Treatment Tracker
The Doctors and Services in Medicare Part B
This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $214 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
Note: About 11% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.
How This Provider’s Patients Compare
Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.
This Provider's Services
This provider performed 126 different services in 2015
(75 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
2,017 times performed, 23% of his services |
1st 2nd most performed service for this provider most performed service in this state & specialty |
1,206 patients got this service, 65% of his patients |
1.7 average number of visits a patient made for this service (Peers: 1.9) |
$161,400.34an average of $80.02 per time performed |
$90,038.88 an average of $44.64 per time performed |
CARDIOVASCULAR SYSTEMInsertion of needle into vein for collection of blood sample + Insertion of needle into vein for collection of blood sample × Service Code: 36415Performed in an office |
788 times performed, 9% of his services |
2nd 3rd most performed service for this provider most performed service in this state & specialty |
578 patients got this service, 31% of his patients |
1.4 average number of visits a patient made for this service (Peers: 1.9) |
$15,760.00an average of $20.00 per time performed |
$2,308.84 an average of $2.93 per time performed |
PATHOLOGY AND LABORATORYComplete blood cell count (red cells, white blood cell, p... + Complete blood cell count (red cells, white blood cell, platelets), automated test × Service Code: 85025Performed in an office |
619 times performed, 7% of his services |
3rd 5th most performed service for this provider most performed service in this state & specialty |
509 patients got this service, 28% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.5) |
$9,285.00an average of $15.00 per time performed |
$6,400.46 an average of $10.34 per time performed |
PATHOLOGY AND LABORATORYManual urinalysis test with examination using microscope + Manual urinalysis test with examination using microscope × Service Code: 81000Performed in an office |
539 times performed, 6% of his services |
4th 39th most performed service for this provider most performed service in this state & specialty |
423 patients got this service, 23% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.5) |
$5,395.39an average of $10.01 per time performed |
$2,269.19 an average of $4.21 per time performed |
PATHOLOGY AND LABORATORYBlood test, comprehensive group of blood chemicals Service Code: 80053Performed in an office |
499 times performed, 6% of his services |
5th 10th most performed service for this provider most performed service in this state & specialty |
379 patients got this service, 21% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.5) |
$12,475.00an average of $25.00 per time performed |
$6,961.05 an average of $13.95 per time performed |
DRUGSInjection, methylprednisolone acetate, 40 mg Service Code: J1030Performed in an office |
479 times performed, 5% of his services |
6th 83rd most performed service for this provider most performed service in this state & specialty |
161 patients got this service, 9% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.3) |
$7,185.00an average of $15.00 per time performed |
$1,173.55 an average of $2.45 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
473 times performed, 5% of his services |
7th 1st most performed service for this provider most performed service in this state & specialty |
385 patients got this service, 21% of his patients |
1.2 average number of visits a patient made for this service (Peers: 2) |
$54,413.92an average of $115.04 per time performed |
$31,681.54 an average of $66.98 per time performed |
MEDICINEInjection beneath the skin or into muscle for therapy, di... + Injection beneath the skin or into muscle for therapy, diagnosis, or prevention × Service Code: 96372Performed in an office |
342 times performed, 4% of his services |
8th 19th most performed service for this provider most performed service in this state & specialty |
231 patients got this service, 13% of his patients |
1.4 average number of visits a patient made for this service (Peers: 2.3) |
$10,260.00an average of $30.00 per time performed |
$5,690.88 an average of $16.64 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 2... + New patient office or other outpatient visit, typically 20 minutes × Service Code: 99202Performed in an office |
281 times performed, 3% of his services |
9th 63rd most performed service for this provider most performed service in this state & specialty |
281 patients got this service, 15% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$23,854.09an average of $84.89 per time performed |
$12,299.37 an average of $43.77 per time performed |
RADIOLOGYX-ray of chest, 2 views, front and side Service Code: 71020Performed in an office |
238 times performed, 3% of his services |
10th 31st most performed service for this provider most performed service in this state & specialty |
218 patients got this service, 12% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$13,090.00an average of $55.00 per time performed |
$4,162.62 an average of $17.49 per time performed |
PATHOLOGY AND LABORATORYBlood test, lipids (cholesterol and triglycerides) Service Code: 80061Performed in an office |
220 times performed, 2% of his services |
11th 7th most performed service for this provider most performed service in this state & specialty |
196 patients got this service, 11% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.5) |
$4,400.00an average of $20.00 per time performed |
$2,490.40 an average of $11.32 per time performed |
MEDICINEPneumococcal vaccine for injection into muscle Service Code: 90670Performed in an office |
130 times performed, 1% of his services |
