FARRIS, SHONDA

$16K

Total Medicaid Paid

514

Total Claims

446

Beneficiaries

4

Codes Billed

2021-01

First Month

2021-10

Last Month

Year	Claims	Total Paid
2021	514	$16K

Code	Description	Claims	Beneficiaries	Total Paid
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	322	271	$11K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	71	63	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	49	47	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	72	65	$905.90

Medicaid Provider Spending