KIM, DANIEL

$57K

Total Medicaid Paid

1,298

Total Claims

1,282

Beneficiaries

6

Codes Billed

2023-04

First Month

2024-12

Last Month

Year	Claims	Total Paid
2023	452	$19K
2024	846	$37K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	344	344	$20K
31575		340	336	$16K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	254	245	$8K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	200	200	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	134	131	$3K
31231		26	26	$1K

Medicaid Provider Spending