SONI, RAKESH

$9K

Total Medicaid Paid

161

Total Claims

160

Beneficiaries

Codes Billed

2023-05

First Month

2023-07

Last Month

Year	Claims	Total Paid
2023	161	$9K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	93	92	$5K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	43	43	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	13	13	$938.50
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	12	12	$27.38

Medicaid Provider Spending