GRILL, ERIN

$41K

Total Medicaid Paid

825

Total Claims

804

Beneficiary Records

Codes Billed

2018-01

First Month

2018-12

Last Month

Year	Claims	Total Paid
2018	825	$41K

Code	Description	Claims	Bene. Records	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	391	379	$22K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	259	252	$15K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	81	80	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	94	93	$1K

Medicaid Provider Spending