GENTLE PEDIATRICS

$847K

Total Medicaid Paid

40,645

Total Claims

34,081

Beneficiaries

49

Codes Billed

2020-05

First Month

2024-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		6,474	5,403	$224K
99392		1,336	1,308	$102K
99393		1,033	1,008	$86K
99391		958	930	$71K
87426		1,552	1,457	$67K
99214		1,066	985	$54K
90460		5,988	2,541	$48K
99212		1,374	1,292	$32K
99429		859	851	$29K
96110		4,614	4,340	$28K
99394		249	247	$22K
99000		1,476	1,350	$17K
G2023	Specimen collect covid-19	1,208	1,135	$15K
87880		950	901	$13K
90461		1,705	1,400	$13K
99381		151	134	$10K
87804		534	260	$7K
99215	Prolong outpt/office vis	41	41	$3K
G8510	Scr dep neg, no plan reqd	244	218	$2K
99383		14	14	$1K
99211		131	129	$1K
99072		2,000	1,773	$464.00
94760		299	270	$106.91
81002		12	12	$30.81
G9717	Doc pt dx bipol	165	143	$21.00
90686		523	518	$0.05
90687		154	148	$0.01
90734		49	49	$0.01
90651		127	125	$0.01
G0447	Behavior counsel obesity 15m	57	50	$0.01
90633		320	318	$0.00
90707		74	74	$0.00
90670		765	759	$0.00
G8484	Flu immunize no admin	1,492	1,324	$0.00
G8482	Flu immunize order/admin	585	537	$0.00
90710		131	131	$0.00
G8483	Flu imm no admin doc rea	50	46	$0.00
90700		31	30	$0.00
90715		12	12	$0.00
90696		131	130	$0.00
90723		403	398	$0.00
90680		542	537	$0.00
90647		573	569	$0.00
90677		17	12	$0.00
90698		56	55	$0.00
90716		70	70	$0.00
1125F		15	14	$0.00
3008F		14	13	$0.00
G8432	Dep scr not doc, rng	21	20	$0.00

Medicaid Provider Spending