PEARSON, KYLE

$71K

Total Medicaid Paid

1,760

Total Claims

1,362

Beneficiaries

5

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,076	819	$39K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	322	223	$21K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	169	153	$5K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	180	155	$5K
73630		13	12	$155.59

Medicaid Provider Spending