AGNIHOTRI, NEHA

$17K

Total Medicaid Paid

291

Total Claims

270

Beneficiaries

4

Codes Billed

2020-10

First Month

2022-09

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	190	182	$13K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18	13	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25	25	$1K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	58	50	$545.60

Medicaid Provider Spending