CAROBENE, HOLLY

$96K

Total Medicaid Paid

1,940

Total Claims

1,791

Beneficiaries

6

Codes Billed

2019-07

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	1,283	1,207	$65K
62323		283	275	$14K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	189	143	$12K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	108	91	$3K
72275		60	58	$728.79
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	17	17	$366.95

Medicaid Provider Spending