YENAL, KEM

$30K

Total Medicaid Paid

620

Total Claims

575

Beneficiaries

5

Codes Billed

2020-11

First Month

2021-08

Last Month

Year	Claims	Total Paid
2020	50	$4K
2021	570	$26K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	219	210	$18K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	178	166	$11K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12	12	$1K
99173		18	18	$43.35
36415	Collection of venous blood by venipuncture	193	169	$0.00

Medicaid Provider Spending