JEPSON, KELLI

$138K

Total Medicaid Paid

3,037

Total Claims

2,609

Beneficiaries

4

Codes Billed

2020-09

First Month

2024-12

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	1,445	1,243	$85K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,557	1,331	$53K
96110	Developmental screening, with scoring and documentation, per standardized instrument	17	17	$273.34
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	18	18	$221.91

Medicaid Provider Spending