FARHADIAN, HOUSHANG

$83K

Total Medicaid Paid

4,093

Total Claims

1,901

Beneficiaries

6

Codes Billed

2018-01

First Month

2021-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
95144		1,052	419	$22K
95117		1,836	737	$22K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	315	301	$12K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	126	110	$10K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	722	293	$10K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	42	41	$5K

Medicaid Provider Spending