PETERSON, JEFFREY

$56K

Total Medicaid Paid

2,057

Total Claims

1,781

Beneficiaries

5

Codes Billed

2018-01

First Month

2020-12

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	805	725	$29K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,180	992	$24K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	35	33	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18	16	$839.98
99442		19	15	$327.90

Medicaid Provider Spending