QUIZON, DEOGRACIAS

$29K

Total Medicaid Paid

1,103

Total Claims

1,016

Beneficiaries

5

Codes Billed

2018-01

First Month

2020-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	579	535	$19K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	398	358	$8K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14	13	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	99	97	$457.58
99307		13	13	$0.00

Medicaid Provider Spending