GRINER, BRIAN

$8K

Total Medicaid Paid

117

Total Claims

116

Beneficiary Records

Codes Billed

2018-10

First Month

2018-10

Last Month

Year	Claims	Total Paid
2018	117	$8K

Code	Description	Claims	Bene. Records	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	60	59	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	14	14	$1K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14	14	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	29	29	$1K

Medicaid Provider Spending