CENTRAL PEDIATRICS MEDICAL GROUP

$201K

Total Medicaid Paid

72,548

Total Claims

70,300

Beneficiaries

58

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		16,746	14,861	$53K
92552		3,233	3,218	$34K
99394		2,880	2,874	$16K
99393		2,832	2,826	$14K
99391		771	747	$12K
99392		1,876	1,857	$10K
99214		1,329	1,268	$9K
97803		6,462	6,439	$7K
90686		2,300	2,290	$6K
96156		2,328	2,327	$4K
90734		627	622	$3K
99203		269	269	$3K
90620		493	493	$3K
90670		672	665	$2K
97802		299	299	$2K
90700		672	669	$2K
G8510	Scr dep neg, no plan reqd	2,487	2,484	$2K
90651		617	615	$2K
99383		69	69	$2K
90713		406	402	$1K
99381		13	13	$1K
90716		452	450	$998.91
90680		157	156	$917.91
99395		280	279	$906.21
90707		412	411	$896.91
99382		24	24	$735.94
90649		451	448	$703.07
90677		83	83	$674.55
90744		116	115	$671.23
90715		180	179	$615.00
G8431	Pos clin depres scrn f/u doc	272	271	$572.25
99215	Prolong outpt/office vis	71	68	$558.54
90633		299	298	$509.73
90698		177	174	$486.00
90647		97	97	$356.82
90674		52	34	$262.33
99212		99	99	$233.71
83655		184	184	$227.15
90648		74	74	$197.82
96110		100	99	$179.70
G9920	Scrning perf and negative	1,159	1,154	$171.00
90619		255	255	$140.73
99442		413	396	$139.14
G9919	Scrn nd pos nd prov of rec	450	449	$124.00
G0447	Behavior counsel obesity 15m	1,008	1,006	$118.80
99443		91	87	$103.09
S9451	Exercise class	6,163	6,140	$90.09
99406		130	129	$42.27
90655		15	15	$27.00
99173		2,000	1,994	$7.50
H0049	Alcohol/drug screening	1,233	1,233	$0.00
3008F		7,721	7,645	$0.00
1220F		348	347	$0.00
99441		20	19	$0.00
1036F		428	428	$0.00
3351F		54	54	$0.00
G8511	Scr dep pos, no plan doc rng	14	14	$0.00
90460		85	85	$0.00

Medicaid Provider Spending