OSTROSKY, KARA

$55K

Total Medicaid Paid

1,597

Total Claims

1,457

Beneficiaries

5

Codes Billed

2020-11

First Month

2024-12

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	1,329	1,217	$48K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	197	174	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12	12	$718.32
59025	Fetal non-stress test	46	41	$636.21
81025		13	13	$52.80

Medicaid Provider Spending