HARANGODY, SARAH

$7K

Total Medicaid Paid

114

Total Claims

93

Beneficiaries

4

Codes Billed

2023-09

First Month

2024-11

Last Month

Year	Claims	Total Paid
2023	18	$780.12
2024	96	$6K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	52	38	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	25	25	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	19	12	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18	18	$780.12

Medicaid Provider Spending