WILSON, JOHN

$101K

Total Medicaid Paid

1,975

Total Claims

1,949

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-06

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	1,297	1,277	$74K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	542	536	$20K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	124	124	$6K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$796.62

Medicaid Provider Spending