MANDAVA, ANUPA

$46K

Total Medicaid Paid

974

Total Claims

909

Beneficiaries

5

Codes Billed

2018-07

First Month

2020-06

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	399	371	$23K
92134		510	475	$15K
67028	Intravitreal injection of a pharmacologic agent	41	39	$6K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$1K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12	12	$485.10

Medicaid Provider Spending