COOPER, CRYSTAL

$77K

Total Medicaid Paid

1,588

Total Claims

1,364

Beneficiaries

4

Codes Billed

2020-11

First Month

2022-10

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	629	559	$31K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	282	242	$21K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	417	351	$13K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	260	212	$11K

Medicaid Provider Spending