ALI, TAREQ

$17K

Total Medicaid Paid

1,007

Total Claims

989

Beneficiaries

4

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	140	138	$12K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	830	816	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	21	21	$1K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	16	14	$720.00

Medicaid Provider Spending