TIRUMALASETTY, JYOTHI

$163K

Total Medicaid Paid

1,754

Total Claims

798

Beneficiaries

5

Codes Billed

2018-01

First Month

2020-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	433	259	$103K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	180	144	$27K
95117		1,017	306	$16K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	109	76	$16K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15	13	$866.28

Medicaid Provider Spending