PAPPANO, ELLEN

$28K

Total Medicaid Paid

582

Total Claims

498

Beneficiaries

5

Codes Billed

2019-03

First Month

2020-03

Last Month

Year	Claims	Total Paid
2019	294	$18K
2020	288	$10K

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	186	175	$17K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	141	136	$10K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	40	37	$838.74
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	108	49	$399.78
94760		107	101	$0.00

Medicaid Provider Spending