Visit
Initial psychiatric interview with mental status and evaluation
One dated clinical visit by one patient.
Claim total
$566.96
base $155.66 · payer covered $460.35
The visit
- Class
- Ambulatory
- Code
- 79094001
- Reason
- diagnosis concept Major depression, single episode36923009
- Start
- 1962-07-14
- Stop
- 1962-07-14
The parties
- Patient
- patient Elwood Eduardo Crooks
- Provider
- provider Lynelle Ankunding
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
10be41c6-8ca0-2da8-a0b1-97cc1562e33a