ALBRIKES, JACQUELINE

$62K

Total Medicaid Paid

1,454

Total Claims

1,361

Beneficiaries

5

Codes Billed

2018-01

First Month

2020-03

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	654	635	$30K
17110		346	298	$13K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	176	168	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	265	247	$8K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$871.74

Medicaid Provider Spending