LESNIAK, BRYSON

$27K

Total Medicaid Paid

615

Total Claims

576

Beneficiaries

5

Codes Billed

2021-01

First Month

2024-12

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	253	235	$13K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	259	255	$9K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	50	50	$5K
20610		41	24	$704.40
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$656.48

Medicaid Provider Spending