| Procedure | Description | Number Submitted | Medicare Payment |
| 90853
|
GROUP PSYCHOTHERAPY
|
XXXXX
|
$XXXXXXX.XX
|
| 36415
|
ROUTINE VENIPUNCTURE
|
XXXX
|
$XXXX
|
| 85025
|
COMPLETE CBC W/AUTO DIFF WBC
|
XXXX
|
$XXXX.XX
|
| 80053
|
COMPREHEN METABOLIC PANEL
|
XXXX
|
$XXXX.XX
|
| 90834
|
PSYTX W PT 45 MINUTES
|
XXX
|
$XXXXX.XX
|
| 71045
|
X-RAY EXAM CHEST 1 VIEW
|
XXX
|
$XXXXX.XX
|
| 83735
|
ASSAY OF MAGNESIUM
|
XXX
|
$XXXX.XX
|
| 87635
|
SARS-COV-2 COVID-19 AMP PRB
|
XXX
|
$XXXXX.XX
|
| 84484
|
ASSAY OF TROPONIN QUANT
|
XXX
|
$XXXX.XX
|
| 84100
|
ASSAY OF PHOSPHORUS
|
XXX
|
$XXXX.XX
|
| 81001
|
URINALYSIS AUTO W/SCOPE
|
XXX
|
$XXX.XX
|
| 90832
|
PSYTX W PT 30 MINUTES
|
XXX
|
$XXXX.XX
|
| 87040
|
BLOOD CULTURE FOR BACTERIA
|
XXX
|
$XXXX.XX
|
| 85610
|
PROTHROMBIN TIME
|
XXX
|
$XXX.XX
|
| 93005
|
ELECTROCARDIOGRAM TRACING
|
XXX
|
-
|
| 85730
|
THROMBOPLASTIN TIME PARTIAL
|
XXX
|
$XXX.XX
|
| 80048
|
METABOLIC PANEL TOTAL CA
|
XXX
|
$XXXX.XX
|
| 83605
|
ASSAY OF LACTIC ACID
|
XXX
|
$XXXX.XX
|
| 99284
|
EMERGENCY DEPT VISIT MOD MDM
|
XXX
|
$XXXXXX.XX
|
| 82803
|
BLOOD GASES ANY COMBINATION
|
XXX
|
$XXXX.XX
|
| 83520
|
IMMUNOASSAY QUANT NOS NONAB
|
XXX
|
$XXXX.XX
|
| 94799
|
UNLISTED PULMONARY SVC/PX
|
XXX
|
-
|
| 94762
|
MEASURE BLOOD OXYGEN LEVEL
|
XXX
|
$XXXXX.XX
|
| 96375
|
TX/PRO/DX INJ NEW DRUG ADDON
|
XXX
|
$XXXX.XX
|
| 87086
|
URINE CULTURE/COLONY COUNT
|
XXX
|
$XXX.XX
|
| 82550
|
ASSAY OF CK (CPK)
|
XXX
|
$XXX.XX
|
| 84436
|
ASSAY OF TOTAL THYROXINE
|
XXX
|
$XXX.XX
|
| 99285
|
EMERGENCY DEPT VISIT HI MDM
|
XXX
|
$XXXXXX.XX
|
| 70450
|
CT HEAD/BRAIN W/O DYE
|
XXX
|
$XXXXX.XX
|
| 87186
|
MICROBE SUSCEPTIBLE MIC
|
XXX
|
$XXXX.XX
|
| 96374
|
THER/PROPH/DIAG INJ IV PUSH
|
XXX
|
$XXXXX.XX
|
| 97116
|
GAIT TRAINING THERAPY
|
XXX
|
$XXX.XX
|
| 83036
|
HEMOGLOBIN GLYCOSYLATED A1C
|
XXX
|
$XXX.XX
|