12th 13th most performed service for this provider most performed service in this state & specialty |
128 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$22,750.00an average of $175.00 per time performed |
$21,156.20 an average of $162.74 per time performed |
DRUGSInjection, methylprednisolone acetate, 20 mg Service Code: J1020Performed in an office |
130 times performed, 1% of his services |
13th 264th most performed service for this provider most performed service in this state & specialty |
24 patients got this service, 1% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.2) |
$975.00an average of $7.50 per time performed |
$269.10 an average of $2.07 per time performed |
PROCEDURESAdministration of influenza virus vaccine Service Code: G0008Performed in an office |
121 times performed, 1% of his services |
14th 6th most performed service for this provider most performed service in this state & specialty |
119 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$3,025.00an average of $25.00 per time performed |
$2,964.50 an average of $24.50 per time performed |
PROCEDURESAdministration of pneumococcal vaccine Service Code: G0009Performed in an office |
121 times performed, 1% of his services |
15th 11th most performed service for this provider most performed service in this state & specialty |
118 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$3,025.00an average of $25.00 per time performed |
$2,964.50 an average of $24.50 per time performed |
MEDICINEVaccine for influenza for injection into muscle Service Code: 90662Performed in an office |
118 times performed, 1% of his services |
16th 18th most performed service for this provider most performed service in this state & specialty |
116 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$3,788.98an average of $32.11 per time performed |
$3,701.66 an average of $31.37 per time performed |
DRUGSInjection, ceftriaxone sodium, per 250 mg Service Code: J0696Performed in an office |
116 times performed, 1% of his services |
17th 52nd most performed service for this provider most performed service in this state & specialty |
26 patients got this service, 1% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.5) |
$1,160.00an average of $10.00 per time performed |
$51.04 an average of $0.44 per time performed |
MEDICINERoutine ekg using at least 12 leads including interpretat... + Routine ekg using at least 12 leads including interpretation and report × Service Code: 93000Performed in an office |
115 times performed, 1% of his services |
18th 24th most performed service for this provider most performed service in this state & specialty |
110 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$5,175.00an average of $45.00 per time performed |
$1,139.65 an average of $9.91 per time performed |
PROCEDURESAnnual wellness visit, includes a personalized prevention... + Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit × Service Code: G0439Performed in an office |
113 times performed, 1% of his services |
19th 17th most performed service for this provider most performed service in this state & specialty |
113 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$19,805.51an average of $175.27 per time performed |
$12,642.44 an average of $111.88 per time performed |
PATHOLOGY AND LABORATORYService Code: 83036Performed in an office |
113 times performed, 1% of his services |
20th 12th most performed service for this provider most performed service in this state & specialty |
96 patients got this service, 5% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.7) |
$1,695.00an average of $15.00 per time performed |
$1,463.35 an average of $12.95 per time performed |
DRUGSInjection, ketorolac tromethamine, per 15 mg Service Code: J1885Performed in an office |
106 times performed, 1% of his services |
21st 74th most performed service for this provider most performed service in this state & specialty |
23 patients got this service, 1% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.4) |
$265.00an average of $2.50 per time performed |
$47.70 an average of $0.45 per time performed |
PATHOLOGY AND LABORATORYDetection test for influenza virus Service Code: 87804Performed in an office |
102 times performed, 1% of his services |
22nd 77th most performed service for this provider most performed service in this state & specialty |
51 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,769.70an average of $17.35 per time performed |
$1,618.74 an average of $15.87 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 3... + New patient office or other outpatient visit, typically 30 minutes × Service Code: 99203Performed in an office |
69 times performed, 0.78% of his services |
23rd 30th most performed service for this provider most performed service in this state & specialty |
69 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$9,245.31an average of $133.99 per time performed |
$4,645.08 an average of $67.32 per time performed |
MEDICINERespiratory inhaled pressure or nonpressure treatment to ... + Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen × Service Code: 94640Performed in an office |
60 times performed, 0.68% of his services |
24th 115th most performed service for this provider most performed service in this state & specialty |
56 patients got this service, 3% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$1,500.00an average of $25.00 per time performed |
$773.40 an average of $12.89 per time performed |
MEDICINEService Code: 90471Performed in an office |
57 times performed, 0.64% of his services |
25th 80th most performed service for this provider most performed service in this state & specialty |
57 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,425.00an average of $25.00 per time performed |
$925.11 an average of $16.23 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 5 minutes × Service Code: 99211Performed in an office |
