PETROLLA, JUSTIN

$18K

Total Medicaid Paid

1,331

Total Claims

1,283

Beneficiaries

4

Codes Billed

2021-01

First Month

2024-11

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	589	570	$15K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	54	53	$2K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	394	379	$952.78
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	294	281	$45.95

Medicaid Provider Spending