AUTRY, JOHN

$161K

Total Medicaid Paid

2,087

Total Claims

2,016

Beneficiaries

4

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	1,010	977	$93K
99284	Emergency department visit for the evaluation and management, high severity	870	841	$61K
99283	Emergency department visit for the evaluation and management, moderate severity	191	182	$7K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16	16	$414.60

Medicaid Provider Spending