LEVRI, JOHN

$21K

Total Medicaid Paid

370

Total Claims

369

Beneficiaries

5

Codes Billed

2022-04

First Month

2024-11

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	261	260	$12K
99244	Office or other outpatient consultation, moderate to high complexity	53	53	$7K
95810	Polysomnography; sleep staging with 4 or more additional parameters	13	13	$1K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30	30	$877.80
95806		13	13	$348.94

Medicaid Provider Spending