WAKEMAN, KEVIN

$46K

Total Medicaid Paid

1,190

Total Claims

1,089

Beneficiaries

4

Codes Billed

2018-01

First Month

2022-01

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	638	588	$28K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	525	474	$16K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	14	$872.54
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$495.30

Medicaid Provider Spending