MATHEW, MERLYN

$8K

Total Medicaid Paid

423

Total Claims

421

Beneficiaries

6

Codes Billed

2022-08

First Month

2024-11

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	148	148	$5K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	67	67	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	27	26	$502.89
83036	Hemoglobin; glycosylated (A1C)	84	84	$50.55
36415	Collection of venous blood by venipuncture	51	51	$18.86
82962		46	45	$13.80

Medicaid Provider Spending