ALGHANEM, ABD

$31K

Total Medicaid Paid

980

Total Claims

940

Beneficiary Records

4

Codes Billed

2018-01

First Month

2023-11

Last Month

Code	Description	Claims	Bene. Records	Total Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	640	600	$17K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	302	302	$12K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24	24	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14	14	$778.83

Medicaid Provider Spending