EDGEWOOD CENTER PEDIATRICS PC

$1.32M

Total Medicaid Paid

30,041

Total Claims

26,990

Beneficiaries

44

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		9,939	7,746	$667K
99214		3,092	2,796	$295K
99391		1,758	1,706	$127K
99392		1,159	1,152	$94K
99393		539	537	$44K
90460		803	798	$32K
87635		296	283	$13K
99051		2,301	2,107	$12K
85025		1,604	1,554	$10K
99394		69	69	$6K
87804		293	220	$6K
87880		381	360	$5K
G0312	Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)	123	123	$3K
99177		1,072	1,071	$3K
36416		537	513	$2K
96161		880	853	$1K
96127		239	238	$632.31
D0190		38	38	$568.06
99174		775	774	$489.60
99000		143	138	$356.43
99188		51	51	$345.86
96380		13	13	$291.34
94640		27	26	$271.75
88720		79	37	$180.56
99050		62	55	$180.00
96160		72	72	$131.44
36415		12	12	$66.52
81003		12	12	$22.44
90686		25	25	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	1,438	1,436	$0.00
90680		173	173	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	696	680	$0.00
90697		230	230	$0.00
90660		32	32	$0.00
91307		18	16	$0.00
99072		269	256	$0.00
G0444	Annual depression screening, 5 to 15 minutes	153	153	$0.00
90633		28	28	$0.00
99173		144	141	$0.00
90671		326	326	$0.00
90710		12	12	$0.00
90661		59	59	$0.00
3725F		14	14	$0.00
90672		55	55	$0.00

Medicaid Provider Spending