HARPER, DONNA

$29K

Total Medicaid Paid

439

Total Claims

418

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-03

Last Month

Year	Claims	Total Paid
2018	439	$29K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	235	219	$23K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	79	76	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	65	63	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	41	41	$670.79
85018		19	19	$52.25

Medicaid Provider Spending