CLARY, RANDALL

$13K

Total Medicaid Paid

151

Total Claims

151

Beneficiaries

4

Codes Billed

2018-03

First Month

2023-03

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	96	96	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28	28	$1K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	13	13	$775.08
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14	14	$657.17

Medicaid Provider Spending