HAMILTON, VALENTINE

$108K

Total Medicaid Paid

3,896

Total Claims

3,384

Beneficiaries

6

Codes Billed

2018-01

First Month

2023-12

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	1,603	1,304	$51K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	651	612	$33K
11721		1,397	1,253	$13K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	139	117	$10K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14	13	$573.53
1036F		92	85	$0.00

Medicaid Provider Spending