WOLD, AMBER

$43K

Total Medicaid Paid

804

Total Claims

737

Beneficiaries

5

Codes Billed

2021-07

First Month

2023-11

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	628	565	$43K
1160F		28	28	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	67	65	$0.00
1159F		27	27	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	54	52	$0.00

Medicaid Provider Spending