WELLINGTON, ROBIN

$66K

Total Medicaid Paid

951

Total Claims

856

Beneficiaries

5

Codes Billed

2018-01

First Month

2019-01

Last Month

Year	Claims	Total Paid
2018	938	$65K
2019	13	$975.00

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	487	465	$42K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	217	217	$21K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	136	66	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	97	96	$1K
A9150	Non-prescription drugs	14	12	$0.00

Medicaid Provider Spending