BOUNDS, DAWN

$31K

Total Medicaid Paid

485

Total Claims

287

Beneficiaries

6

Codes Billed

2018-01

First Month

2018-06

Last Month

Year	Claims	Total Paid
2018	485	$31K

Code	Description	Claims	Beneficiaries	Total Paid
90792	Psychiatric diagnostic evaluation with medical services	186	143	$20K
90849		91	43	$6K
99232	Subsequent hospital care, per day, moderate complexity	113	32	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	54	41	$893.70
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21	15	$704.61
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	20	13	$492.17

Medicaid Provider Spending