BEDNARSKI, BROOKE

$29K

Total Medicaid Paid

861

Total Claims

824

Beneficiaries

4

Codes Billed

2020-12

First Month

2024-10

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	716	682	$21K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	102	99	$4K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	30	30	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	13	13	$609.50

Medicaid Provider Spending