TOMAN, JARED

$48K

Total Medicaid Paid

1,176

Total Claims

1,090

Beneficiaries

5

Codes Billed

2018-01

First Month

2024-12

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	697	619	$23K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	332	332	$18K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	122	114	$6K
20610		13	13	$489.45
J1030	Injection, methylprednisolone acetate, 40 mg	12	12	$34.16

Medicaid Provider Spending