MALLETT, ERIC

$15K

Total Medicaid Paid

282

Total Claims

258

Beneficiaries

4

Codes Billed

2018-01

First Month

2024-10

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	212	204	$13K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45	29	$1K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13	13	$650.30
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$362.70

Medicaid Provider Spending