DEVINE, LAUREN

$290K

Total Medicaid Paid

3,455

Total Claims

3,245

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-12

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	1,471	1,401	$175K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,509	1,407	$78K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	445	408	$36K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	30	29	$1K

Medicaid Provider Spending