SHULTZ, KYLA

$92K

Total Medicaid Paid

2,111

Total Claims

1,843

Beneficiaries

6

Codes Billed

2020-04

First Month

2024-10

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	913	867	$59K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,045	830	$29K
20553		87	80	$2K
99215	Prolong outpt/office vis	26	26	$1K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	14	$760.37
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	26	26	$270.95

Medicaid Provider Spending