SALARI, POORIA

$28K

Total Medicaid Paid

661

Total Claims

574

Beneficiaries

4

Codes Billed

2019-01

First Month

2021-08

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	484	400	$16K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	69	67	$6K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	82	81	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	26	26	$1K

Medicaid Provider Spending