MOK, JAMES

$13K

Total Medicaid Paid

452

Total Claims

400

Beneficiaries

4

Codes Billed

2018-01

First Month

2023-02

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	214	203	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	213	172	$5K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$573.50
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$457.60

Medicaid Provider Spending