PARK, SOO YEUN

$18K

Total Medicaid Paid

460

Total Claims

427

Beneficiaries

5

Codes Billed

2022-02

First Month

2023-07

Last Month

Year	Claims	Total Paid
2022	323	$12K
2023	137	$5K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	206	190	$9K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	171	154	$5K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	44	44	$3K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	27	27	$135.00
1036F		12	12	$0.00

Medicaid Provider Spending