CAMPBELL, MARK

$9K

Total Medicaid Paid

211

Total Claims

204

Beneficiaries

4

Codes Billed

2023-05

First Month

2023-09

Last Month

Year	Claims	Total Paid
2023	211	$9K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	152	148	$7K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	16	13	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	15	15	$546.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	28	28	$0.00

Medicaid Provider Spending