GRAVLIN, CARA

$46K

Total Medicaid Paid

546

Total Claims

428

Beneficiaries

5

Codes Billed

2018-07

First Month

2023-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	254	197	$28K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	211	155	$13K
17110		17	12	$3K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37	37	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27	27	$960.64

Medicaid Provider Spending