ZERILLA, ANYA

$21K

Total Medicaid Paid

579

Total Claims

472

Beneficiaries

6

Codes Billed

2018-07

First Month

2020-11

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	256	235	$9K
76830	Ultrasound, transvaginal	162	123	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	90	59	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	25	25	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27	18	$1K
0502F		19	12	$0.00

Medicaid Provider Spending