WRIGHT, ALYSSA

$5K

Total Medicaid Paid

106

Total Claims

106

Beneficiaries

4

Codes Billed

2018-09

First Month

2019-03

Last Month

Year	Claims	Total Paid
2018	75	$4K
2019	31	$1K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	69	69	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$982.26
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13	13	$442.56
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	12	12	$186.44

Medicaid Provider Spending