HAZEN, ALEXES

$621K

Total Medicaid Paid

1,163

Total Claims

1,081

Beneficiaries

6

Codes Billed

2021-01

First Month

2024-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99070		255	252	$506K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	487	462	$56K
11950		162	111	$33K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	212	209	$17K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	19	19	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	28	28	$4K

Medicaid Provider Spending