SNOW, RUSSELL

$67K

Total Medicaid Paid

959

Total Claims

853

Beneficiaries

5

Codes Billed

2018-01

First Month

2022-05

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	621	523	$38K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	278	275	$24K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	28	28	$4K
69210		19	14	$662.08
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13	13	$527.92

Medicaid Provider Spending