed	76	73	$2K
99391		29	29	$2K
90791		110	100	$2K
99392		332	321	$1K
90670		31	31	$1K
90698		12	12	$1K
90632		16	16	$773.98
87880		260	243	$708.09
D0220		56	42	$630.00
81002		238	229	$604.29
80305		655	351	$498.87
G0008	Admin influenza virus vac	84	84	$182.69
81025		33	26	$88.37
0071A		19	12	$40.00
99393		215	214	$5.00
1160F		3,762	3,369	$0.00
3078F		1,673	1,536	$0.00
1159F		3,322	2,999	$0.00
3725F		506	483	$0.00
3077F		127	123	$0.00
99203		79	73	$0.00
99215	Prolong outpt/office vis	31	26	$0.00
3079F		1,063	992	$0.00
1034F		521	461	$0.00
3075F		516	479	$0.00
3074F		2,264	2,092	$0.00
3080F		62	59	$0.00
3008F		4,312	3,933	$0.00
90680		14	14	$0.00
1036F		1,916	1,735	$0.00
99406		161	145	$0.00
87428		344	322	$0.00
87426		330	318	$0.00
G2025	Dis site tele svcs rhc/fqhc	389	196	$0.00
1035F		92	76	$0.00
90656		34	34	$0.00
J1885	Ketorolac tromethamine inj	17	13	$0.00

Medicaid Provider Spending