LI, CHANEL

$287K

Total Medicaid Paid

4,868

Total Claims

4,422

Beneficiary Records

22

Codes Billed

2021-11

First Month

2024-12

Last Month

Code	Description	Claims	Bene. Records	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,203	1,012	$104K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	497	408	$62K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	642	566	$61K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	324	324	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	226	189	$13K
90460	Immunization administration through 18 years of age via any route, first or only component	372	351	$8K
99401		89	88	$3K
92552		80	80	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17	17	$2K
99442		27	27	$2K
0071A		27	27	$1K
0072A		18	18	$757.53
96127		153	150	$755.34
81003		263	259	$399.77
90686		119	118	$342.86
96160		166	163	$248.67
90656		50	50	$70.59
97802		87	87	$61.66
91308		14	14	$0.10
99000		237	217	$0.00
91307		28	28	$0.00
99173		229	229	$0.00

Medicaid Provider Spending