MOSES, DENISE

$5K

Total Medicaid Paid

170

Total Claims

157

Beneficiaries

5

Codes Billed

2021-04

First Month

2021-09

Last Month

Year	Claims	Total Paid
2021	170	$5K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	41	37	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	49	41	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$985.97
36415	Collection of venous blood by venipuncture	24	24	$11.85
99000		44	43	$0.00

Medicaid Provider Spending