KELLY, OWEN

$18K

Total Medicaid Paid

719

Total Claims

667

Beneficiaries

6

Codes Billed

2018-01

First Month

2020-02

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	302	281	$7K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	263	243	$6K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	99	92	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	29	25	$1K
20610		13	13	$469.70
73560		13	13	$410.30

Medicaid Provider Spending