VARGAS-LAGUNAS, MIGUEL

$33K

Total Medicaid Paid

590

Total Claims

523

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	590	$33K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	502	438	$31K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	19	19	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$763.52
A4250	Urine test or reagent strips or tablets (100 tablets or strips)	57	54	$0.39

Medicaid Provider Spending