COOPER, JANE

$159K

Total Medicaid Paid

3,764

Total Claims

3,141

Beneficiaries

6

Codes Billed

2018-01

First Month

2020-03

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	932	909	$73K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,109	1,069	$57K
95115		1,565	1,007	$17K
99244	Office or other outpatient consultation, moderate to high complexity	55	55	$9K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	45	45	$3K
95024		58	56	$396.48

Medicaid Provider Spending