PAYNE, KYLE

$13K

Total Medicaid Paid

1,268

Total Claims

1,171

Beneficiaries

5

Codes Billed

2018-12

First Month

2020-02

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	700	666	$8K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	171	147	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	75	60	$1K
80305		310	286	$719.16
J1030	Injection, methylprednisolone acetate, 40 mg	12	12	$14.11

Medicaid Provider Spending