DILLENBECK-JUERS, JULIE

$40K

Total Medicaid Paid

426

Total Claims

410

Beneficiaries

4

Codes Billed

2021-09

First Month

2023-10

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	355	340	$31K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	46	45	$6K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$1K

Medicaid Provider Spending