44 times performed, 0.5% of his services |
26th 21st most performed service for this provider most performed service in this state & specialty |
16 patients got this service, 0.87% of his patients |
2.8 average number of visits a patient made for this service (Peers: 3.4) |
$1,320.00an average of $30.00 per time performed |
$595.76 an average of $13.54 per time performed |
RADIOLOGYService Code: 73562Performed in an office |
41 times performed, 0.46% of his services |
27th 186th most performed service for this provider most performed service in this state & specialty |
38 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$2,255.00an average of $55.00 per time performed |
$1,069.28 an average of $26.08 per time performed |
RADIOLOGYX-ray of shoulder, minimum of 2 views Service Code: 73030Performed in an office |
34 times performed, 0.38% of his services |
28th 163rd most performed service for this provider most performed service in this state & specialty |
32 patients got this service, 2% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1) |
$1,700.00an average of $50.00 per time performed |
$615.74 an average of $18.11 per time performed |
RADIOLOGYX-ray of upper spine, 4 or 5 views Service Code: 72050Performed in an office |
33 times performed, 0.37% of his services |
29th 275th most performed service for this provider most performed service in this state & specialty |
33 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$2,454.87an average of $74.39 per time performed |
$865.26 an average of $26.22 per time performed |
MEDICINEVaccine for tetanus and diphtheria toxoids injection into... + Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older × Service Code: 90714Performed in an office |
32 times performed, 0.36% of his services |
30th 230th most performed service for this provider most performed service in this state & specialty |
32 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$960.00an average of $30.00 per time performed |
$467.84 an average of $14.62 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of large joint or joint capsule + Aspiration and/or injection of large joint or joint capsule × Service Code: 20610Performed in an office |
28 times performed, 0.32% of his services |
31st 59th most performed service for this provider most performed service in this state & specialty |
27 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$3,720.92an average of $132.89 per time performed |
$1,080.52 an average of $38.59 per time performed |
PATHOLOGY AND LABORATORYStrep test (streptococcus, group a) Service Code: 87880Performed in an office |
28 times performed, 0.32% of his services |
32nd 93rd most performed service for this provider most performed service in this state & specialty |
27 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$420.00an average of $15.00 per time performed |
$399.56 an average of $14.27 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 10 minutes × Service Code: 99212Performed in an office |
27 times performed, 0.3% of his services |
33rd 25th most performed service for this provider most performed service in this state & specialty |
25 patients got this service, 1% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.5) |
$1,560.06an average of $57.78 per time performed |
$786.51 an average of $29.13 per time performed |
RADIOLOGYService Code: 74020Performed in an office |
26 times performed, 0.29% of his services |
34th
most performed service for this provider 5 or fewer providers in this specialty in VA perform this service |
25 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service |
$1,300.00an average of $50.00 per time performed |
$737.88 an average of $28.38 per time performed |
PATHOLOGY AND LABORATORYBlood glucose (sugar) measurement using reagent strip Service Code: 82948Performed in an office |
26 times performed, 0.29% of his services |
35th 146th most performed service for this provider most performed service in this state & specialty |
23 patients got this service, 1% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.6) |
$130.00an average of $5.00 per time performed |
$109.72 an average of $4.22 per time performed |
RADIOLOGYX-ray of foot, minimum of 3 views Service Code: 73630Performed in an office |
25 times performed, 0.28% of his services |
36th 174th most performed service for this provider most performed service in this state & specialty |
25 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,250.00an average of $50.00 per time performed |
$444.25 an average of $17.77 per time performed |
PATHOLOGY AND LABORATORYAnalysis for antibody to helicobacter pylori (gastrointes... + Analysis for antibody to helicobacter pylori (gastrointestinal bacteria) × Service Code: 86677Performed in an office |
25 times performed, 0.28% of his services |
37th 320th most performed service for this provider most performed service in this state & specialty |
25 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$495.00an average of $19.80 per time performed |
$479.00 an average of $19.16 per time performed |
RADIOLOGYX-ray of lower and sacral spine, minimum of 4 views Service Code: 72110Performed in an office |
24 times performed, 0.27% of his services |
38th 181st most performed service for this provider most performed service in this state & specialty |
24 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$2,040.00an average of $85.00 per time performed |
$857.52 an average of $35.73 per time performed |
RADIOLOGYX-ray of hand, minimum of 3 views Service Code: 73130Performed in an office |
24 times performed, 0.27% of his services |
39th 291st most performed service for this provider most performed service in this state & specialty |
24 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,200.00an average of $50.00 per time performed |
