HOLMBECK, RYAN

$32K

Total Medicaid Paid

1,511

Total Claims

1,449

Beneficiaries

5

Codes Billed

2018-01

First Month

2020-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	311	303	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	386	349	$9K
11721		648	638	$7K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	131	126	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	35	33	$1K

Medicaid Provider Spending