| Patient | Ruben Gardner | Sex | Male |
| Date of birth | August 16th, 1949 15:30 | Date of expiration | |
| Race | White | Ethnicity | Hispanic or Latino |
| Insurance Providers | Other | Patient IDs | 5a0138ff6362390488f7d0ad Cypress |
| Contact info |
9334 Bridget Gardens Avenue,
Lake Rowlandton, SC, 29956.
(HP)
|
||
| Document Id | 5a0138ff6362390488f7d0ad 2.16.840.1.113883.3.72 |
| Document Created: | November 7th, 2017 04:39 |
| Author | Auto Generated |
| Contact info |
Tel: +1-781-271-3000 |
| Document maintained by | Cypress |
| Contact info | 202 Burlington Rd. Bedford, MA 01730 Tel: +1-781-271-3000 |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Encounter |
SNOMED-CT:
390906007
CPT: 99213 HCPCS: G0439 |
August 7th, 2016 08:00 - August 7th, 2016 09:00 | performed | ||
| Encounter |
CPT:
99201
HCPCS: G0101 SNOMED-CT: 390906007 |
October 10th, 2017 08:00 - October 10th, 2017 08:30 | performed |