LEWIS, EMILY

$63K

Total Medicaid Paid

575

Total Claims

569

Beneficiaries

5

Codes Billed

2023-02

First Month

2024-11

Last Month

Year	Claims	Total Paid
2023	470	$51K
2024	105	$12K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	222	222	$20K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	130	129	$14K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	102	100	$13K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	71	71	$11K
17110		50	47	$5K

Medicaid Provider Spending