MARTINEZ, LEYNARD

$35K

Total Medicaid Paid

739

Total Claims

671

Beneficiaries

5

Codes Billed

2018-01

First Month

2021-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	401	371	$18K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	251	228	$15K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	26	14	$1K
90686		44	42	$446.89
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	17	16	$218.96

Medicaid Provider Spending