MED-PED HEALTH CARE LLC

$1.14M

Total Medicaid Paid

48,129

Total Claims

38,460

Beneficiaries

78

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		6,343	4,843	$437K
99213		5,675	4,292	$339K
92552		1,617	1,452	$36K
99394		255	245	$31K
99393		245	242	$27K
99392		250	238	$27K
99212		645	537	$27K
99395		235	210	$26K
U0003	Cov-19 amp prb hgh thruput	274	169	$20K
94760		9,661	7,360	$17K
87811		443	329	$14K
99000		4,607	3,614	$11K
93000		779	666	$11K
36415		4,745	3,958	$9K
99396		71	66	$9K
99215	Prolong outpt/office vis	63	60	$8K
99391		88	77	$8K
90686		366	348	$8K
99058		821	691	$7K
96110		765	725	$6K
96127		1,018	877	$4K
G2023	Specimen collect covid-19	318	190	$4K
99173		1,660	1,502	$4K
99050		291	246	$3K
81025		554	495	$3K
87491		176	114	$3K
87591		171	112	$3K
87804		318	143	$3K
81003		1,748	1,490	$3K
99051		505	418	$2K
86580		300	268	$2K
90647		88	83	$2K
99202		37	29	$2K
90670		80	73	$2K
87661		141	96	$2K
90734		76	59	$1K
87563		106	67	$1K
87635		29	26	$1K
87430		105	93	$1K
99203		15	12	$1K
80061		123	102	$1K
99211		58	40	$1K
85025		190	153	$1K
83655		89	85	$1K
90723		45	40	$944.70
80053		137	103	$936.45
84443		94	70	$867.90
83036		129	105	$740.43
U0005	Infec agen detec ampli probe	151	76	$706.44
90633		30	29	$663.73
96160		279	258	$637.08
90651		31	28	$628.56
90710		27	25	$582.00
86803		64	47	$554.40
90471		65	57	$518.88
36410		55	51	$506.61
96372		33	28	$485.24
97803		37	32	$447.95
90715		18	18	$425.98
86317		49	32	$361.86
99408		125	106	$343.00
83721		53	41	$322.34
84436		82	57	$322.14
87341		49	32	$310.26
84479		82	57	$303.02
90658		13	13	$279.36
90680		16	12	$256.08
A7003	Nebulizer administration set	14	12	$246.27
94640		15	13	$194.54
84550		56	44	$167.80
93010		26	24	$120.06
92551		22	12	$107.89
83540		49	32	$93.38
99442		46	42	$39.00
99401		15	14	$25.50
99441		50	30	$13.50
J7613	Albuterol non-comp unit	16	13	$0.56
0353U		12	12	$0.00

Medicaid Provider Spending