AIRLINE DOCTORS FAMILY AND PEDIATRIC CLINICS,PLLC

$5.13M

Total Medicaid Paid

243,123

Total Claims

199,407

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		66,239	51,998	$2.99M
96372		55,390	38,754	$549K
87502		4,795	4,006	$330K
87804		11,866	9,170	$253K
99204		2,605	2,497	$185K
99213		5,414	5,044	$152K
87880		10,559	9,996	$144K
87651		3,471	3,008	$91K
87635		2,210	2,044	$86K
71046		3,218	3,114	$81K
76700		708	686	$66K
74018		2,910	2,822	$65K
99000		4,397	4,087	$41K
87634		520	463	$26K
81003		9,485	8,805	$17K
J1100	Dexamethasone sodium phos	39,353	34,580	$16K
J0696	Ceftriaxone sodium injection	10,733	9,617	$12K
70210		236	233	$6K
99001		234	224	$3K
93306		14	14	$2K
72100		69	68	$2K
97169		110	109	$2K
73610		66	58	$2K
73630		63	52	$1K
73564		39	38	$1K
76770		15	15	$1K
99212		51	49	$1K
17110		13	13	$1K
99381		15	12	$911.02
J1885	Ketorolac tromethamine inj	811	735	$741.51
73130		27	27	$723.47
99203		16	15	$659.03
72070		25	24	$451.86
70250		12	12	$339.75
81025		46	42	$278.33
99050		14	13	$194.22
J2405	Ondansetron hcl injection	2,130	1,990	$132.07
J1200	Diphenhydramine hcl injectio	29	28	$24.19
36415		2,471	2,330	$0.00
G0447	Behavior counsel obesity 15m	1,496	1,426	$0.00
3008F		610	579	$0.00
G8420	Calc bmi norm parameters	278	267	$0.00
G8417	Calc bmi abv up param f/u	360	343	$0.00

Medicaid Provider Spending