WELLS, FORREST

$15K

Total Medicaid Paid

474

Total Claims

309

Beneficiaries

4

Codes Billed

2018-01

First Month

2023-03

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	333	217	$10K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	108	68	$4K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	12	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	19	12	$577.57

Medicaid Provider Spending