BALDONADO, ALEXANDER

$644.02

Total Medicaid Paid

174

Total Claims

159

Beneficiaries

4

Codes Billed

2019-03

First Month

2021-01

Last Month

Year	Claims	Total Paid
2019	126	$94.34
2021	48	$549.68

Code	Description	Claims	Beneficiaries	Total Paid
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	23	18	$361.84
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	25	18	$187.84
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	64	64	$56.93
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	62	59	$37.41

Medicaid Provider Spending