CRESPO, CORTNEY

$16K

Total Medicaid Paid

623

Total Claims

620

Beneficiaries

4

Codes Billed

2021-11

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	317	316	$8K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	243	241	$8K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	51	51	$461.55
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12	12	$59.30

Medicaid Provider Spending