Your Practice Name (516) VSS Medical Office System Run: Feb 24, 2003 PATIENT PROCEDURE REPORT Page: 2 SELECTED PROV: ~ALL PROCEDURE HISTORY TYPE: PROC: ~ALL FROM: 01/01/1910 TO 02/24/2003 Date Of C.P.T. Age/Sex Type Of Service Patient's Name Procedure Description Code Patient Service NOS -------- ------------------------- ------------------------------ ---------- ------- ----- --- 19960822 Susan Cuddles Unknown 35 F 19970219 Susan Cuddles Unknown 36 F 19970707 Susan Cuddles Unknown 36 F 20010313 Susan Cuddles Unknown 40 F 20020220 Susan Cuddles Unknown 41 F 19960822 George Hipepper Unknown 65 M ------ Total Procedures Done on Patients Listed: 55 19930127 George Hipepper BALANCE FORWARD BALFOR 62 M 19930120 Louis L Dragonski BALANCE FORWARD BALFOR 72 M ------ Total Procedures Done on Patients Listed: 2 19970328 Helena M Adells CRITICAL CARE FIRST HOUR 99291 85 F 01 20020212 Rose M Fountin CRITICAL CARE FIRST HOUR 99291 81 F 01 19970918 Mary Skelly CRITICAL CARE FIRST HOUR 99291 80 F 01 19970918 Wanda Newman CRITICAL CARE FIRST HOUR 99291 73 F 01 ------ Total Procedures Done on Patients Listed: 4 20020307 Helena M Adells CONFIRM.CONSULT-L/M 99271 90 F 03 ------ Total Procedures Done on Patients Listed: 1 20020212 Rose M Fountin FOLLOW UP CONSULT UNSTABLE 99263 81 F 03 19970918 Mary Skelly FOLLOW UP CONSULT UNSTABLE 99263 80 F 03 19970918 Wanda Newman FOLLOW UP CONSULT UNSTABLE 99263 73 F 03 ------ Total Procedures Done on Patients Listed: 3 20020212 Rose M Fountin CONSULT INPAT. L/M 99251 81 F 03 19941212 Frank L Superman CONSULT INPAT. L/M 99251 70 M 03 19941212 Frank L Superman CONSULT INPAT. L/M 99251 70 M 03 19970918 Mary Skelly CONSULT INPAT. L/M 99251 80 F 03 19970918 Wanda Newman CONSULT INPAT. L/M 99251 73 F 03 19930210 Julia Amellia CONSULT INPAT. L/M 99251 70 F 03