JESSOP, KATE

$18K

Total Medicaid Paid

445

Total Claims

414

Beneficiaries

Codes Billed

2018-03

First Month

2018-10

Last Month

Year	Claims	Total Paid
2018	445	$18K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	245	225	$12K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	68	61	$5K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	26	26	$838.56
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	26	26	$440.23
99000		80	76	$0.00

Medicaid Provider Spending