ROODHOUSE, GEORGE

$5K

Total Medicaid Paid

186

Total Claims

118

Beneficiaries

4

Codes Billed

2020-01

First Month

2020-02

Last Month

Year	Claims	Total Paid
2020	186	$5K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	78	55	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	37	29	$848.75
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	51	16	$829.45
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	20	18	$786.40

Medicaid Provider Spending