HARRIS, JULIA

$19K

Total Medicaid Paid

325

Total Claims

290

Beneficiaries

4

Codes Billed

2020-11

First Month

2023-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	182	158	$12K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	116	105	$5K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	14	14	$1K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13	13	$287.30

Medicaid Provider Spending