WORTHAM V, EDWIN

$321K

Total Medicaid Paid

3,786

Total Claims

3,597

Beneficiaries

5

Codes Billed

2018-01

First Month

2022-06

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	1,932	1,831	$154K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1,086	1,035	$127K
92060		364	348	$19K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	352	332	$19K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	52	51	$3K

Medicaid Provider Spending