SMITH, CHARLES

$7K

Total Medicaid Paid

1,724

Total Claims

1,516

Beneficiaries

6

Codes Billed

2018-01

First Month

2020-12

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	644	588	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	686	571	$3K
90674		52	50	$72.94
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	13	13	$65.08
G0008	Administration of influenza virus vaccine	53	51	$42.36
36415	Collection of venous blood by venipuncture	276	243	$6.44

Medicaid Provider Spending