PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC

$657K

Total Medicaid Paid

73,501

Total Claims

66,197

Beneficiaries

52

Codes Billed

2018-01

First Month

2021-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99391		1,774	1,588	$150K
99214		2,749	2,571	$121K
99392		1,366	1,323	$111K
99213		3,502	3,291	$106K
99393		805	793	$41K
90460		4,483	4,365	$27K
99394		370	356	$22K
99381		346	323	$20K
99383		217	207	$18K
99382		125	122	$13K
99384		44	42	$5K
99215	Prolong outpt/office vis	54	53	$4K
99188		577	554	$3K
90686		992	905	$2K
1160F		11,113	9,741	$2K
2001F		12,958	10,685	$1K
83655		764	718	$1K
90461		1,743	1,637	$1K
87880		459	449	$787.09
3008F		6,125	5,696	$658.40
90716		356	335	$628.14
90670		1,068	1,036	$494.93
90471		263	256	$466.03
90633		520	469	$318.07
90648		1,051	1,026	$296.05
3078F		4,667	4,088	$279.12
90651		232	214	$272.05
90680		629	617	$260.05
36415		439	409	$260.00
3074F		4,705	4,129	$259.78
90723		784	770	$218.02
85025		181	171	$202.60
85018		1,405	1,333	$195.63
90688		63	63	$170.51
90707		357	336	$142.02
99000		178	168	$124.15
90734		119	118	$80.00
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	130	126	$69.84
82465		202	198	$62.42
87804		218	112	$52.30
99177		1,733	1,564	$48.02
81003		140	137	$47.34
90700		157	149	$40.00
87081		253	243	$38.87
94640		112	100	$12.15
90715		48	47	$0.00
90621		13	13	$0.00
96127		541	499	$0.00
92551		1,240	1,191	$0.00
96110		1,021	760	$0.00
90696		42	39	$0.00
J7611	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg	68	62	$0.00

Medicaid Provider Spending