DAM, WILLIAM

$57K

Total Medicaid Paid

1,452

Total Claims

1,219

Beneficiaries

4

Codes Billed

2018-04

First Month

2022-02

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	974	795	$38K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	201	169	$13K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	250	235	$5K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	27	20	$908.56

Medicaid Provider Spending