BRYCE, PETER

$23K

Total Medicaid Paid

1,223

Total Claims

1,047

Beneficiary Records

6

Codes Billed

2018-01

First Month

2022-08

Last Month

Code	Description	Claims	Bene. Records	Total Paid
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	198	178	$14K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	84	78	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	31	27	$2K
99000		859	727	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	30	25	$375.66
A4550	Surgical trays	21	12	$25.00

Medicaid Provider Spending