WHITTIER PEDIATRIC GROUP

$1.25M

Total Medicaid Paid

191,070

Total Claims

178,580

Beneficiaries

65

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		42,783	36,692	$305K
G9920	Scrning perf and negative	12,378	12,157	$157K
99393		7,599	7,505	$145K
99392		5,972	5,771	$132K
99394		4,769	4,714	$101K
90686		11,875	11,629	$66K
99391		1,516	1,428	$63K
92552		9,677	9,603	$58K
96110		3,280	2,588	$58K
90460		7,089	4,974	$29K
97802		8,517	8,353	$15K
90480		952	562	$15K
90651		2,369	2,332	$12K
90670		1,932	1,867	$10K
3008F		15,951	15,717	$8K
90734		1,429	1,404	$6K
90647		1,244	1,204	$6K
90723		1,070	1,021	$6K
99214		556	543	$6K
0124A		250	136	$5K
90710		979	956	$5K
90680		669	632	$4K
90633		829	802	$3K
90471		2,780	2,509	$3K
91321		551	330	$3K
0154A		124	66	$2K
96127		4,572	4,519	$2K
0111A		83	54	$2K
90620		481	475	$2K
99000		2,439	2,394	$2K
91322		162	96	$2K
99173		4,087	4,066	$2K
87110		909	905	$2K
90696		231	227	$2K
90461		739	636	$2K
0053A		58	36	$1K
90715		374	369	$1K
0112A		52	36	$999.60
90688		248	246	$963.00
92004		2,501	2,490	$860.55
0073A		32	19	$760.00
G0447	Behavior counsel obesity 15m	12,085	11,885	$747.11
G9919	Scrn nd pos nd prov of rec	41	41	$638.00
G0442	Annual alcohol screen 15 min	284	283	$575.10
G8510	Scr dep neg, no plan reqd	1,553	1,524	$432.04
G0270	Mnt subs tx for change dx	10,248	10,093	$272.00
94664		202	197	$196.17
90700		38	38	$153.00
90685		42	42	$144.00
H0049	Alcohol/drug screening	283	282	$126.00
90677		40	40	$108.00
92014		12	12	$59.88
81005		179	172	$59.17
92060		1,236	1,217	$40.36
99442		205	184	$18.86
91311		72	68	$0.02
99172		32	32	$0.00
91305		23	23	$0.00
91307		73	73	$0.00
91315		61	60	$0.00
96161		14	12	$0.00
91312		117	117	$0.00
3078F		13	13	$0.00
92081		79	79	$0.00
G8431	Pos clin depres scrn f/u doc	30	30	$0.00

Medicaid Provider Spending