RIES, J

$57K

Total Medicaid Paid

1,785

Total Claims

1,466

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	1,785	$57K

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	471	388	$23K
99284	Emergency department visit for the evaluation and management, high severity	383	339	$17K
99283	Emergency department visit for the evaluation and management, moderate severity	529	450	$15K
99406		254	167	$878.43
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	148	122	$279.76

Medicaid Provider Spending