DEVANAND, MANUBOLU

$81K

Total Medicaid Paid

1,166

Total Claims

1,005

Beneficiaries

5

Codes Billed

2022-10

First Month

2024-12

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	413	354	$34K
99215	Prolong outpt/office vis	447	402	$29K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	258	203	$13K
99205	Prolong outpt/office vis	30	30	$3K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	18	16	$1K

Medicaid Provider Spending