MILLER, JESSICA

$14K

Total Medicaid Paid

265

Total Claims

254

Beneficiaries

5

Codes Billed

2019-02

First Month

2020-05

Last Month

Year	Claims	Total Paid
2019	170	$9K
2020	95	$5K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	150	141	$9K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	50	50	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41	39	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$792.00
17110		12	12	$656.88

Medicaid Provider Spending