MASSON, LALITHA

$27K

Total Medicaid Paid

432

Total Claims

406

Beneficiaries

5

Codes Billed

2018-01

First Month

2019-04

Last Month

Year	Claims	Total Paid
2018	355	$22K
2019	77	$5K

Code	Description	Claims	Beneficiaries	Total Paid
76830	Ultrasound, transvaginal	111	109	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	171	158	$7K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	90	81	$5K
99205	Prolong outpt/office vis	46	46	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	14	12	$453.50

Medicaid Provider Spending