HOWARD, ASHLEY

$5K

Total Medicaid Paid

295

Total Claims

283

Beneficiaries

4

Codes Billed

2023-08

First Month

2024-09

Last Month

Year	Claims	Total Paid
2023	120	$3K
2024	175	$3K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	144	139	$5K
G8433	Screening for depression not completed, documented patient or medical reason	78	74	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	28	27	$0.00
1160F		45	43	$0.00

Medicaid Provider Spending