ALL STAR CHILDREN'S CARE

$1.38M

Total Medicaid Paid

64,502

Total Claims

42,780

Beneficiaries

51

Codes Billed

2020-09

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		21,237	9,223	$704K
87811		5,440	4,568	$194K
87880		6,783	5,646	$80K
87804		5,843	2,539	$69K
99214		885	729	$43K
99392		475	461	$35K
G2023	Specimen collect covid-19	2,071	1,714	$30K
99393		400	388	$30K
99212		1,375	1,303	$30K
90460		3,058	1,448	$26K
85025		4,209	3,381	$23K
99000		2,354	2,121	$21K
99050		1,095	991	$13K
87807		1,224	985	$11K
99391		158	150	$11K
99203		198	187	$11K
S8301	Infect control supplies nos	2,225	1,847	$10K
99394		143	133	$10K
92567		680	656	$7K
87426		79	74	$3K
80176		344	322	$3K
96110		358	316	$3K
86318		185	178	$2K
0071A		56	44	$1K
87428		66	65	$1K
0072A		32	30	$1K
96372		84	81	$1K
90471		57	52	$416.00
81003		253	238	$411.72
81000		132	121	$385.06
99211		85	78	$307.76
G8510	Scr dep neg, no plan reqd	45	45	$299.58
92587		54	49	$299.30
J0696	Ceftriaxone sodium injection	453	400	$202.04
90686		595	573	$135.85
90461		125	119	$113.67
86308		25	25	$95.28
96160		72	68	$92.07
97802		342	329	$15.00
J1100	Dexamethasone sodium phos	77	72	$8.85
90651		83	80	$0.17
90677		81	79	$0.14
90633		30	28	$0.00
90670		19	16	$0.00
99051		436	407	$0.00
90648		28	25	$0.00
99173		22	19	$0.00
91300		17	12	$0.00
90688		35	33	$0.00
G0447	Behavior counsel obesity 15m	252	248	$0.00
91307		127	84	$0.00

Medicaid Provider Spending