Claim for Ronnie Ina Gusikowski — 1974-06-07

Patient

patient Ronnie Ina Gusikowski

Visit

visit Well child visit

Serviced

1974-06-07illness from the same day

Status

Closedlast billed 1974-06-07 · type 1

Diagnoses

diagnosis concept Medication review duecode 314529007diagnosis concept Risk activity involvement · 160968000

Billed for

procedure concept Depression screeningcode 171207006procedure concept Depression screening using Patient Health Questionnaire Nine Item score · 715252007procedure concept Assessment of substance use · 428211000124100procedure concept Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test · 868187001

1 more billed code

procedure concept Health risks education · 370995009

Coverage

payer Medicaid no secondary insurer

Outstanding

Nothing outstandingsettled in full