EASTON, BRIAN

$63K

Total Medicaid Paid

1,064

Total Claims

972

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-11

Last Month

Year	Claims	Total Paid
2018	1,064	$63K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	459	421	$35K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	416	376	$22K
99336		81	74	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	58	54	$703.35
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	50	47	$640.20

Medicaid Provider Spending