MARTUSIEWICZ, ALEXANDER

$6K

Total Medicaid Paid

130

Total Claims

129

Beneficiaries

4

Codes Billed

2020-10

First Month

2021-10

Last Month

Year	Claims	Total Paid
2020	14	$508.68
2021	116	$6K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	57	56	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	26	26	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	31	31	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16	16	$461.54

Medicaid Provider Spending