CHINO HILLS PEDIATRICS INC.

$54K

Total Medicaid Paid

21,208

Total Claims

20,134

Beneficiaries

48

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
92551		2,777	2,752	$30K
99213		5,056	4,200	$10K
90686		888	886	$3K
99212		994	983	$2K
99392		433	427	$2K
99391		62	54	$954.26
90670		145	137	$877.50
99393		771	767	$663.87
99394		640	637	$505.12
97803		1,100	1,100	$465.30
90734		74	72	$413.60
G8510	Scr dep neg, no plan reqd	678	678	$369.12
90680		44	38	$338.00
90633		53	52	$333.00
90621		41	41	$314.76
90698		76	72	$301.41
90716		49	49	$234.00
90700		69	68	$216.00
90685		15	15	$186.81
90744		28	25	$175.50
99211		156	154	$137.76
90651		94	92	$117.00
G9920	Scrning perf and negative	473	472	$116.00
96110		54	46	$59.90
90648		25	25	$54.00
G8431	Pos clin depres scrn f/u doc	60	59	$29.38
G9919	Scrn nd pos nd prov of rec	68	68	$29.00
90471		1,995	1,935	$5.42
99173		680	672	$5.00
86580		135	135	$3.33
96160		284	284	$0.00
3725F		111	111	$0.00
99395		40	40	$0.00
90713		13	12	$0.00
83655		15	15	$0.00
90707		12	12	$0.00
3008F		697	659	$0.00
1036F		1,582	1,580	$0.00
3351F		76	76	$0.00
99214		200	190	$0.00
G0443	Brief alcohol misuse counsel	167	167	$0.00
3074F		24	24	$0.00
H0049	Alcohol/drug screening	114	114	$0.00
G0447	Behavior counsel obesity 15m	57	56	$0.00
3352F		16	16	$0.00
99441		14	14	$0.00
90619		12	12	$0.00
96161		41	41	$0.00

Medicaid Provider Spending