CRADIC, JANET

$51K

Total Medicaid Paid

857

Total Claims

726

Beneficiaries

4

Codes Billed

2019-03

First Month

2020-05

Last Month

Year	Claims	Total Paid
2019	578	$38K
2020	279	$13K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	372	354	$34K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	170	154	$15K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	170	81	$856.68
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	145	137	$498.39

Medicaid Provider Spending