PEDIATRICS EXPRESS PLUS PLLC

$1.41M

Total Medicaid Paid

69,302

Total Claims

51,938

Beneficiaries

71

Codes Billed

2020-12

First Month

2023-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
87635		7,615	6,195	$341K
99213		9,167	6,709	$284K
S8301	Infect control supplies nos	10,977	7,964	$183K
99214		2,729	2,250	$121K
87804		9,170	3,953	$97K
87880		5,322	4,579	$57K
99392		649	616	$43K
99393		570	533	$35K
99203		576	544	$26K
99391		414	379	$26K
99212		1,147	996	$23K
85025		4,384	3,737	$22K
90460		2,079	809	$22K
99394		239	222	$16K
99383		218	206	$15K
99382		180	177	$14K
99211		1,294	934	$12K
87807		1,415	1,213	$12K
99204		169	159	$12K
96372		989	814	$10K
96110		1,113	977	$7K
99381		46	46	$3K
94640		208	193	$3K
99384		24	23	$2K
87426		39	39	$2K
90472		161	67	$2K
G8510	Scr dep neg, no plan reqd	174	162	$1K
90471		116	109	$1K
90461		261	208	$1K
99000		157	143	$1K
99202		34	34	$1K
99441		62	52	$1K
97802		614	593	$1K
92567		102	97	$1K
87400		116	54	$1K
99429		51	50	$785.68
83655		98	95	$774.94
81000		237	215	$601.47
99050		44	42	$582.74
92551		188	181	$473.86
J0696	Ceftriaxone sodium injection	601	530	$433.88
99442		16	13	$405.79
96160		257	249	$338.04
92552		96	95	$201.84
87420		21	21	$166.43
87430		16	15	$153.92
85027		27	23	$102.63
J1100	Dexamethasone sodium phos	302	267	$33.20
81002		14	12	$28.92
J7613	Albuterol non-comp unit	133	124	$3.35
G9716	Bmi doc onl fup not cmpltd	407	396	$0.04
90686		28	28	$0.01
99051		1,149	985	$0.00
90734		38	38	$0.00
90670		345	325	$0.00
G0271	Group mnt 2 or more 30 mins	148	146	$0.00
90710		73	72	$0.00
90648		77	75	$0.00
99173		106	105	$0.00
90633		80	78	$0.00
99401		821	634	$0.00
90715		21	21	$0.00
G0447	Behavior counsel obesity 15m	487	470	$0.00
S9451	Exercise class	344	335	$0.00
90647		135	128	$0.00
90696		48	45	$0.00
90680		108	99	$0.00
99172		149	143	$0.00
90651		21	21	$0.00
90723		63	61	$0.00
36415		23	15	$0.00

Medicaid Provider Spending