PICHE, JACQUES

$86K

Total Medicaid Paid

1,569

Total Claims

1,050

Beneficiaries

6

Codes Billed

2018-01

First Month

2022-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	587	558	$43K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	164	164	$24K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	77	71	$7K
95117		717	233	$6K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	12	12	$3K
31231		12	12	$2K

Medicaid Provider Spending