SANTOS, JULIETA

$233K

Total Medicaid Paid

2,864

Total Claims

1,867

Beneficiaries

5

Codes Billed

2019-01

First Month

2024-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,837	1,202	$127K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	957	595	$104K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$967.08
87430		46	46	$510.57
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12	12	$386.63

Medicaid Provider Spending