OKAFOR, VANDRA

$5K

Total Medicaid Paid

114

Total Claims

106

Beneficiaries

5

Codes Billed

2021-01

First Month

2021-04

Last Month

Year	Claims	Total Paid
2021	114	$5K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	64	56	$2K
31575		12	12	$1K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13	13	$853.05
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12	12	$599.87
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$462.10

Medicaid Provider Spending