MODI, NAVITA

$24K

Total Medicaid Paid

550

Total Claims

413

Beneficiaries

5

Codes Billed

2020-01

First Month

2020-06

Last Month

Year	Claims	Total Paid
2020	550	$24K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	250	181	$14K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	63	59	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	58	45	$5K
36415	Collection of venous blood by venipuncture	87	74	$160.13
0502F		92	54	$0.00

Medicaid Provider Spending