CALLAHAN, ELVIRA

$25K

Total Medicaid Paid

1,034

Total Claims

956

Beneficiaries

6

Codes Billed

2018-01

First Month

2023-10

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	510	442	$17K
11721		393	390	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	95	88	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$1K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12	12	$895.00
93922		12	12	$185.55

Medicaid Provider Spending