NEGRONI-BALASQUIDE, XAMAYTA

$356K

Total Medicaid Paid

3,409

Total Claims

2,973

Beneficiaries

5

Codes Billed

2020-05

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,566	1,298	$145K
99215	Prolong outpt/office vis	1,203	1,105	$135K
99205	Prolong outpt/office vis	230	220	$34K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	227	211	$29K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	183	139	$13K

Medicaid Provider Spending