| Procedure | Description | Number Submitted | Medicare Payment |
| 88305
|
TISSUE EXAM BY PATHOLOGIST
|
XXXX
|
-
|
| 36415
|
ROUTINE VENIPUNCTURE
|
XXXX
|
$XX
|
| 97110
|
THERAPEUTIC EXERCISES
|
XXXX
|
$XX.XX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXX
|
$XX.XX
|
| 97116
|
GAIT TRAINING THERAPY
|
XXX
|
$XXX.XX
|
| 85027
|
COMPLETE CBC AUTOMATED
|
XXX
|
$XX.XX
|
| 83735
|
ASSAY OF MAGNESIUM
|
XXX
|
-
|
| 84100
|
ASSAY OF PHOSPHORUS
|
XXX
|
-
|
| 85610
|
PROTHROMBIN TIME
|
XXX
|
-
|
| 86850
|
RBC ANTIBODY SCREEN
|
XXX
|
-
|
| 86900
|
BLOOD TYPING SEROLOGIC ABO
|
XXX
|
$XXXXX.XX
|
| 86901
|
BLOOD TYPING SEROLOGIC RH(D)
|
XXX
|
-
|
| 88304
|
TISSUE EXAM BY PATHOLOGIST
|
XXX
|
-
|
| 88311
|
DECALCIFY TISSUE
|
XXX
|
-
|
| 86923
|
COMPATIBILITY TEST ELECTRIC
|
XXX
|
$XXXXX.XX
|
| 64483
|
NJX AA&/STRD TFRM EPI L/S 1
|
XXX
|
$XXXXXX.XX
|
| 85730
|
THROMBOPLASTIN TIME PARTIAL
|
XXX
|
-
|
| 52000
|
CYSTOSCOPY
|
XXX
|
$XXXXXX.XX
|
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXX
|
$X.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXX
|
$XXX.X
|
| 93005
|
ELECTROCARDIOGRAM TRACING
|
XXX
|
$XX.XX
|
| 62323
|
NJX INTERLAMINAR LMBR/SAC
|
XXX
|
$XXXXXX.XX
|
| 51798
|
US URINE CAPACITY MEASURE
|
XXX
|
-
|
| 97162
|
PT EVAL MOD COMPLEX 30 MIN
|
XXX
|
$XXXXX.XX
|
| 64493
|
INJ PARAVERT F JNT L/S 1 LEV
|
XXX
|
$XXXXXX.XX
|
| 66984
|
XCAPSL CTRC RMVL W/O ECP
|
XXX
|
$XXXXXX.XX
|
| 64494
|
INJ PARAVERT F JNT L/S 2 LEV
|
XXX
|
-
|
