SUNNYSIDE PEDIATRICS PLLC

$2.26M

Total Medicaid Paid

210,507

Total Claims

175,522

Beneficiaries

71

Codes Billed

2020-07

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99392		5,892	5,159	$416K
99391		5,054	4,331	$345K
99393		3,930	3,433	$297K
99213		28,082	23,648	$205K
99394		2,315	2,003	$185K
99214		14,881	13,395	$150K
90471		10,491	9,079	$98K
99429		3,113	2,515	$80K
87426		2,735	2,572	$79K
90472		9,257	4,704	$69K
90460		4,871	2,602	$67K
99381		867	743	$62K
S8301	Infect control supplies nos	20,691	17,195	$44K
99215	Prolong outpt/office vis	1,545	1,429	$30K
96110		4,380	3,224	$25K
90474		2,850	2,445	$23K
87804		5,557	4,847	$16K
87880		6,025	5,551	$15K
99383		106	98	$9K
99395		57	51	$5K
96160		8,201	7,198	$5K
99051		3,273	2,943	$4K
87807		1,901	1,765	$4K
99382		36	35	$4K
99204		130	125	$3K
0001A		93	92	$3K
99203		147	141	$2K
92551		6,373	5,671	$2K
99384		18	17	$2K
G8510	Scr dep neg, no plan reqd	358	347	$1K
90670		3,396	2,866	$980.04
0002A		30	29	$840.00
90461		1,802	1,496	$743.32
99000		327	316	$700.89
99211		1,071	963	$500.78
0112A		13	13	$480.00
90680		2,966	2,550	$426.00
96381		44	33	$425.25
90621		374	364	$384.45
90686		2,974	2,787	$364.33
90734		826	785	$333.02
97802		2,400	2,309	$130.33
0111A		16	16	$120.00
99205	Prolong outpt/office vis	14	14	$118.70
81002		154	139	$85.22
90744		672	429	$30.04
96127		5,544	3,849	$13.32
G0447	Behavior counsel obesity 15m	2,325	2,235	$10.50
90651		970	912	$0.24
90677		909	873	$0.15
90661		381	377	$0.10
90710		1,691	1,484	$0.00
90633		2,142	1,864	$0.00
90700		595	573	$0.00
99072		13,472	10,130	$0.00
99173		6,504	5,797	$0.00
90685		584	450	$0.00
90648		653	631	$0.00
91300		159	147	$0.00
90715		246	234	$0.00
90380		24	17	$0.00
G8431	Pos clin depres scrn f/u doc	28	26	$0.00
91308		27	27	$0.00
91311		38	35	$0.00
99188		31	30	$0.00
90697		2,008	1,964	$0.00
90696		514	493	$0.00
90698		1,239	803	$0.00
91307		28	26	$0.00
94760		61	53	$0.00
90656		26	25	$0.00

Medicaid Provider Spending