ROVETO, CHRISTOPHER

$2.15M

Total Medicaid Paid

48,697

Total Claims

47,337

Beneficiaries

33

Codes Billed

2018-01

First Month

2022-03

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	7,050	6,391	$424K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	3,174	3,056	$289K
99215	Prolong outpt/office vis	2,094	1,982	$268K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2,139	2,106	$222K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2,158	2,144	$219K
90461		4,452	4,436	$183K
90460	Immunization administration through 18 years of age via any route, first or only component	7,725	7,653	$169K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1,453	1,448	$144K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1,335	1,331	$134K
99381		311	305	$53K
86403		1,765	1,709	$21K
S9999	Sales tax	1,308	1,108	$9K
90670		2,142	2,132	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	108	105	$2K
90658		2,051	2,041	$2K
90723		1,495	1,490	$1K
90647		1,152	1,150	$1K
90633		950	945	$1K
90649		981	980	$980.00
90710		521	517	$947.80
90734		758	752	$904.26
90657		967	961	$900.36
90681		718	716	$818.60
90620		319	319	$486.61
90715		317	315	$298.80
90700		312	311	$262.00
90648		333	330	$216.00
90696		182	181	$161.00
90680		213	211	$137.00
90707		88	88	$78.00
90688		46	45	$43.00
90716		53	52	$43.00
90685		27	27	$27.00

Medicaid Provider Spending