MEMON, REHAN

$43K

Total Medicaid Paid

1,119

Total Claims

1,005

Beneficiaries

4

Codes Billed

2020-04

First Month

2021-02

Last Month

Year	Claims	Total Paid
2020	1,009	$39K
2021	110	$4K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	527	471	$16K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	337	293	$14K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	204	190	$9K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	51	51	$4K

Medicaid Provider Spending