BALMACEDA, CASILDA

$537K

Total Medicaid Paid

17,145

Total Claims

16,692

Beneficiaries

23

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
95819		1,771	1,771	$150K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7,147	7,048	$140K
95886		1,566	1,406	$81K
95911		1,563	1,407	$67K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1,732	1,732	$53K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1,094	1,074	$11K
96132		317	317	$7K
99442		421	403	$5K
93880		229	229	$5K
95816		39	39	$3K
96138		429	429	$3K
93925		120	120	$3K
92546		76	76	$1K
95923		63	63	$990.49
92542		76	76	$696.92
92541		76	76	$656.22
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13	13	$577.89
96136		89	89	$546.30
92544		76	76	$539.97
92545		76	76	$505.78
92537		76	76	$472.44
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	20	20	$316.15
92547		76	76	$71.46

Medicaid Provider Spending