GREENBAUM, EVAN

$65K

Total Medicaid Paid

1,563

Total Claims

1,419

Beneficiaries

6

Codes Billed

2018-03

First Month

2024-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
31575		168	150	$19K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	587	534	$19K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	340	296	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	349	331	$8K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	106	96	$4K
69210		13	12	$224.70

Medicaid Provider Spending