| Provided Data - Medicare/Medicaid | | | | | Forecasted - Medicare/Medicaid | | | | | Forecasted - Medicare/Medicaid | | | | | Forecasted - Medicare/Medicaid |
| IMA REVENUE | | | | | IMA REVENUE | | | | | IMA REVENUE | | | | | IMA REVENUE |
| Year Ended December 31, 2017 | | | | | Year Ended December 31, 2018 | | | | | Year Ended December 31, 2019 | | | | | Year Ended December 31, 2020 |
| CPT Code | Reimb. Rate | Medicare & Medicaid Patient Volume | Medicare & Medicaid Revenue | | CPT Code | Reimb. Rate | Medicare & Medicaid Patient Volume | Medicare & Medicaid Revenue | | CPT Code | Reimb. Rate | Medicare & Medicaid Patient Volume | Medicare & Medicaid Revenue | | CPT Code | Reimb. Rate | Medicare & Medicaid Patient Volume | Medicare & Medicaid Revenue |
| 99201 | $43.89 | 657 | $28,836 | | 99201 | $ 43.89 | 657 | $ 28,836 | | 99201 | $ 43.89 | 657 | $ 28,836 | | 99201 | $ 43.89 | 657 | $ 28,836 |
| 99202 | $74.51 | 486 | $36,212 | | 99202 | $ 74.51 | 486 | $ 36,212 | | 99202 | $ 74.51 | 486 | $ 36,212 | | 99202 | $ 74.51 | 486 | $ 36,212 |
| 99203 | $108.19 | 349 | $37,758 | | 99203 | $ 108.19 | 349 | $ 37,758 | | 99203 | $ 108.19 | 349 | $ 37,758 | | 99203 | $ 108.19 | 349 | $ 37,758 |
| 99204 | $164.67 | 544 | $89,580 | | 99204 | $ 164.67 | 544 | $ 89,580 | | 99204 | $ 164.67 | 544 | $ 89,580 | | 99204 | $ 164.67 | 544 | $ 89,580 |
| 99205 | $203.80 | 543 | $110,663 | | 99205 | $ 203.80 | 543 | $ 110,663 | | 99205 | $ 203.80 | 543 | $ 110,663 | | 99205 | $ 203.80 | 543 | $ 110,663 |
| 99211 | $20.41 | 374 | $7,633 | | 99211 | $ 20.41 | 374 | $ 7,633 | | 99211 | $ 20.41 | 374 | $ 7,633 | | 99211 | $ 20.41 | 374 | $ 7,633 |
| 99212 | $43.89 | 624 | $27,387 | | 99212 | $ 43.89 | 624 | $ 27,387 | | 99212 | $ 43.89 | 624 | $ 27,387 | | 99212 | $ 43.89 | 624 | $ 27,387 |
| 99213 | $72.81 | 461 | $33,565 | | 99213 | $ 72.81 | 461 | $ 33,565 | | 99213 | $ 72.81 | 461 | $ 33,565 | | 99213 | $ 72.81 | 461 | $ 33,565 |
| 99214 | $106.83 | 677 | $72,324 | | 99214 | $ 106.83 | 677 | $ 72,324 | | 99214 | $ 106.83 | 677 | $ 72,324 | | 99214 | $ 106.83 | 677 | $ 72,324 |
| 99215 | $142.90 | 650 | $92,885 | | 99215 | $ 142.90 | 650 | $ 92,885 | | 99215 | $ 142.90 | 650 | $ 92,885 | | 99215 | $ 142.90 | 650 | $ 92,885 |
| 99385 | $140.00 | | | | 99385 | | | | | 99385 | | | | | 99385 |
| 99386 | $160.00 | | | | 99386 | | | | | 99386 | | | | | 99386 |
| 99387 | $160.00 | | | | 99387 | | | | | 99387 | | | | | 99387 |
| 99395 | $175.00 | | | | 99395 | | | | | 99395 | | | | | 99395 |
| 99396 | $175.00 | | | | 99396 | | | | | 99396 | | | | | 99396 |
| 99397 | $175.00 | | | | 99397 | | | | | 99397 | | | | | 99397 |
| Totals | | 5892 | $536,845 | | Totals | | 5892 | $ 536,845 | | Totals | | 5892 | $ 536,845 | | Totals | | 5892 | $ 536,845 |
| Provided Data - Other Payer | | | | | Forecast - Other Payer | | | | | Forecast - Other Payer | | | | | Forecast - Other Payer |
| IMA REVENUE | | | | | IMA REVENUE | | | | | IMA REVENUE | | | | | IMA REVENUE |
| Year Ended December 31, 2017 | | | | | Year Ended December 31, 2018 | | | | | Year Ended December 31, 2019 | | | | | Year Ended December 31, 2020 |
| CPT Code | Reimb. Rate | Other Payer Patient Volume | Other Payer Patient Revenue | | CPT Code | Reimb. Rate | Other Payer Patient Volume | Other Payer Patient Revenue | | CPT Code | Reimb. Rate | Other Payer Patient Volume | Other Payer Patient Revenue | | CPT Code | Reimb. Rate | Other Payer Patient Volume | Other Payer Patient Revenue |
| 99201 | $43.89 | 198 | $8,690 | | 99201 | | | | | 99201 | | | | | 99201 |
| 99202 | $74.51 | 180 | $13,412 | | 99202 | | | | | 99202 | | | | | 99202 |
| 99203 | $108.19 | 562 | $60,803 | | 99203 | | | | | 99203 | | | | | 99203 |
| 99204 | $164.67 | 367 | $60,434 | | 99204 | | | | | 99204 | | | | | 99204 |
| 99205 | $203.80 | 599 | $122,076 | | 99205 | | | | | 99205 | | | | | 99205 |
| 99211 | $20.41 | 318 | $6,490 | | 99211 | | | | | 99211 | | | | | 99211 |
| 99212 | $43.89 | 454 | $19,926 | | 99212 | | | | | 99212 | | | | | 99212 |
| 99213 | $72.81 | 150 | $10,922 | | 99213 | | | | | 99213 | | | | | 99213 |
| 99214 | $106.83 | 481 | $51,385 | | 99214 | | | | | 99214 | | | | | 99214 |
| 99215 | $142.90 | 328 | $46,871 | | 99215 | | | | | 99215 | | | | | 99215 |
| 99385 | $140.00 | 78 | $10,920 | | 99385 | | | | | 99385 | | | | | 99385 |
| 99386 | $160.00 | 50 | $8,000 | | 99386 | | | | | 99386 | | | | | 99386 |
| 99387 | $160.00 | 64 | $10,240 | | 99387 | | | | | 99387 | | | | | 99387 |
| 99395 | $175.00 | 433 | $75,775 | | 99395 | | | | | 99395 | | | | | 99395 |
| 99396 | $175.00 | 339 | $59,325 | | 99396 | | | | | 99396 | | | | | 99396 |
| 99397 | $175.00 | 280 | $49,000 | | 99397 | | | | | 99397 | | | | | 99397 |
| Totals | | 4881 | $614,269 | | Totals | | 0 | $0 | | Totals | | 0 | $0 | | Totals | | 0 | $0 |