Charged
$641.13
$641.13 paid
The claim
- Patient
- patient Pok Shane Strosin
- Visit
- visit Well child visit
- Serviced
- 2025-07-09illness from the same day
- Status
- Closedlast billed 2025-07-09 · type 1
- Diagnoses
- diagnosis concept Medication review duecode 314529007
- 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 Anticipatory guidance · 386516004
Settlement
- Coverage
- payer Medicare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00162663-d9d1-4955-e29b-24534a672fe6