ANGELES, JOVITO

$64K

Total Medicaid Paid

1,361

Total Claims

1,085

Beneficiaries

5

Codes Billed

2018-01

First Month

2023-03

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	480	401	$31K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	734	550	$23K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	122	110	$8K
99215	Prolong outpt/office vis	13	12	$806.92
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$542.56

Medicaid Provider Spending