DARAMOLA, OPEYEMI

$19K

Total Medicaid Paid

234

Total Claims

228

Beneficiaries

4

Codes Billed

2018-02

First Month

2021-10

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	115	110	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	82	81	$5K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	25	25	$2K

Medicaid Provider Spending