MELO, JESSICA

$16K

Total Medicaid Paid

378

Total Claims

366

Beneficiaries

4

Codes Billed

2022-03

First Month

2023-06

Last Month

Year	Claims	Total Paid
2022	69	$3K
2023	309	$13K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	107	103	$5K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	123	120	$5K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	107	104	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	41	39	$1K

Medicaid Provider Spending