CARRIER, JEREMY

$30K

Total Medicaid Paid

829

Total Claims

764

Beneficiaries

5

Codes Billed

2018-01

First Month

2019-10

Last Month

Year	Claims	Total Paid
2018	540	$22K
2019	289	$8K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	726	666	$30K
G8433	Screening for depression not completed, documented patient or medical reason	30	28	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	47	44	$0.00
1159F		13	13	$0.00
1160F		13	13	$0.00

Medicaid Provider Spending