PLEASANTS, PETER

$20K

Total Medicaid Paid

442

Total Claims

434

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-11

Last Month

Year	Claims	Total Paid
2018	442	$20K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	305	297	$15K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	55	55	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	57	57	$713.10
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	25	25	$593.17

Medicaid Provider Spending