WHITE, JOAN

$185K

Total Medicaid Paid

7,541

Total Claims

5,556

Beneficiaries

29

Codes Billed

2018-01

First Month

2020-11

Last Month

Year	Claims	Total Paid
2018	2,481	$65K
2019	2,720	$68K
2020	2,340	$53K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,973	1,648	$88K
90460	Immunization administration through 18 years of age via any route, first or only component	1,908	913	$39K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	293	243	$19K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	157	138	$11K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	154	129	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	307	253	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	333	150	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	84	65	$2K
92551		294	250	$2K
3008F		386	329	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	166	154	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	18	14	$1K
90686		414	364	$571.04
96127		136	108	$498.76
87070		111	103	$378.62
96161		35	24	$349.61
90670		56	43	$250.93
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	13	12	$173.50
90698		56	43	$127.00
99173		14	13	$97.20
36416		54	43	$74.94
96160		13	12	$62.28
99051		29	28	$37.92
94760		41	31	$27.82
3210F		165	153	$0.00
90685		41	40	$0.00
99072		150	130	$0.00
99000		126	111	$0.00
90680		14	12	$0.00

Medicaid Provider Spending

Monthly Spending Trend

Yearly Breakdown

Billing Codes