PEPIN, FLORENTINE

$23K

Total Medicaid Paid

579

Total Claims

531

Beneficiaries

5

Codes Billed

2018-01

First Month

2023-06

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	162	146	$14K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	170	161	$7K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	78	78	$705.90
96110	Developmental screening, with scoring and documentation, per standardized instrument	27	27	$277.29
0502F		142	119	$0.00

Medicaid Provider Spending