PEREZ, ELYNOR

$52K

Total Medicaid Paid

642

Total Claims

606

Beneficiaries

4

Codes Billed

2019-03

First Month

2022-10

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	352	323	$23K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	130	130	$11K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	118	111	$11K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	42	42	$6K

Medicaid Provider Spending