CEPEDA, VICTOR

$59K

Total Medicaid Paid

1,141

Total Claims

967

Beneficiaries

5

Codes Billed

2020-02

First Month

2023-07

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99223	Prolong inpt eval add15 m	310	287	$24K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	617	537	$24K
99233	Prolong inpt eval add15 m	166	98	$8K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	34	33	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14	12	$364.73

Medicaid Provider Spending