WATERS, MARYROSE

$5K

Total Medicaid Paid

80

Total Claims

80

Beneficiaries

4

Codes Billed

2023-05

First Month

2024-05

Last Month

Year	Claims	Total Paid
2023	68	$4K
2024	12	$954.73

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	25	25	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27	27	$1K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16	16	$895.78

Medicaid Provider Spending