DIAMOND, ALEX

$161K

Total Medicaid Paid

2,072

Total Claims

1,727

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	840	645	$71K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	830	726	$51K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	279	246	$23K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	123	110	$16K

Medicaid Provider Spending