NOH, PAUL

$49K

Total Medicaid Paid

1,226

Total Claims

1,156

Beneficiaries

6

Codes Billed

2020-05

First Month

2024-12

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	501	476	$24K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	380	359	$12K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	139	128	$10K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	39	37	$2K
81003		150	139	$294.76
51798		17	17	$228.28

Medicaid Provider Spending