HERARD, ASTRID

$40K

Total Medicaid Paid

1,104

Total Claims

898

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	1,104	$40K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	543	506	$22K
90792	Psychiatric diagnostic evaluation with medical services	72	66	$8K
99232	Subsequent hospital care, per day, moderate complexity	336	202	$7K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	62	62	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	91	62	$1K

Medicaid Provider Spending