ROSSMAN-CLAPPER, NICOLE

$13K

Total Medicaid Paid

297

Total Claims

286

Beneficiaries

5

Codes Billed

2020-10

First Month

2023-09

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	133	129	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	112	106	$4K
T1015	Clinic visit/encounter, all-inclusive	13	13	$1K
G0444	Annual depression screening, 5 to 15 minutes	13	13	$195.26
G8510	Screening for depression is documented as negative, a follow-up plan is not required	26	25	$0.00

Medicaid Provider Spending