SMITH, SIDNEY

$6K

Total Medicaid Paid

110

Total Claims

110

Beneficiaries

Codes Billed

2019-07

First Month

2019-08

Last Month

Year	Claims	Total Paid
2019	110	$6K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46	46	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	33	33	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18	18	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13	13	$433.42

Medicaid Provider Spending