KRASEMAN, STEPHEN

$9K

Total Medicaid Paid

228

Total Claims

227

Beneficiaries

6

Codes Billed

2022-12

First Month

2023-07

Last Month

Year	Claims	Total Paid
2022	37	$1K
2023	191	$7K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	57	57	$3K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	30	30	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36	36	$2K
92567		79	78	$1K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12	12	$668.06
92557		14	14	$493.27

Medicaid Provider Spending