                             Your Practice Name                                 (51D)
                               VSS Medical Office System                Run: Jan 11, 2006
                             +--------------------------+
For: ALL PROVIDERS           | CHANGE MC CHARGES REPORT |              Page: 1
                             +--------------------------+
   Your    Standard      |--- Allowance ---|-- Expected Pay --|
   Code    CPT      Prov |  Old       New  |    Old      New      Procedure Description
 ------------------------ -------- --------  -------- -------- --------------------------------
22222     98989     1        39.00    38.00     31.20    30.40 TEST 22222
22222     98989     2        38.00    38.00     31.20    30.40 TEST 22222
CC1HR     99291             120.00   120.00     96.00    96.00 CRITICAL CARE FIRST HOUR
CC1HR     99291     18      120.00   120.00     96.00    96.00 CRITICAL CARE FIRST HOUR
CCA30MIN  99292             110.00   113.00     88.00    90.40 CRITICAL CARE ADD. 30 MIN.
CCA30MIN  99292     18      113.00   113.00     86.40    90.40 CRITICAL CARE ADD. 30 MIN.
CCONL     99272              75.50    80.00     60.40    64.00 CONFIRM.CONSULT-LOW
CCONL     99272     18       80.00    80.00     58.40    64.00 CONFIRM.CONSULT-LOW
CCONM     99273             125.00   125.00    100.00   100.00 CONFIRM. CONSULT-MOD.
CCONM     99273     18      125.00   125.00    100.00   100.00 CONFIRM. CONSULT-MOD.
CCONM/H   99274             131.00   131.00    104.80   104.80 CONFIRM.CONSULT - MOD/HIGH
CCONM/H   99275             140.00   140.00    112.00   112.00 CONFIRM.CONSULT - MOD/HIGH
CCONM/H   99274     18      140.00   140.00    112.00   112.00 CONFIRM.CONSULT - MOD/HIGH
CCONSL/M  99271              52.00    52.00     41.60    41.60 CONFIRM.CONSULT-L/M
CCONSL/M  99271     18       52.00    52.00     41.60    41.60 CONFIRM.CONSULT-L/M
CFUNR     99262              48.00    50.00     38.40    40.00 FOLLOW UP CONSULT NOT RESP.
CFUNR     99262     18       50.00    50.00     43.20    40.00 FOLLOW UP CONSULT NOT RESP.
CFUS      99261              35.00    37.50     28.00    30.00 FOLLOW UP CONSULT STABLE
CFUS      99261     18       37.50    37.50     28.00    30.00 FOLLOW UP CONSULT STABLE
CFUU      99263              69.50    69.50     55.60    55.60 FOLLOW UP CONSULT UNSTABLE
CFUU      99263     18       69.50    69.50     55.60    55.60 FOLLOW UP CONSULT UNSTABLE
CHAIR     87000             800.00   800.00    640.00   640.00 WHEEL CHAIR
CINPL     99252              72.00    72.00     57.60    57.60 CONSULT INPATIENT LOW
CINPL     99252     18       72.00    72.00     57.60    57.60 CONSULT INPATIENT LOW
CINPL/M   99251              46.00    46.00     36.80    36.80 CONSULT INPAT. L/M
CINPL/M   99251     18       46.00    46.00     36.80    36.80 CONSULT INPAT. L/M
































