DALRYMPLE-WOODS, BETH

$7K

Total Medicaid Paid

265

Total Claims

194

Beneficiaries

5

Codes Billed

2020-05

First Month

2021-09

Last Month

Year	Claims	Total Paid
2020	173	$3K
2021	92	$4K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	45	37	$2K
20610		80	52	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	101	79	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13	13	$793.15
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	26	13	$239.30

Medicaid Provider Spending