FETSKO, KATINA

$223K

Total Medicaid Paid

6,672

Total Claims

6,424

Beneficiaries

5

Codes Billed

2020-01

First Month

2022-12

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	3,241	3,101	$136K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3,072	2,967	$82K
99244	Office or other outpatient consultation, moderate to high complexity	35	35	$5K
99484		310	307	$21.60
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	14	$0.00

Medicaid Provider Spending