HSIUNG, KEVIN

$23K

Total Medicaid Paid

371

Total Claims

329

Beneficiaries

Codes Billed

2018-01

First Month

2018-11

Last Month

Year	Claims	Total Paid
2018	371	$23K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	139	128	$13K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	106	90	$7K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	16	14	$1K
81025		96	83	$474.83

Medicaid Provider Spending