FARJOODI, PAYAM

$24K

Total Medicaid Paid

2,100

Total Claims

2,058

Beneficiaries

6

Codes Billed

2018-01

First Month

2023-02

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	163	162	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	912	884	$10K
72100		594	584	$3K
72040		94	94	$636.76
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	296	296	$449.83
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	41	38	$87.92

Medicaid Provider Spending