KIDS ARE GREAT PEDIATRICS

$3.85M

Total Medicaid Paid

123,393

Total Claims

112,644

Beneficiaries

71

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		8,334	7,475	$804K
99213		11,709	10,245	$758K
90460		8,116	7,753	$361K
99215	Prolong outpt/office vis	2,643	2,391	$321K
99392		3,461	3,289	$318K
99391		2,932	2,765	$248K
99393		2,459	2,336	$229K
96110		11,948	11,065	$203K
99394		1,080	1,026	$110K
D0145		2,921	2,757	$80K
97535		2,211	1,914	$44K
94760		23,555	20,386	$43K
99354		538	477	$39K
97802		3,572	3,082	$30K
99173		4,530	4,253	$29K
G8510	Scr dep neg, no plan reqd	2,436	2,265	$27K
99381		291	272	$25K
99383		237	222	$23K
D1206		1,285	1,213	$21K
96127		1,249	1,080	$17K
99212		410	372	$16K
G8431	Pos clin depres scrn f/u doc	491	441	$14K
90471		697	667	$13K
90472		484	464	$12K
83655		795	746	$10K
99382		92	85	$9K
94010		146	119	$4K
85018		1,781	1,670	$4K
87804		255	246	$4K
90651		340	317	$4K
90834		52	41	$4K
87880		295	267	$3K
90716		611	594	$3K
99211		154	144	$3K
90670		2,244	2,197	$3K
36416		1,776	1,667	$3K
87430		370	343	$2K
96111		14	13	$1K
99000		1,749	1,579	$1K
90707		586	574	$1K
90734		219	210	$1K
90723		1,190	1,162	$778.32
94761		427	369	$690.96
90680		1,378	1,340	$605.77
98960		1,097	922	$400.00
97537		19	19	$381.78
90647		1,699	1,656	$344.63
90633		893	867	$317.76
H0049	Alcohol/drug screening	28	27	$250.24
90686		1,798	1,736	$209.33
99071		1,763	1,662	$189.00
90697		601	583	$175.00
94664		28	26	$153.35
87428		48	47	$123.76
96160		679	639	$118.71
94640		19	13	$106.08
90715		80	78	$99.43
90685		440	427	$89.89
90696		90	88	$66.17
87280		47	44	$38.25
96161		532	510	$34.32
G0310	Immunize counsel 5-15 min	21	20	$24.50
G0311	Immunize counsel 16-30 mins	82	78	$21.00
90672		234	225	$0.01
90700		71	68	$0.00
90710		519	499	$0.00
87400		46	44	$0.00
99072		19	19	$0.00
90677		452	429	$0.00
90620		12	12	$0.00
M1296	Calc bmi norm parameters	13	13	$0.00

Medicaid Provider Spending