LEMAIRE, TARA

$4K

Total Medicaid Paid

121

Total Claims

120

Beneficiaries

3

Codes Billed

2021-01

First Month

2024-03

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	74	73	$4K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	30	30	$0.00
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17	17	$0.00

Medicaid Provider Spending