GUPTA, SONIKA

$84K

Total Medicaid Paid

1,718

Total Claims

1,616

Beneficiaries

5

Codes Billed

2020-12

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,384	1,297	$62K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	166	162	$12K
99215	Prolong outpt/office vis	116	111	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39	33	$1K
95251		13	13	$299.97

Medicaid Provider Spending