WIESEL, MEGAN

$59K

Total Medicaid Paid

1,023

Total Claims

990

Beneficiaries

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	1,023	$59K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	439	426	$22K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	221	210	$15K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	190	184	$10K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	113	112	$8K
17110		60	58	$4K

Medicaid Provider Spending