PEDIATRIC CLINIC OF LAPORTE

$2.34M

Total Medicaid Paid

93,152

Total Claims

80,852

Beneficiaries

56

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		21,397	18,258	$824K
99394		2,650	2,523	$248K
99393		2,509	2,451	$222K
99392		2,178	2,142	$183K
99391		1,879	1,702	$146K
87880		9,602	8,836	$136K
S9470	Nutritional counseling, diet	4,496	4,302	$133K
90460		11,268	5,699	$126K
99214		1,879	1,764	$100K
87804		2,528	2,383	$71K
96110		2,820	2,772	$24K
99395		174	163	$15K
99211		1,170	1,126	$14K
G8431	Pos clin depres scrn f/u doc	3,177	2,995	$13K
97169		448	432	$11K
90461		2,026	1,434	$9K
87807		746	692	$8K
99051		2,583	2,495	$8K
96160		2,810	2,668	$6K
96372		547	513	$6K
90658		1,116	1,060	$5K
90619		307	291	$4K
90651		609	580	$4K
90734		608	579	$3K
99212		120	118	$3K
90671		122	119	$3K
90677		280	262	$3K
90620		528	504	$2K
94640		115	114	$2K
0071A		36	36	$1K
99429		41	41	$1K
81003		554	522	$1K
0072A		13	13	$568.00
90621		235	226	$525.00
90670		924	891	$450.00
0011A		13	13	$390.00
J0696	Ceftriaxone sodium injection	311	286	$281.99
90686		216	214	$176.23
G9902	Pt scrn tbco and id as user	2,822	2,653	$138.40
90715		335	321	$64.58
90633		720	705	$39.15
J1100	Dexamethasone sodium phos	13	13	$2.38
90710		489	480	$0.00
90649		289	280	$0.00
J7510	Prednisolone oral per 5 mg	12	12	$0.00
90696		82	82	$0.00
90697		641	617	$0.00
91301		16	15	$0.00
G8711	Pres antibx on/within 3 day	3,282	3,094	$0.00
90680		607	567	$0.00
90698		463	453	$0.00
90744		39	39	$0.00
91307		79	77	$0.00
90657		14	13	$0.00
97802		49	49	$0.00
90656		165	163	$0.00

Medicaid Provider Spending