EDMUNDSON, MORIAH

$7K

Total Medicaid Paid

301

Total Claims

234

Beneficiaries

5

Codes Billed

2021-10

First Month

2023-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
H1001	Prenatal care, at-risk enhanced service; antepartum management	84	52	$5K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$623.45
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	34	29	$598.31
99000		159	129	$458.40
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12	12	$178.32

Medicaid Provider Spending