RAHMAN, AYESHA

$24K

Total Medicaid Paid

503

Total Claims

490

Beneficiary Records

4

Codes Billed

2019-03

First Month

2024-11

Last Month

Code	Description	Claims	Bene. Records	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	275	275	$17K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	71	68	$3K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	114	108	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	43	39	$661.10

Medicaid Provider Spending