Claim total
$1,141.06
base $93.83 · payer covered $912.84
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-09-01
- Stop
- 2013-09-01
The parties
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-9d41-d1d9b6c718d4