SOUTH AREA PEDIATRIC MEDICAL GROUP

$953K

Total Medicaid Paid

156,754

Total Claims

152,138

Beneficiaries

68

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99391		5,212	5,021	$198K
99213		12,479	11,232	$128K
99392		6,291	6,219	$117K
99393		4,202	4,169	$75K
99214		3,302	3,090	$62K
99381		1,187	977	$60K
G9920	Scrning perf and negative	3,724	3,668	$53K
96110		2,349	2,216	$47K
99394		2,537	2,527	$37K
96156		1,103	1,101	$19K
92552		6,320	6,257	$15K
90670		4,892	4,821	$14K
90680		3,433	3,355	$13K
90698		3,214	3,141	$12K
96112		7,637	7,527	$10K
97803		2,303	2,236	$10K
90744		2,331	2,285	$9K
G0447	Behavior counsel obesity 15m	9,854	9,525	$8K
99211		1,001	983	$8K
99188		1,803	1,759	$7K
97802		8,863	8,558	$6K
99203		226	219	$5K
90633		2,810	2,779	$3K
90688		3,267	3,207	$3K
90700		2,571	2,537	$3K
90697		809	783	$2K
99401		8,809	8,501	$2K
90651		1,196	1,191	$2K
90710		1,866	1,838	$2K
85018		3,664	3,548	$2K
92551		2,821	2,820	$2K
96111		1,021	818	$2K
99383		50	50	$2K
83655		345	335	$1K
85014		4,577	4,476	$1K
G0442	Annual alcohol screen 15 min	457	457	$1K
90713		1,071	1,057	$1K
90686		2,163	2,148	$956.27
D0120		7,434	7,349	$933.48
99406		497	497	$831.10
99212		47	39	$828.42
90677		245	242	$726.50
86580		701	691	$653.88
99384		15	15	$618.31
90647		727	716	$612.00
90734		958	957	$497.07
G8510	Scr dep neg, no plan reqd	116	116	$455.65
99173		3,582	3,574	$442.51
90649		385	383	$382.50
90658		240	236	$382.23
90657		145	135	$380.96
90716		337	336	$352.91
81000		3,987	3,973	$344.44
90671		59	59	$315.00
96127		374	363	$312.58
90707		315	313	$306.00
90715		422	420	$297.90
90648		308	306	$288.00
90685		329	316	$282.00
90620		332	331	$188.55
87081		238	230	$139.72
1032F		2,155	2,116	$96.00
94760		231	222	$38.95
90656		31	31	$36.00
G0445	High inten beh couns std 30m	319	319	$0.00
99215	Prolong outpt/office vis	13	13	$0.00
96161		289	246	$0.00
D1330		163	163	$0.00

Medicaid Provider Spending