LUX, GREGORY

$94K

Total Medicaid Paid

1,514

Total Claims

1,069

Beneficiaries

6

Codes Billed

2018-01

First Month

2019-08

Last Month

Year	Claims	Total Paid
2018	791	$44K
2019	723	$50K

Code	Description	Claims	Beneficiaries	Total Paid
95004	Percutaneous tests with allergenic extracts, immediate type reaction	249	247	$53K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	104	102	$15K
95117		977	537	$12K
95024		131	130	$10K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	26	26	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27	27	$1K

Medicaid Provider Spending