NARAG, REYNALDO

$16K

Total Medicaid Paid

313

Total Claims

285

Beneficiaries

6

Codes Billed

2020-09

First Month

2020-12

Last Month

Year	Claims	Total Paid
2020	313	$16K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	127	118	$8K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	45	42	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	92	76	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13	13	$1K
92551		18	18	$190.98
99173		18	18	$0.00

Medicaid Provider Spending