| Procedure | Description | Number Submitted | Medicare Payment |
| 97110
|
THERAPEUTIC EXERCISES
|
XXXX
|
$XXXXX.XX
|
| 97140
|
MANUAL THERAPY 1/> REGIONS
|
XXXX
|
$XXXXX.XX
|
| 97010
|
HOT OR COLD PACKS THERAPY
|
XXXX
|
-
|
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXX
|
$XXX.XX
|
| 93005
|
ELECTROCARDIOGRAM TRACING
|
XXX
|
$XXXXX.XX
|
| 88305
|
TISSUE EXAM BY PATHOLOGIST
|
XXX
|
-
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXX
|
$XXX.XX
|
| 88313
|
SPECIAL STAINS GROUP 2
|
XXX
|
-
|
| 97116
|
GAIT TRAINING THERAPY
|
XXX
|
$XXX.XX
|
| 71046
|
X-RAY EXAM CHEST 2 VIEWS
|
XXX
|
$XXXXX.XX
|
| 72148
|
MRI LUMBAR SPINE W/O DYE
|
XXX
|
$XXXXX.XX
|
| 73721
|
MRI JNT OF LWR EXTRE W/O DYE
|
XXX
|
$XXXXX.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXX
|
$XXX.X
|
| 85651
|
RBC SED RATE NONAUTOMATED
|
XXX
|
$XX.XX
|
| 83036
|
HEMOGLOBIN GLYCOSYLATED A1C
|
XXX
|
-
|
| 73700
|
CT LOWER EXTREMITY W/O DYE
|
XXX
|
$XXXXX.XX
|
| 81001
|
URINALYSIS AUTO W/SCOPE
|
XXX
|
$XX.XX
|
| 73221
|
MRI JOINT UPR EXTREM W/O DYE
|
XXX
|
$XXXXX.XX
|
| 97161
|
PT EVAL LOW COMPLEX 20 MIN
|
XXX
|
$XXXXX.XX
|
| 43239
|
EGD BIOPSY SINGLE/MULTIPLE
|
XXX
|
$XXXXXX.XX
|
| 88342
|
IMHCHEM/IMCYTCHM 1ST ANTB
|
XXX
|
-
|
| 85018
|
HEMOGLOBIN
|
XXX
|
-
|
| 82565
|
ASSAY OF CREATININE
|
XXX
|
-
|
| Procedure | Description | Number Submitted | Medicare Payment |
| J2795
|
Ropivacaine hcl injection
|
XXXXX
|
-
|
| J2001
|
Lidocaine injection
|
XXXXX
|
-
|
| J2405
|
Ondansetron hcl injection
|
XXXX
|
-
|
| J8540
|
Oral dexamethasone
|
XXXX
|
-
|
| J3010
|
Fentanyl citrate injection
|
XXXX
|
-
|
| J1885
|
Ketorolac tromethamine inj
|
XXXX
|
-
|
| J0690
|
Cefazolin sodium injection
|
XXX
|
-
|
| J2250
|
Inj midazolam hydrochloride
|
XXX
|
-
|
| J0461
|
Atropine sulfate injection
|
XXX
|
-
|
| J0330
|
Succinycholine chloride inj
|
XXX
|
-
|
| J0585
|
Injection,onabotulinumtoxina
|
XXX
|
$XXXX.XX
|
| J1100
|
Dexamethasone sodium phos
|
XXX
|
-
|
| J3480
|
Inj potassium chloride
|
XXX
|
-
|
