TAKHER, JASPRIT

$36K

Total Medicaid Paid

399

Total Claims

386

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	399	$36K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	240	229	$17K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	103	102	$11K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	43	43	$7K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	12	$1K

Medicaid Provider Spending