HANNA, KENNY

$63K

Total Medicaid Paid

1,152

Total Claims

869

Beneficiaries

5

Codes Billed

2018-03

First Month

2019-02

Last Month

Year	Claims	Total Paid
2018	975	$52K
2019	177	$11K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	552	413	$37K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	426	318	$21K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	55	28	$4K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17	14	$1K
99024		102	96	$0.00

Medicaid Provider Spending