LANE, STACY

$28K

Total Medicaid Paid

1,004

Total Claims

944

Beneficiary Records

6

Codes Billed

2021-06

First Month

2023-11

Last Month

Code	Description	Claims	Bene. Records	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	615	588	$20K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	81	79	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	241	211	$3K
0002A		12	12	$528.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	30	29	$462.00
91300		25	25	$0.13

Medicaid Provider Spending