ABRAHAM, JEEVAN

$130K

Total Medicaid Paid

2,365

Total Claims

1,757

Beneficiaries

6

Codes Billed

2020-09

First Month

2024-11

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	1,189	900	$84K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	986	707	$42K
99243		18	18	$2K
90686		134	105	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	23	14	$867.70
90460	Immunization administration through 18 years of age via any route, first or only component	15	13	$0.00

Medicaid Provider Spending