| Procedure | Description | Number Submitted | Medicare Payment |
| 85027
|
COMPLETE CBC AUTOMATED
|
XXXX
|
$XXX.XX
|
| 36415
|
ROUTINE VENIPUNCTURE
|
XXXX
|
$XXXX
|
| 88305
|
TISSUE EXAM BY PATHOLOGIST
|
XXXX
|
$XX.XX
|
| 82947
|
ASSAY GLUCOSE BLOOD QUANT
|
XXXX
|
$XXXX.XX
|
| 93005
|
ELECTROCARDIOGRAM TRACING
|
XXXX
|
$XXXX.XX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXXX
|
$XXX.XX
|
| 66984
|
XCAPSL CTRC RMVL W/O ECP
|
XXXX
|
$XXXXXXX.XX
|
| 97116
|
GAIT TRAINING THERAPY
|
XXXX
|
$XX.XX
|
| 84153
|
ASSAY OF PSA TOTAL
|
XXX
|
$XXXXX.XX
|
| 86900
|
BLOOD TYPING SEROLOGIC ABO
|
XXX
|
$XXXX.XX
|
| 82565
|
ASSAY OF CREATININE
|
XXX
|
$XXX.XX
|
| 71046
|
X-RAY EXAM CHEST 2 VIEWS
|
XXX
|
$XXXXX.XX
|
| 43239
|
EGD BIOPSY SINGLE/MULTIPLE
|
XXX
|
$XXXXXX.XX
|
| 66821
|
AFTER CATARACT LASER SURGERY
|
XXX
|
$XXXXXX.XX
|
| 64483
|
NJX AA&/STRD TFRM EPI L/S 1
|
XXX
|
$XXXXXX.XX
|
| 92499
|
UNLISTED OPH SVC/PROCEDURE
|
XXX
|
-
|
| 74018
|
X-RAY EXAM ABDOMEN 1 VIEW
|
XXX
|
$XXXXX.XX
|
| 81001
|
URINALYSIS AUTO W/SCOPE
|
XXX
|
$XX.XX
|
| 45385
|
COLONOSCOPY W/LESION REMOVAL
|
XXX
|
$XXXXXX.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXX
|
$XXXX.XX
|
| 77003
|
FLUOROGUIDE FOR SPINE INJECT
|
XXX
|
-
|
| 87641
|
MR-STAPH DNA AMP PROBE
|
XXX
|
-
|
| 85610
|
PROTHROMBIN TIME
|
XXX
|
$XX.XX
|
| 84132
|
ASSAY OF SERUM POTASSIUM
|
XXX
|
$XX.XX
|
| 88342
|
IMHCHEM/IMCYTCHM 1ST ANTB
|
XXX
|
-
|
| 84295
|
ASSAY OF SERUM SODIUM
|
XXX
|
$XX.XX
|
| 85014
|
HEMATOCRIT
|
XXX
|
$XX.XX
|
| 85018
|
HEMOGLOBIN
|
XXX
|
$X.XX
|
| 62323
|
NJX INTERLAMINAR LMBR/SAC
|
XXX
|
$XXXXXX.XX
|
