KASHEF, GHULAM

$17K

Total Medicaid Paid

212

Total Claims

199

Beneficiaries

4

Codes Billed

2018-04

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	212	$17K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	106	98	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	73	72	$5K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	15	14	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	18	15	$135.32

Medicaid Provider Spending