WILCOX, NICOLE

$2K

Total Medicaid Paid

256

Total Claims

250

Beneficiaries

5

Codes Billed

2018-07

First Month

2021-11

Last Month

Year	Claims	Total Paid
2018	66	$2K
2021	190	$230.67

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	182	178	$995.95
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14	13	$681.36
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	29	29	$202.86
87081		13	12	$84.84
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	18	18	$43.22

Medicaid Provider Spending