BRIGHT, JAIME

$18K

Total Medicaid Paid

383

Total Claims

376

Beneficiary Records

5

Codes Billed

2019-07

First Month

2020-07

Last Month

Year	Claims	Total Paid
2019	367	$17K
2020	16	$1K

Code	Description	Claims	Bene. Records	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	207	201	$13K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	76	76	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14	14	$889.32
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	55	54	$567.05
81003		31	31	$49.60

Medicaid Provider Spending