PETROV, SERGEY

$6K

Total Medicaid Paid

577

Total Claims

478

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-09

Last Month

Year	Claims	Total Paid
2018	577	$6K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	260	245	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	48	48	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	176	92	$854.86
93000		54	54	$172.55
36415	Collection of venous blood by venipuncture	39	39	$5.40

Medicaid Provider Spending