BERGLUND, CONNIE

$73K

Total Medicaid Paid

1,561

Total Claims

1,523

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	935	910	$48K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	164	161	$13K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	175	172	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	287	280	$5K

Medicaid Provider Spending