DODSON, SARAH

$18K

Total Medicaid Paid

358

Total Claims

347

Beneficiaries

4

Codes Billed

2018-04

First Month

2020-05

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	265	262	$13K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	44	42	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	28	28	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	21	15	$497.52

Medicaid Provider Spending