ANDERSEN, JONATHAN

$25K

Total Medicaid Paid

587

Total Claims

572

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	587	$25K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	451	440	$21K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	41	41	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	65	62	$819.45
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	30	29	$702.70

Medicaid Provider Spending