CUARTAS, ESTEBAN

$106K

Total Medicaid Paid

1,032

Total Claims

1,001

Beneficiaries

4

Codes Billed

2019-02

First Month

2023-09

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	679	651	$71K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	159	159	$16K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	136	133	$10K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	58	58	$9K

Medicaid Provider Spending