DEKOJ, THOMAS

$12K

Total Medicaid Paid

313

Total Claims

291

Beneficiaries

5

Codes Billed

2018-06

First Month

2023-07

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	153	137	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	88	86	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	47	43	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$764.50
99215	Prolong outpt/office vis	13	13	$527.10

Medicaid Provider Spending