SANCHEZ PRINICIPE, ROSARIO

$70K

Total Medicaid Paid

1,091

Total Claims

927

Beneficiaries

4

Codes Billed

2021-07

First Month

2024-12

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	744	680	$53K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	280	206	$13K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	40	27	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	27	14	$1K

Medicaid Provider Spending