MARCH LANE PEDIATRIC GROUP

$2.59M

Total Medicaid Paid

241,643

Total Claims

234,910

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
97802		22,181	21,840	$739K
90471		24,906	24,450	$465K
G9920	Scrning perf and negative	8,173	8,097	$269K
99213		41,019	37,047	$238K
99381		3,321	3,297	$182K
G0447	Behavior counsel obesity 15m	5,012	4,705	$104K
D1206		3,504	3,463	$78K
99173		20,778	20,455	$74K
99394		7,195	7,104	$65K
99393		8,979	8,871	$65K
99391		4,113	4,096	$63K
99392		7,845	7,746	$38K
99188		1,506	1,495	$32K
92552		21,561	21,241	$23K
G8431	Pos clin depres scrn f/u doc	572	571	$19K
G8510	Scr dep neg, no plan reqd	1,459	1,459	$18K
99383		598	598	$17K
96110		212	211	$15K
99211		4,115	4,085	$13K
99212		666	650	$8K
90680		4,180	4,157	$7K
90651		5,147	5,103	$7K
90670		6,157	6,111	$7K
99382		339	338	$7K
90698		3,250	3,232	$4K
90744		2,164	2,163	$4K
90697		2,144	2,114	$4K
99239		60	60	$4K
90686		6,258	6,252	$3K
99384		131	131	$3K
90619		1,632	1,631	$3K
99460		47	47	$3K
90620		2,376	2,353	$2K
90633		4,185	4,124	$2K
90677		884	861	$1K
90715		2,107	2,092	$1K
90700		1,888	1,859	$1K
90716		2,027	1,999	$1K
90734		2,299	2,258	$1K
90648		1,466	1,436	$959.04
G9919	Scrn nd pos nd prov of rec	29	28	$858.40
90707		1,935	1,907	$684.00
90710		1,077	1,054	$486.00
G2012	Brief check in by md/qhp	28	25	$482.04
90696		1,019	1,003	$427.50
86580		114	112	$349.44
90656		584	584	$247.35
90713		204	204	$243.00
90688		135	129	$0.00
90685		62	62	$0.00

Medicaid Provider Spending