ALSTON, JESSICA

$85K

Total Medicaid Paid

1,488

Total Claims

1,333

Beneficiaries

6

Codes Billed

2022-10

First Month

2024-12

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	780	696	$56K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	590	534	$27K
90686		53	43	$981.75
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13	13	$879.05
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	37	35	$743.85
90656		15	12	$269.83

Medicaid Provider Spending