SHEPPS, GERALD

$3K

Total Medicaid Paid

123

Total Claims

114

Beneficiaries

5

Codes Billed

2020-08

First Month

2021-11

Last Month

Year	Claims	Total Paid
2020	44	$879.59
2021	79	$2K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14	13	$650.39
92201		52	51	$585.63
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	17	13	$540.61
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15	12	$528.64
92015	Determination of refractive state	25	25	$299.67

Medicaid Provider Spending