$509.04 an average of $21.21 per time performed |
RADIOLOGYX-ray of ribs of one side of body, minimum of 2 views Service Code: 73510Performed in an office |
24 times performed, 0.27% of his services |
40th 171st most performed service for this provider most performed service in this state & specialty |
24 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,320.00an average of $55.00 per time performed |
$540.48 an average of $22.52 per time performed |
DRUGSInjection, promethazine hcl, up to 50 mg Service Code: J2550Performed in an office |
24 times performed, 0.27% of his services |
41st
most performed service for this provider 5 or fewer providers in this specialty in VA perform this service |
19 patients got this service, 1% of his patients |
1.3 average number of visits a patient made for this service |
$292.56an average of $12.19 per time performed |
$26.16 an average of $1.09 per time performed |
RADIOLOGYX-ray of ankle, minimum of 3 views Service Code: 73610Performed in an office |
21 times performed, 0.24% of his services |
42nd 274th most performed service for this provider most performed service in this state & specialty |
21 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,055.04an average of $50.24 per time performed |
$406.14 an average of $19.34 per time performed |
SKIN, HAIR AND NAILSRepair of wound (2.5 centimeters or less) of the scalp, n... + Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs × Service Code: 12001Performed in an office |
20 times performed, 0.23% of his services |
43rd
most performed service for this provider 5 or fewer providers in this specialty in VA perform this service |
20 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service |
$2,525.00an average of $126.25 per time performed |
$1,196.20 an average of $59.81 per time performed |
RADIOLOGYX-ray of both sides of the ribs including the chest, mini... + X-ray of both sides of the ribs including the chest, minimum of 4 views × Service Code: 71111Performed in an office |
19 times performed, 0.21% of his services |
44th
most performed service for this provider 5 or fewer providers in this specialty in VA perform this service |
19 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service |
$1,520.00an average of $80.00 per time performed |
$571.52 an average of $30.08 per time performed |
RADIOLOGYX-ray of wrist, minimum of 3 views Service Code: 73110Performed in an office |
17 times performed, 0.19% of his services |
45th 284th most performed service for this provider most performed service in this state & specialty |
16 patients got this service, 0.87% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$845.07an average of $49.71 per time performed |
$404.09 an average of $23.77 per time performed |
SKIN, HAIR AND NAILSRepair of wound (2.6 to 7.5 centimeters) of the scalp, ne... + Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs × Service Code: 12002Performed in an office |
15 times performed, 0.17% of his services |
46th
most performed service for this provider 5 or fewer providers in this specialty in VA perform this service |
15 patients got this service, 0.81% of his patients |
1 average number of visits a patient made for this service |
$2,250.00an average of $150.00 per time performed |
$1,072.50 an average of $71.50 per time performed |
DRUGSInjection, nalbuphine hydrochloride, per 10 mg Service Code: J2300Performed in an office |
15 times performed, 0.17% of his services |
47th
most performed service for this provider 5 or fewer providers in this specialty in VA perform this service |
12 patients got this service, 0.65% of his patients |
1.2 average number of visits a patient made for this service |
$210.00an average of $14.00 per time performed |
$25.50 an average of $1.70 per time performed |
RADIOLOGYService Code: 72170Performed in an office |
12 times performed, 0.14% of his services |
48th 338th most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 0.65% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$600.00an average of $50.00 per time performed |
$225.48 an average of $18.79 per time performed |
DRUGSInjection, methylprednisolone sodium succinate, up to 125 mg + Injection, methylprednisolone sodium succinate, up to 125 mg × Service Code: J2930Performed in an office |
12 times performed, 0.14% of his services |
49th 176th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 0.6% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.3) |
$168.00an average of $14.00 per time performed |
$30.00 an average of $2.50 per time performed |
RADIOLOGYX-ray of ribs on one side of body including the chest, mi... + X-ray of ribs on one side of body including the chest, minimum of 3 views × Service Code: 71101Performed in an office |
11 times performed, 0.12% of his services |
50th 252nd most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 0.6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$660.00an average of $60.00 per time performed |
$278.30 an average of $25.30 per time performed |
|
Vaccine for influenza administered into muscle to individ... + Vaccine for influenza administered into muscle to individuals 3 years of age and older × Service Code: 90686Performed in an office |
11 times performed, 0.12% of his services |
51st 55th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 0.6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$240.02an average of $21.82 per time performed |
$195.25 an average of $17.75 per time performed |
Office Visits
Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.
This provider did not bill Medicare for any 5’s.
Matthew Wayne Tatom
Average for Family Medicine Providers in Virginia
Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.
Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.
Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association
Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.