PINEDA, MINERVA

$45K

Total Medicaid Paid

549

Total Claims

344

Beneficiaries

6

Codes Billed

2022-11

First Month

2024-09

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	267	171	$25K
0502F		150	74	$11K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	53	26	$5K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	32	32	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$543.37
1036F		35	29	$0.00

Medicaid Provider Spending