PEDIATRICS AT CHARTLEY PA

$1.39M

Total Medicaid Paid

27,728

Total Claims

24,518

Beneficiaries

49

Codes Billed

2018-03

First Month

2024-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		3,669	3,154	$417K
99213		3,224	2,768	$259K
99392		1,261	1,129	$128K
99391		1,229	1,040	$113K
99393		1,030	983	$107K
99215	Prolong outpt/office vis	492	415	$73K
99394		575	543	$64K
87426		726	659	$30K
90686		1,473	1,365	$29K
92552		1,123	1,054	$27K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	886	803	$19K
90670		665	611	$14K
96110		1,348	1,000	$12K
90698		387	365	$9K
87880		632	575	$8K
90680		368	335	$7K
87804		575	330	$7K
99211		303	280	$7K
D1206		262	256	$6K
90697		302	270	$6K
96127		1,246	1,164	$6K
87428		215	190	$5K
W7000		1,072	1,023	$5K
90633		187	165	$4K
0072A		91	88	$3K
90677		140	117	$3K
99173		1,315	1,236	$3K
0071A		75	71	$3K
87081		436	413	$3K
90744		73	65	$1K
85018		666	598	$1K
87635		35	21	$1K
99395		13	12	$1K
90734		55	55	$1K
90651		56	53	$1K
96161		480	424	$1K
87807		93	87	$964.70
87400		90	83	$942.58
90715		29	29	$651.84
87420		37	33	$301.13
92558		140	135	$264.00
99050		20	15	$240.90
0001A		16	16	$240.00
36415		13	12	$19.50
36416		412	330	$1.50
99000		15	14	$0.00
90461		21	15	$0.00
90460		103	67	$0.00
99072		54	52	$0.00

Medicaid Provider Spending