DAVIS, PAMELA

$38K

Total Medicaid Paid

1,615

Total Claims

1,433

Beneficiaries

5

Codes Billed

2019-03

First Month

2022-05

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	556	481	$15K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	435	410	$14K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	467	420	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	109	95	$724.57
11102		48	27	$464.31

Medicaid Provider Spending