HILL, ERIN

$12K

Total Medicaid Paid

307

Total Claims

270

Beneficiaries

4

Codes Billed

2018-11

First Month

2019-12

Last Month

Year	Claims	Total Paid
2018	62	$2K
2019	245	$10K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	164	157	$7K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	73	70	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	53	26	$642.49
90460	Immunization administration through 18 years of age via any route, first or only component	17	17	$171.53

Medicaid Provider Spending