Brittany Perez

 Brittany Perez (MR # 53500146) birthdate: 08/1986/31 Age: 67 yrs 
 Enc Date: 06/2018/05 
 Therapy Treatment 
 No treatment plans exist 
 Medications at End of Encounter 
 Albuterol inhaler (Taking) Take by mouth 
 Medication Documentation Review Audit As Of This Encounter 
 Reviewed by Dr Jody Love, MD on 10/09/17 at 1835 
 Encounter Status 
 Closed by Dr Jody Love, MD on 10/9/17 at 6:35 PM 
 Go to the IP MAR Infusion Coder's Report. 
 All Charges for This Encounter 
 Code 
 Description 
 Date of Service
 Service Provider 
 Modifiers Qty 
 99214 
 PR OV EST PT LEV 4 
 10/2018/15 
 Dr Jody Love, MD 
 1 
 WC002 
 PR PR2 TREAT MD PROGRESS REP 10/2018/15 
 Dr Jody Love, MD 
 1 
 FORM 
 Brittany Perez (MR # 53500146) Printed by [S124212] at 10/11/17 8:52 AM 
 Page 3 of 3
