DIVINE, BRANDY

$18K

Total Medicaid Paid

357

Total Claims

336

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-06

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	288	269	$14K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	42	41	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13	12	$407.05
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	14	14	$224.10

Medicaid Provider Spending