GOODS, CRYSTAL

$212K

Total Medicaid Paid

2,612

Total Claims

2,089

Beneficiaries

4

Codes Billed

2023-06

First Month

2024-12

Last Month

Year	Claims	Total Paid
2023	569	$36K
2024	2,043	$176K

Code	Description	Claims	Beneficiaries	Total Paid
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	1,183	921	$86K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	957	767	$74K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	297	263	$38K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	175	138	$14K

Medicaid Provider Spending