KUBIK, MARK

$37K

Total Medicaid Paid

662

Total Claims

640

Beneficiaries

6

Codes Billed

2021-03

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	256	246	$20K
31231		89	88	$5K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	155	150	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	84	82	$4K
31575		66	62	$4K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12	12	$658.46

Medicaid Provider Spending