GARMON, MARISSA

$7K

Total Medicaid Paid

182

Total Claims

179

Beneficiaries

4

Codes Billed

2018-06

First Month

2018-10

Last Month

Year	Claims	Total Paid
2018	182	$7K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	92	92	$5K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32	31	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16	15	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	42	41	$466.82

Medicaid Provider Spending