LEONARD, M.

$64K

Total Medicaid Paid

2,120

Total Claims

1,900

Beneficiaries

6

Codes Billed

2021-07

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,430	1,257	$50K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	233	191	$13K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	26	26	$576.80
81025		28	28	$118.80
G8510	Screening for depression is documented as negative, a follow-up plan is not required	390	385	$0.00
0502F		13	13	$0.00

Medicaid Provider Spending