FULLOP, JULKO

$21K

Total Medicaid Paid

876

Total Claims

761

Beneficiaries

5

Codes Billed

2018-01

First Month

2021-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	683	590	$16K
20610		73	55	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	45	45	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	48	45	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27	26	$928.20

Medicaid Provider Spending