MOORE, CARALYNN

$363K

Total Medicaid Paid

4,736

Total Claims

4,205

Beneficiaries

4

Codes Billed

2018-01

First Month

2022-06

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	1,900	1,767	$177K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,879	1,572	$137K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	942	851	$47K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	15	15	$2K

Medicaid Provider Spending