PANTIG, TRACY

$24K

Total Medicaid Paid

832

Total Claims

753

Beneficiaries

6

Codes Billed

2021-02

First Month

2022-12

Last Month

Year	Claims	Total Paid
2021	546	$15K
2022	286	$9K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	447	401	$18K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	62	54	$4K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	67	56	$2K
96156		13	13	$36.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	89	86	$0.32
3725F		154	143	$0.00

Medicaid Provider Spending