DAVIDSON, LORELEI

$133K

Total Medicaid Paid

2,815

Total Claims

2,250

Beneficiaries

6

Codes Billed

2021-08

First Month

2023-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99442		1,332	999	$66K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,211	995	$56K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	132	124	$8K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	41	40	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	84	77	$1K
99441		15	15	$362.45

Medicaid Provider Spending