BRIZUELA AGUILAR, ANTONIO

$6K

Total Medicaid Paid

215

Total Claims

161

Beneficiaries

5

Codes Billed

2022-11

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	56	50	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	37	32	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	29	28	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	12	$560.84
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	80	39	$477.30

Medicaid Provider Spending