BROCKMAN, HOLLY

$88K

Total Medicaid Paid

2,719

Total Claims

2,269

Beneficiaries

6

Codes Billed

2018-05

First Month

2023-05

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	715	581	$27K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	812	710	$21K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	568	496	$20K
20610		229	164	$10K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	98	89	$7K
J1030	Injection, methylprednisolone acetate, 40 mg	297	229	$2K

Medicaid Provider Spending