KHAN, SALEHA

$30K

Total Medicaid Paid

680

Total Claims

566

Beneficiaries

4

Codes Billed

2018-01

First Month

2019-08

Last Month

Year	Claims	Total Paid
2018	405	$18K
2019	275	$12K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	550	451	$23K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	91	88	$4K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	25	15	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	14	12	$1K

Medicaid Provider Spending