CATHERINE'S HEALTH CENTER

$1.35M

Total Medicaid Paid

48,438

Total Claims

42,766

Beneficiaries

51

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0467	Fqhc visit, estab pt	13,960	12,554	$972K
G0470	Fqhc visit, mh estab pt	3,709	2,444	$260K
G0466	Fqhc visit new patient	704	700	$59K
G0468	Fqhc visit, ippe or awv	143	143	$11K
99214		4,669	4,456	$9K
90837		1,008	701	$9K
99213		6,968	6,546	$7K
90834		1,103	866	$3K
T1023	Program intake assessment	21	21	$3K
0064A		49	49	$2K
0012A		49	49	$2K
90480		43	43	$1K
H0004	Alcohol and/or drug services	123	85	$1K
90677		15	15	$1K
96127		5,273	3,862	$1K
0011A		35	35	$1K
90792		83	83	$936.43
99203		170	170	$854.05
36415		4,598	4,342	$583.43
99000		88	86	$553.84
91322		45	45	$520.00
0031A		14	14	$492.05
99212		615	575	$328.33
90686		366	365	$302.46
90471		919	902	$260.82
99442		19	18	$123.60
99396		172	172	$89.89
90832		92	79	$89.09
83036		579	578	$71.76
99395		62	62	$69.14
96372		29	26	$64.12
96160		182	178	$34.49
99406		259	254	$23.66
81003		125	119	$3.74
3079F		202	200	$0.00
G8510	Scr dep neg, no plan reqd	715	712	$0.00
90688		198	198	$0.00
3074F		235	235	$0.00
91306		43	43	$0.00
3080F		48	45	$0.00
3075F		27	27	$0.00
91301		89	88	$0.00
G9226	3 comp foot exam completed	25	25	$0.00
90656		100	100	$0.00
93000		15	15	$0.00
G0008	Admin influenza virus vac	12	12	$0.00
G8431	Pos clin depres scrn f/u doc	173	170	$0.00
3078F		98	97	$0.00
3077F		124	118	$0.00
80061		13	13	$0.00
90756		32	31	$0.00

Medicaid Provider Spending