DRAIGHAN, SUSANNA

$24K

Total Medicaid Paid

706

Total Claims

600

Beneficiaries

4

Codes Billed

2018-02

First Month

2018-11

Last Month

Year	Claims	Total Paid
2018	706	$24K

Code	Description	Claims	Beneficiaries	Total Paid
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	392	335	$14K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	279	232	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	22	21	$644.00
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	13	12	$520.12

Medicaid Provider Spending