LUTZ, HEATHER

$60K

Total Medicaid Paid

1,330

Total Claims

1,007

Beneficiaries

5

Codes Billed

2020-01

First Month

2024-07

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	467	352	$28K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	630	474	$27K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	116	113	$3K
90686		104	55	$1K
99215	Prolong outpt/office vis	13	13	$576.00

Medicaid Provider Spending