General examination of patient

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patient Brandee Margaretta Marvin
General examination of patient

Claim total

$641.13

base $93.83 · payer covered $512.90

The visit

Class: Wellness
Code: 162673000
Reason: —
Start: 2023-10-29
Stop: 2023-10-29

The parties

Patient: patient Brandee Margaretta Marvin
Provider: provider Trent Kozey
Care site: care site CENTRAL INTERNAL MEDICINE ASSOCIATES PA
Payer: payer Medicare

Record id 02b0534d-1cdc-7379-47d2-c6edd5567fcc