HOUSTON, DARRIN

$114K

Total Medicaid Paid

1,307

Total Claims

1,295

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	1,307	$114K

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	522	519	$82K
99284	Emergency department visit for the evaluation and management, high severity	173	171	$18K
99283	Emergency department visit for the evaluation and management, moderate severity	227	224	$13K
93042		300	297	$688.15
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	85	84	$633.28

Medicaid Provider Spending