NORTHWAY, MAUREEN

$86K

Total Medicaid Paid

1,175

Total Claims

925

Beneficiaries

6

Codes Billed

2018-01

First Month

2022-06

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	580	476	$64K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	301	225	$14K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	255	188	$6K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14	12	$998.83
0002A		13	12	$600.00
99072		12	12	$0.00

Medicaid Provider Spending