GRABERT, JASON

$177K

Total Medicaid Paid

1,873

Total Claims

1,856

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	1,873	$177K

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	713	709	$109K
99284	Emergency department visit for the evaluation and management, high severity	428	423	$45K
99283	Emergency department visit for the evaluation and management, moderate severity	367	363	$21K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	110	108	$792.47
93042		255	253	$724.72

Medicaid Provider Spending