JONES, AMBER

$57K

Total Medicaid Paid

1,281

Total Claims

1,114

Beneficiaries

5

Codes Billed

2021-08

First Month

2023-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	705	633	$28K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	467	408	$28K
90686		55	34	$826.63
96110	Developmental screening, with scoring and documentation, per standardized instrument	38	26	$562.75
36415	Collection of venous blood by venipuncture	16	13	$0.00

Medicaid Provider Spending