CURLESS, CAROL

$25K

Total Medicaid Paid

330

Total Claims

320

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	165	162	$18K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	122	118	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	25	25	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	18	15	$569.88

Medicaid Provider Spending