WILSON, KATHLEEN

$84K

Total Medicaid Paid

1,321

Total Claims

1,018

Beneficiaries

5

Codes Billed

2018-01

First Month

2024-11

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	884	656	$56K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	323	281	$20K
99215	Prolong outpt/office vis	78	45	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	18	18	$303.52
90688		18	18	$221.76

Medicaid Provider Spending