TCHAPNDA, LUC

$87K

Total Medicaid Paid

1,916

Total Claims

1,640

Beneficiaries

5

Codes Billed

2018-01

First Month

2022-06

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	1,322	1,139	$56K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	464	380	$31K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	25	25	$392.50
81003		93	84	$194.46
96110	Developmental screening, with scoring and documentation, per standardized instrument	12	12	$192.84

Medicaid Provider Spending