PEDIATRICS GPS, INC

$6.22M

Total Medicaid Paid

143,480

Total Claims

136,548

Beneficiaries

49

Codes Billed

2021-08

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		25,319	23,576	$1.46M
99214		17,525	16,468	$1.44M
90460		17,871	17,462	$778K
99393		8,880	8,775	$731K
99392		7,142	7,055	$600K
99394		6,544	6,462	$585K
99391		5,155	4,858	$377K
87880		4,320	4,182	$59K
96110		2,327	2,303	$58K
87804		2,298	2,267	$32K
96160		6,608	6,503	$18K
99051		1,082	1,042	$16K
90471		693	692	$15K
99381		146	145	$13K
99212		331	325	$11K
96127		2,261	2,251	$10K
99215	Prolong outpt/office vis	43	41	$5K
92551		8,978	8,366	$3K
96161		1,569	1,310	$2K
99188		140	140	$2K
81002		311	291	$890.11
94640		63	60	$780.96
69210		15	15	$692.72
90473		16	16	$341.28
99173		4,066	3,831	$341.19
A7016	Nebulizer dome & mouthpiece	25	25	$220.79
90716		1,188	1,160	$141.19
90686		5,387	5,161	$58.32
90670		1,864	1,755	$32.12
J7611	Albuterol non-comp con	50	48	$31.10
90723		383	382	$29.33
90633		1,035	1,013	$25.34
A7015	Aerosol mask used w nebulize	12	12	$21.84
A7003	Nebulizer administration set	12	12	$19.54
90680		1,862	1,478	$16.73
90647		535	500	$15.29
90672		114	114	$7.68
90707		1,172	1,143	$1.87
90671		1,668	1,054	$1.52
90734		1,095	1,072	$0.01
90651		1,786	1,745	$0.01
90700		89	87	$0.00
G9920	Scrning perf and negative	380	380	$0.00
90715		99	98	$0.00
90621		47	47	$0.00
90697		473	335	$0.00
90620		144	142	$0.00
90696		103	100	$0.00
90656		254	249	$0.00

Medicaid Provider Spending