ENNEN, AMANDA

$28K

Total Medicaid Paid

760

Total Claims

748

Beneficiaries

4

Codes Billed

2018-01

First Month

2019-05

Last Month

Year	Claims	Total Paid
2018	680	$26K
2019	80	$3K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	451	449	$17K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	146	142	$6K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	151	145	$4K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$776.20

Medicaid Provider Spending