CLARK, JANEL

$208K

Total Medicaid Paid

2,998

Total Claims

2,134

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-03

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2,892	2,063	$200K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	74	39	$5K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	14	$975.10
99283	Emergency department visit for the evaluation and management, moderate severity	18	18	$840.23

Medicaid Provider Spending