Attachment_A_RRB13R001.docx

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Disability Medical Exam Services
Solicitation number
RRB13R001
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Solicitation No. RRB13R001 Page 1 of 2 Attachment A – Examinations/Tests Ordered in Fiscal Year 2012

Number of Tests Ordered for FY 2012

Examination/Test Number
Examination/Test Name
No. of Urgent Orders
No. of Routine Orders
001
Dermatologist Exam
0
1
003
Otolaryngology (ear exam) , including audiometric test with air and bone conduction pure tone studies with speech discrimination
4
28
005
Otolaryngology (ear exam), including audiometric test and an ENG or caloric test
0
3
006
Otolaryngology (ear exam), including a speech discrimination test with a hearing in noise test (HINT)
0
0
007
Ophthalmology (eye exam)
5
48
011
I. Q. Evaluation with psychometric testing
3
32
012
Neurologist Exam
0
8
013
Psychiatric Exam
85
620
014
Minnesota Multi-phasic Personality Inventory
0
0
016
Orthopedic Exam
28
617
017
Internal Medicine Exam with orthopedic involvement
64
870
018
Internal Medicine Exam
12
120
020
Serum Protein Electrophoresis
0
1
023
Arterial Blood Gas Studies (resting)
0
0
024
PT (Prothrombin Time) and INR (International Normalized Ratio)
0
2
026
A1C ( also known as glycated hemoglobin HbA1c) test
0
1
028
Hematocrit
0
0
030
Complete blood cell count (CBC)
0
7
032
Serum Creatinine; if not available, do BUN (blood urea nitrogen) or NPN (non-protein nitrogen)
0
0
033
Serum Albumin
0
0
034
Erythrocyte Sedimentation Rate
0
0
036
SMA Series (SMA-12, etc)
2
2
037
Anti-convulsant Serum Level
0
0
038
Liver function studies
1
6
039
Thyroid Evaluation
0
0
040
Electro-encephalogram
0
0
041
Pulmonary Function Test, spirometry
5
82
042
Diffusing Capacity/Lungs (DLCO)
0
0
043
Stress (treadmill or bicycle) test with monitoring. Submit interpretation and sample tracings.
0
0
044
Rheumatoid Factor
0
2
045
Electrocardiogram (EKG) with interpretation, submit tracing
6
174
046
Doppler Ultrasound Flow Detection Tech.
0
2
047
Urinalysis
0
7
048
Antinuclear Antibody
0
0

Examinations/Tests Ordered in Fiscal Year 2012

Examination/Test Number
Examination/Test Name
No. of Urgent Orders
No. of Routine Orders
052/152
Left/Right ankle joint, anteroposterior, lateral views, and oblique (x-ray)
2
49
053/153
Left/Right arm humerus, anteroposterior, lateral views, and oblique (x-ray)
0
4
055
Chest, anteroposterior and lateral (x-ray)
7
208
058/158
Left/Right elbow, anteroposterior, lateral views and oblique (x-ray)
0
7
062/162
Left/Right foot, anteroposterior, lateral views and oblique. (x-ray)
4
37
063/163
Left/Right forearm, anteroposterior, lateral views and oblique. (x-ray)
0
1
067/167
Left/Right hand, anteroposterior, lateral views and oblique. (x-ray)
5
26
068
Hip joints (right and left on one film) anteroposterior view (x-ray)
4
57
073/173
Left/Right knee joint, anteroposterior, lateral views and oblique. (x-ray)
16
201
075/175
Left/Right leg, tibia and fibular, anteroposterior, lateral views (x-ray)
0
14
079/179
Left/Right shoulder joint, anteroposterior view, internal and external rotation (x-ray)
5
186
085
Skull, anteroposterior, right and left lateral frontal and basal occipital (x-ray)
0
0
087
Spine, cervical, anteroposterior and lateral views odontoid (x-ray)
6
193
088
Spine, dorsal, anteroposterior and lateral views, 14X17 film (x-ray)
1
9
089
Spine, lumbo-sacral, anteroposterior and lateral views, 14X17 film (x-ray)
20
380
092/192
Left/Right thigh, femur, survey film (x-ray)
0
1
094/194
Left/Right wrist, anteroposterior and lateral views (x-ray)
1
19
116
Orthopedic Specialist Exam
0
0
123
Arterial Blood Gas (exercise)
0
0
300
Cervical Spine CT Scan
0
0
301
Lumbar Spine CT Scan
0
0
302
Shoulder CT Scan
0
0
303
Knee CT Scan
0
0
304
Hip CT Scan
0
0
305
Cervical Spine MRI without contrast
0
3
306
Lumbar Spine MRI without contrast
0
5
307
Shoulder MRI without contrast
0
4
308
Knee MRI without contrast
0
1
309
Hip MRI without contrast
0
1

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