COOPER, MARION

$18K

Total Medicaid Paid

427

Total Claims

352

Beneficiaries

5

Codes Billed

2019-07

First Month

2020-03

Last Month

Year	Claims	Total Paid
2019	110	$8K
2020	317	$10K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	130	130	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	89	89	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	148	73	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	48	48	$649.45
81003		12	12	$24.48

Medicaid Provider Spending