VANBLARICUM, SALLIE

$6K

Total Medicaid Paid

201

Total Claims

176

Beneficiaries

6

Codes Billed

2023-12

First Month

2024-09

Last Month

Year	Claims	Total Paid
2023	12	$363.81
2024	189	$5K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	81	71	$2K
99244	Office or other outpatient consultation, moderate to high complexity	22	15	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	24	24	$935.25
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	29	29	$410.04
81003		33	25	$69.72
51798		12	12	$64.15

Medicaid Provider Spending