CESPEDES, VICTORIA

$8K

Total Medicaid Paid

379

Total Claims

377

Beneficiaries

5

Codes Billed

2019-12

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	92	91	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	123	123	$1K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	138	138	$921.63
99441		14	13	$538.27
99283	Emergency department visit for the evaluation and management, moderate severity	12	12	$329.26

Medicaid Provider Spending