Claim total
$704.41
base $93.83 · payer covered $704.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-12-17
- Stop
- 2025-12-17
The parties
- Patient
- patient Joe Maximo Kozey
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
0135e6bd-cd4d-6318-9c8f-606d1d7e4a4e