| Procedure | Description | Number Submitted | Medicare Payment |
| 94760
|
MEASURE BLOOD OXYGEN LEVEL
|
XXXX
|
-
|
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
|
$XXXXX.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXX
|
$XXXX.XX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXX
|
$XXXX.XX
|
| 90935
|
HEMODIALYSIS ONE EVALUATION
|
XXX
|
$XXXXXX.XX
|
| 83735
|
ASSAY OF MAGNESIUM
|
XXX
|
$XXXX.XX
|
| 84100
|
ASSAY OF PHOSPHORUS
|
XXX
|
$XXXX.XX
|
| 71045
|
X-RAY EXAM CHEST 1 VIEW
|
XXX
|
$XXXXX.XX
|
| 87077
|
CULTURE AEROBIC IDENTIFY
|
XXX
|
$XXXX.XX
|
| 87040
|
BLOOD CULTURE FOR BACTERIA
|
XXX
|
$XXXX.XX
|
| 80150
|
ASSAY OF AMIKACIN
|
XXX
|
$XXXX.XX
|
| 80202
|
ASSAY OF VANCOMYCIN
|
XXX
|
$XXXX.XX
|
| 87186
|
MICROBE SUSCEPTIBLE MIC
|
XXX
|
$XXXX.XX
|
| 97530
|
THERAPEUTIC ACTIVITIES
|
XXX
|
$XXXX.XX
|
| 87070
|
CULTURE OTHR SPECIMN AEROBIC
|
XXX
|
$XXXX.XX
|
| 85610
|
PROTHROMBIN TIME
|
XXX
|
$XXX.XX
|
| 87205
|
SMEAR GRAM STAIN
|
XXX
|
$XXX.XX
|
| 86920
|
COMPATIBILITY TEST SPIN
|
XX
|
$XXX.XX
|
| 87181
|
MICROBE SUSCEPTIBLE DIFFUSE
|
XX
|
$XXX.XX
|
| 85730
|
THROMBOPLASTIN TIME PARTIAL
|
XX
|
$XXX.XX
|
| 83540
|
ASSAY OF IRON
|
XX
|
$XXX.XX
|
| 82728
|
ASSAY OF FERRITIN
|
XX
|
$XXX.XX
|
| 82803
|
BLOOD GASES ANY COMBINATION
|
XX
|
$XXXX.XX
|
| 84466
|
ASSAY OF TRANSFERRIN
|
XX
|
$XXX.XX
|
| 83550
|
IRON BINDING TEST
|
XX
|
-
|
| 86900
|
BLOOD TYPING SEROLOGIC ABO
|
XX
|
-
|
| 86850
|
RBC ANTIBODY SCREEN
|
XX
|
-
|
| 86901
|
BLOOD TYPING SEROLOGIC RH(D)
|
XX
|
-
|
| 74018
|
X-RAY EXAM ABDOMEN 1 VIEW
|
XX
|
$XXX.XX
|
| 97110
|
THERAPEUTIC EXERCISES
|
XX
|
$XXX.XX
|
| 84478
|
ASSAY OF TRIGLYCERIDES
|
XX
|
$XXX.XX
|
| 87081
|
CULTURE SCREEN ONLY
|
XX
|
$XXX.XX
|
| 84145
|
PROCALCITONIN (PCT)
|
XX
|
$XXXX.XX
|
| 84134
|
ASSAY OF PREALBUMIN
|
XX
|
$XXX.XX
|
| 87106
|
FUNGI IDENTIFICATION YEAST
|
XX
|
$XXX.XX
|
| 80162
|
ASSAY OF DIGOXIN TOTAL
|
XX
|
$XXX.XX
|
| 92526
|
ORAL FUNCTION THERAPY
|
XX
|
$XXXX.XX
|
| 93970
|
EXTREMITY STUDY
|
XX
|
$XXXX.XX
|
| 80200
|
ASSAY OF TOBRAMYCIN
|
XX
|
$XXX.XX
|
| 80170
|
ASSAY OF GENTAMICIN
|
XX
|
$XXX.XX
|
