PAIK, HAINES

$5K

Total Medicaid Paid

133

Total Claims

130

Beneficiaries

4

Codes Billed

2021-06

First Month

2022-02

Last Month

Year	Claims	Total Paid
2021	87	$3K
2022	46	$2K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	86	85	$3K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	19	18	$871.49
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	16	15	$601.91
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12	12	$235.28

Medicaid Provider Spending