KIDZ DREAMZ PEDIATRICS, LLC

$819K

Total Medicaid Paid

29,757

Total Claims

27,440

Beneficiaries

40

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		5,512	4,566	$303K
99213		4,328	3,856	$182K
90460		4,521	4,127	$81K
99392		1,091	1,075	$63K
96110		3,983	3,743	$63K
99391		583	572	$32K
99393		415	409	$26K
92552		1,285	1,267	$16K
90461		1,056	1,031	$15K
99394		99	98	$6K
99204		60	60	$6K
90686		658	648	$5K
90670		112	110	$4K
90471		235	231	$3K
99173		829	806	$3K
99401		611	603	$2K
99188		103	103	$1K
96127		386	376	$1K
90700		128	124	$901.73
0071A		21	21	$816.41
90716		41	38	$650.34
90472		69	66	$589.06
97802		134	131	$537.30
99211		18	18	$516.00
90707		43	40	$458.66
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	257	230	$435.00
90633		58	57	$399.12
3008F		2,472	2,426	$394.00
90713		47	42	$367.50
90656		140	138	$270.96
87880		26	25	$254.20
97803		107	103	$253.76
90680		34	28	$240.02
90698		27	24	$198.88
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	39	39	$158.08
90744		14	14	$90.76
99051		13	13	$21.72
99072		163	148	$19.62
91307		27	22	$4.00
91308		12	12	$0.01

Medicaid Provider Spending