Claim total
$1,216.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-12-09
- Stop
- 2025-12-09
The parties
- Patient
- patient Garret Salvatore Lebsack
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Humana
Record id
2b986872-6a56-67b8-7476-d2d6e01e32ac