FLEMING, MARY

$8K

Total Medicaid Paid

408

Total Claims

194

Beneficiaries

6

Codes Billed

2021-06

First Month

2021-09

Last Month

Year	Claims	Total Paid
2021	408	$8K

Code	Description	Claims	Beneficiaries	Total Paid
99205	Prolong outpt/office vis	26	14	$3K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	49	21	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	31	18	$1K
96127		261	117	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	19	12	$976.50
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	22	12	$572.00

Medicaid Provider Spending