FOX, DANIEL

$5K

Total Medicaid Paid

215

Total Claims

143

Beneficiaries

4

Codes Billed

2020-10

First Month

2022-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	112	67	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	39	31	$933.00
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	39	33	$423.54
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25	12	$241.90

Medicaid Provider Spending