CELLA, JENNA

$40K

Total Medicaid Paid

1,095

Total Claims

994

Beneficiaries

5

Codes Billed

2019-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	794	724	$28K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	248	222	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	18	18	$384.75
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	20	18	$282.60
81002		15	12	$36.40

Medicaid Provider Spending