PETITJEAN, MARK

$58K

Total Medicaid Paid

1,550

Total Claims

1,449

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-05

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,087	1,000	$31K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	151	150	$13K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	196	188	$9K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	116	111	$5K

Medicaid Provider Spending