PRATUMNGERN, GUNTIPPAR

$18K

Total Medicaid Paid

466

Total Claims

419

Beneficiaries

4

Codes Billed

2018-11

First Month

2020-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	280	261	$11K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	99	84	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	66	61	$1K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21	13	$562.76

Medicaid Provider Spending