GHERA, ELIZABETH

$10K

Total Medicaid Paid

301

Total Claims

256

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-04

Last Month

Year	Claims	Total Paid
2018	301	$10K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	121	100	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	38	33	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	26	25	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	80	69	$1K
99000		36	29	$30.45

Medicaid Provider Spending