ANTONIO SERRU PAEZ MD PROFESSIONAL CORPORATION

$2.31M

Total Medicaid Paid

82,282

Total Claims

69,206

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		20,063	15,852	$1.27M
99213		12,455	10,419	$626K
99204		785	688	$90K
99203		726	679	$63K
93000		6,017	5,100	$58K
94010		1,210	1,002	$24K
76700		207	180	$22K
90471		1,188	1,028	$20K
99385		134	127	$16K
96372		1,093	848	$15K
82947		8,441	7,423	$15K
90674		863	735	$14K
81003		15,182	12,741	$14K
93922		269	211	$10K
90756		615	539	$9K
36416		6,632	5,942	$9K
99396		74	74	$8K
76770		79	66	$7K
99386		31	31	$4K
99395		42	42	$4K
96127		975	906	$4K
94760		2,161	1,849	$3K
76536		13	13	$1K
90661		53	52	$1K
0513F		42	41	$680.00
81025		114	101	$459.37
82274		32	30	$307.95
Q0091	Obtaining screen pap smear	17	16	$268.48
99422		89	68	$119.25
3044F		48	47	$115.00
3077F		390	354	$85.00
J1885	Ketorolac tromethamine inj	69	57	$79.85
99211		14	12	$77.18
G0403	Ekg for initial prevent exam	79	71	$69.76
G0101	Ca screen;pelvic/breast exam	17	16	$68.38
J3301	Triamcinolone acet inj nos	17	12	$23.87
3075F		288	271	$10.00
80305		77	74	$7.48
3074F		598	569	$5.00
3288F		30	26	$0.00
1158F		48	41	$0.00
2028F		249	222	$0.00
G0444	Depression screen annual	16	16	$0.00
G0438	Ppps, initial visit	140	124	$0.00
G0008	Admin influenza virus vac	289	209	$0.00
3080F		211	190	$0.00
1170F		100	92	$0.00

Medicaid Provider Spending