SMITH, DAVID

$12K

Total Medicaid Paid

131

Total Claims

128

Beneficiaries

Codes Billed

2018-02

First Month

2018-07

Last Month

Year	Claims	Total Paid
2018	131	$12K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	55	54	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	33	33	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	30	28	$3K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13	13	$2K

Medicaid Provider Spending