QUIAMZON-ADOBO, JENNIFER

$56K

Total Medicaid Paid

781

Total Claims

718

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	781	$56K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	420	376	$24K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	278	259	$23K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	41	41	$5K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	42	42	$4K

Medicaid Provider Spending