LULLO, BRETT

$54K

Total Medicaid Paid

768

Total Claims

708

Beneficiaries

4

Codes Billed

2023-01

First Month

2024-12

Last Month

Year	Claims	Total Paid
2023	343	$21K
2024	425	$33K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	366	336	$30K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	184	171	$9K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	137	124	$8K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	81	77	$7K

Medicaid Provider Spending