FORRESTER, LINDSAY

$12K

Total Medicaid Paid

364

Total Claims

315

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-04

Last Month

Year	Claims	Total Paid
2018	364	$12K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	150	145	$7K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	52	50	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	84	42	$982.96
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	61	61	$343.43
92550		17	17	$126.24

Medicaid Provider Spending