Your Practice Name                      (567)
                          VSS Medical Office System
Printed: 02/24/03           DIAGNOSES / PROCEDURE         Recap Date: 04/24/97
                             VERIFICATION REPORT

 Account  Invoice Date    Diagnosis     Procedures Done
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       1     121 07/15/1994  627.45  - SURGICAL MENOPAUSE  TEST
                 07/15/1994            99201  - NEW PT, LIMITED OFFICE VISIT
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       1     145 12/12/1994  241.9   - UNSPEC NONTOXIC NODULAR GOITER
                 12/12/1994            11111  - NEW TEST OF THE PROCEDURES
                 05/08/1996            11111  - NEW TEST OF THE PROCEDURES
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       1     157 12/14/1994  241.9   - UNSPEC NONTOXIC NODULAR GOITER
                 12/14/1994            99203  - NEW PT, OV,MOD.
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       1     162 05/20/1996  241.9   - UNSPEC NONTOXIC NODULAR GOITER
                 05/20/1996            11111  - NEW TEST OF THE PROCEDURES
                 07/22/1996            12345  - STANDARD TEST CODE
                 07/25/1996            11111  - NEW TEST OF THE PROCEDURES
                 02/22/1997            11111  - NEW TEST OF THE PROCEDURES
                 03/06/1997            66666  - TEST PROCEEDURE FOR LAB
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       1     165 03/06/1997  193     - MALIGN NEOPL THYROID
                 03/06/1997            99214  - RETURN OFFICE VISIT-M/H