BAUTISTA, BENJAMIN GENESIS

$53K

Total Medicaid Paid

1,531

Total Claims

1,235

Beneficiaries

6

Codes Billed

2018-01

First Month

2018-07

Last Month

Year	Claims	Total Paid
2018	1,531	$53K

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	427	380	$25K
99284	Emergency department visit for the evaluation and management, high severity	403	350	$17K
99283	Emergency department visit for the evaluation and management, moderate severity	232	177	$7K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	189	153	$2K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	19	12	$1K
99053		261	163	$0.00

Medicaid Provider Spending