KAIRU, MUMBI

$489K

Total Medicaid Paid

9,532

Total Claims

7,381

Beneficiaries

5

Codes Billed

2018-01

First Month

2023-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5,355	4,487	$279K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3,445	2,270	$157K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	183	183	$19K
99205	Prolong outpt/office vis	166	83	$19K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	383	358	$14K

Medicaid Provider Spending