SKIBBA, CARRIE

$9K

Total Medicaid Paid

257

Total Claims

252

Beneficiaries

4

Codes Billed

2018-07

First Month

2021-11

Last Month

Year	Claims	Total Paid
2018	41	$1K
2021	216	$7K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	200	196	$7K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14	14	$794.92
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	16	16	$691.52
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	27	26	$365.73

Medicaid Provider Spending