BRELAND, DANIEL

$35K

Total Medicaid Paid

582

Total Claims

553

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-11

Last Month

Year	Claims	Total Paid
2018	582	$35K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	370	347	$29K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	69	68	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	73	70	$973.29
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	56	54	$710.31
90686		14	14	$190.98

Medicaid Provider Spending