MELTON, HEATHER

$19K

Total Medicaid Paid

707

Total Claims

491

Beneficiaries

5

Codes Billed

2019-08

First Month

2020-11

Last Month

Year	Claims	Total Paid
2019	156	$5K
2020	551	$14K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	291	236	$12K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	252	216	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	19	15	$504.74
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	77	12	$0.00
99072		68	12	$0.00

Medicaid Provider Spending