FRANADA, LARIVEN

$18K

Total Medicaid Paid

296

Total Claims

267

Beneficiaries

4

Codes Billed

2019-09

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	127	112	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	100	87	$5K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	57	56	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$571.29

Medicaid Provider Spending