TORRES AGUILAR, LUIS

$18K

Total Medicaid Paid

3,717

Total Claims

3,134

Beneficiaries

5

Codes Billed

2020-11

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	665	587	$17K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	369	359	$117.30
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	79	72	$85.64
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,590	2,103	$69.26
99442		14	13	$0.00

Medicaid Provider Spending