SeNicing	SeNicing Provider Name	Servicing Provider Type Description	PCES	NON PCES	Total Count	Recalculated	
Provider 10

111111	
PHYSICIAN, ANY	

MD-PHYSICIAN	Count

2,077	Count

2,792	

4,869	EM Percent

43%	
222222	PRACTITIONER, A.N.	REGISTERED NURSE PRACTITIONER	200	20	220	91%	

Overall - Summary	2,277	2,812	5,089	45%

	
Procedure Code Description		
11750	EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN OF	0	5	
11765	WEDGE EXCISION OF SKIN OF NAIL FOLD (EG, FOR INGROWN TOENAIL)	0	2	
17110	DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHE	0	14	
20550	Injections of tendon sheath, ligament, or muscle membrane	0		
20600	ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; SMALL JOINT OR BURSA (E	0	2	
20610	ARTHROCENTESIS, ASPIRATION AND/OR INJECTION MAJOR JOINT OR BURSA (E	0	10	
3017F	Colorectal cancer screening results documented and reviewed (pv)	0	3	
69210	Removal of impact ear wax. one ear	0	21	
81002	URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEr-.	0	85	
81003	URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEf\	0	68	
82270	BLOOD, OCCULT, BY PEROXIDASE ACTIVITY (EG, GUAIAC), QUALITATIVE; FECES	0	57	
82962	GLUCOSE, BLOOD BY GLUCOSE MONITORING DEVICE(S) CLEARED BY THE FDA:	0	545	
83014	HELICOBACTER PYLORI; DRUG ADMINISTRATION	0	11	
86580	SKIN TEST; TUBERCULOSIS. INTRADERMAL	0	11	
87430	INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQl	0	3	
87880	INFECTIOUS AGENT DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSE	0	64	
90471	IMMUNIZATION ADMINISTRATION (INCLUDES PERCUTANEOUS, INTRADERMAL, S	112	0	
90472	IMMUNIZATION ADMINISTRATION (INCLUDES PERCUTANEOUS, INTRADERMAL, S	6	0	
90658	INFLUENZA VIRUS VACCINE, TRIVALENT, SPLIT VIRUS, WHEN ADMINISTERED TC	3	76	
90718	TETANUS AND DIPHTHERIA TOXOIDS (TO) ADSORBED WHEN ADMINISTERED TO	0	7	
90732	PNEUMOCOCCAL POLYSACCHARIDE VACCINE, 23-VALENT, ADULT OR IMMUNOS	0	31	
90746	HEPATITIS B VACCINE, ADULT DOSAGE (3 DOSE SCHEDULE), FOR INTRAMUSCUl	0		
94640	PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIR\	0	2	
94760	NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION; SINGLE DE	0	3	
96101	Psychological testing with interpretation and report by psychologist or physicia	0	5	
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug);	0	761	
99058	SERVICE(S) PROVIDED ON AN EMERGENCY BASIS IN THE OFFICE, WHICH DISRU	0	3	
99201	New patient office or other outpatient visit, typically 10 minutes	5	0	
99202	New patient office or other outpatient visit, typically 20 minutes	35	0	
99203	New patient office or other outpatient visit, typically 30 minutes	117	0	
99204	New patient office or other outpatient visit, typically 45 minutes	24	0	
99211	OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMEN-	52	0	
99212	Established patient office or other outpatient visit, typically 10 minutes	85	0	
99213	Established patient office or other outpatient visit, typically 15 minutes	853	0	
99214	Established patient office or other outpatient. visit typically 25 minutes	942	0	
99215	Established patient office or other outpatient, visit typically 40 minutes	8	0	
99244	Patient office consultation, typically 60 minutes		0	
99383	INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEME	3	0	
99384	INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEME	6	0	
99385	INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEME	4	0	

Procedure Code Description

99394	Established patient periodic preventive medicine examination, age 12 through 17	11	0	
99395	Established patient periodic preventive medicine examination age 18-39 years	8	0	
99397	Established patient periodic preventive medicine examination,  age 65 years and o	2	0	
A4550	SURGICAL TRAYS	0	4	
A6196	ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAC	0	2	
G0008	ADMINISTRATION OF INFLUENZA VIRUS VACCINE	0	12	
G0101	CERVICAL OR VAGINAL CANCER SCREENING; PELVIC AND CLINICAL BREAST EX,	0	139	
G0180	PHYSICIAN CERTIFICATION FOR MEDICARE-COVERED HOME HEALTH SERVICEE	0	2	
G0434	DRUG SCREEN, OTHER THAN CHROMATOGRAPHIC; ANY NUMBER OF DRUG CLA	0	4	
G0439	ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF S	0		
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0	3	
G8506	PATIENT RECEIVING ANGIOTENSIN  CONVERTING  ENZYME (ACE)  INHIBITOR OR Jl	0		
G8553	PRESCRIPTION(S) GENERATED AND TRANSMITTED VIA A QUALIFIED ERX SYSTE	0	6	
G8579	ANTIPLATELET MEDICATION AT DISCHARGE	0	4	
G8590	MOST RECENT DIASTOLIC BLOOD PRESSURE < 90 MMHG	0	5	
J0171	INJECTION. ADRENALIN, EPINEPHRINE, 0.1 MG	0	2	
J0561	INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS	0	23	
J1030	INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG	0	98	
J1040	INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG	0	384	
J1815	INJECTION, INSULIN, PER 5 UNITS	0	5	
J1885	INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG	0	74	
J2001	INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG	0	13	
J2550	INJECTION, PROMETHAZINE HCL, UP TO 50 MG	0	13	
J3120	INJECTION, TESTOSTERONE  ENANTHATE,  UP TO  100 MG	0	2	
J3420	INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG	0	114	
00091	SCREENING PAPANICOLAOU SMEAR; OBTAINING, PREPARING AND CONVEYANC	0	91	
02036	INFLUENZA VIRUS VACCINE. SPLIT VIRUS, WHEN ADMINISTERED TO INDIVIDUAL	0	17	
S9999	SALES TAX	0	2	
Overall - Summary	2,277	2,812	5089

Total count