BOX, NATHAN

$35K

Total Medicaid Paid

547

Total Claims

528

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	152	149	$14K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	344	329	$13K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	26	26	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	25	24	$2K

Medicaid Provider Spending