SINK, JACQUELYN

$108K

Total Medicaid Paid

1,918

Total Claims

1,833

Beneficiaries

4

Codes Billed

2021-04

First Month

2024-12

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	1,041	990	$69K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	790	759	$33K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	71	69	$5K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16	15	$567.07

Medicaid Provider Spending