SANDS, CHRISTINA

$128K

Total Medicaid Paid

1,821

Total Claims

1,620

Beneficiaries

5

Codes Billed

2018-02

First Month

2023-10

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	892	736	$62K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	722	678	$55K
99215	Prolong outpt/office vis	182	181	$10K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$890.99
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$537.67

Medicaid Provider Spending