AGRAWAL, ANKUR

$41K

Total Medicaid Paid

2,256

Total Claims

1,725

Beneficiaries

5

Codes Billed

2018-01

First Month

2020-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	801	622	$35K
81003		1,335	1,020	$3K
59025	Fetal non-stress test	72	43	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	18	12	$449.82
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	30	28	$418.30

Medicaid Provider Spending