OGUNMEFUN, ADETUTU

$301K

Total Medicaid Paid

2,569

Total Claims

2,260

Beneficiaries

5

Codes Billed

2022-04

First Month

2023-11

Last Month

Year	Claims	Total Paid
2022	870	$127K
2023	1,699	$174K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,308	1,116	$135K
90792	Psychiatric diagnostic evaluation with medical services	218	216	$98K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	951	843	$64K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	55	55	$3K
80305		37	30	$327.66

Medicaid Provider Spending