WAVRUNEK, MARK

$48K

Total Medicaid Paid

2,187

Total Claims

1,880

Beneficiaries

5

Codes Billed

2019-09

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,127	896	$27K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	221	212	$8K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	194	158	$6K
11721		612	583	$5K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	33	31	$2K

Medicaid Provider Spending