BANYAN COMMUNITY HEALTH CENTER, INC.

$3.48M

Total Medicaid Paid

155,669

Total Claims

106,828

Beneficiaries

41

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
H0032	Mh svc plan dev by non-md	23,671	19,964	$897K
99213		48,171	38,602	$839K
T1017	Targeted case management	23,834	4,752	$664K
H2019	Ther behav svc, per 15 min	8,925	3,910	$496K
99212		17,624	14,115	$268K
H0004	Alcohol and/or drug services	2,131	1,242	$97K
99203		2,063	1,638	$79K
T1015	Clinic service	7,736	6,254	$75K
H0031	Mh health assess by non-md	2,497	2,204	$35K
G0467	Fqhc visit, estab pt	12,969	9,276	$16K
99214		371	310	$9K
T1007	Treatment plan development	53	53	$2K
H0001	Alcohol and/or drug assess	107	91	$2K
91301		49	45	$1K
H0048	Spec coll non-blood:a/d test	50	28	$299.06
G0470	Fqhc visit, mh estab pt	291	126	$263.37
3074F		193	178	$225.00
0011A		31	30	$120.00
99406		21	13	$58.38
96110		21	19	$20.70
99441		18	12	$16.29
G0469	Fqhc visit, mh new pt	16	12	$0.00
4004F		42	39	$0.00
3078F		68	63	$0.00
1160F		21	21	$0.00
3351F		721	644	$0.00
3008F		1,532	1,254	$0.00
1000F		1,358	1,073	$0.00
4450F		13	13	$0.00
1036F		575	478	$0.00
90792		52	36	$0.00
3352F		60	53	$0.00
2000F		28	25	$0.00
3079F		94	88	$0.00
90834		148	62	$0.00
96127		23	21	$0.00
3011F		19	18	$0.00
1130F		13	13	$0.00
2001F		28	25	$0.00
0513F		17	16	$0.00
0012A		15	12	$0.00

Medicaid Provider Spending