HARE, NATHANIEL

$57K

Total Medicaid Paid

2,725

Total Claims

1,942

Beneficiaries

6

Codes Billed

2020-01

First Month

2024-07

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
95117		2,048	1,354	$14K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	138	137	$13K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	56	28	$12K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	222	217	$11K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	121	121	$7K
95115		140	85	$454.30

Medicaid Provider Spending