FORDHAM, SARA

$33K

Total Medicaid Paid

567

Total Claims

528

Beneficiaries

4

Codes Billed

2020-02

First Month

2024-01

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	288	265	$20K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	249	233	$11K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	14	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	16	16	$403.40

Medicaid Provider Spending