MANZER, JONATHAN

$74K

Total Medicaid Paid

1,873

Total Claims

1,515

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-05

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	1,719	1,361	$66K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	95	95	$6K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	47	47	$1K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12	12	$715.15

Medicaid Provider Spending