CASH, STEPHANIE

$14K

Total Medicaid Paid

214

Total Claims

190

Beneficiaries

4

Codes Billed

2018-02

First Month

2018-10

Last Month

Year	Claims	Total Paid
2018	214	$14K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	102	101	$9K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	58	57	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	41	19	$523.80

Medicaid Provider Spending