TAYLOR, KATELYN

$35K

Total Medicaid Paid

1,014

Total Claims

931

Beneficiaries

5

Codes Billed

2018-01

First Month

2019-05

Last Month

Year	Claims	Total Paid
2018	604	$21K
2019	410	$14K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	754	715	$27K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	116	103	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	65	47	$3K
99050		47	42	$449.40
J0696	Injection, ceftriaxone sodium, per 250 mg	32	24	$25.37

Medicaid Provider Spending