Claim for Dora Violet Okuneva — 2019-01-05

Patient

patient Dora Violet Okuneva

Visit

visit Prenatal visit

Serviced

2019-01-05illness from the same day

Status

Closedlast billed 2019-01-05 · type 2

Diagnoses

diagnosis concept Normal pregnancycode 72892002

Billed for

procedure concept Hemogram, automated, with red blood cells, white blood cells, hemoglobin, hematocrit, indices, platelet count, and manual white blood cell differentialcode 104091002procedure concept Administration of vaccine product containing only Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens · 399014008procedure concept Urine screening for glucose · 268556000procedure concept Evaluation of uterine fundal height · 274804006

1 more billed code

procedure concept Auscultation of the fetal heart · 225158009

Coverage

payer Cigna Health no secondary insurer

Outstanding

Nothing outstandingsettled in full