JIN, XIAO

$55K

Total Medicaid Paid

1,226

Total Claims

1,063

Beneficiaries

5

Codes Billed

2018-01

First Month

2022-01

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	768	672	$33K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	384	328	$21K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	16	12	$905.22
99422		14	14	$230.03
36415	Collection of venous blood by venipuncture	44	37	$62.04

Medicaid Provider Spending