Joint Replacement Surgery
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Established patient office or other outpatient visit, 20-29 minutes | 219,264 |
| Established patient office or other outpatient visit, 30-39 minutes | 154,707 |
| Aspiration and/or injection of fluid from large joint | 151,288 |
| X-ray of knee, 3 views | 111,818 |
| X-ray of hip, 2-3 views | 97,823 |
| X-ray of knee, 4 or more views | 87,955 |
| New patient office or other outpatient visit, 45-59 minutes | 61,698 |
| Replacement of knee joint, both sides of knee | 49,120 |
| New patient office or other outpatient visit, 30-44 minutes | 43,769 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 37,931 |
| Replacement of thigh bone and hip joint with prosthesis | 33,348 |
| X-ray of knee, 1-2 views | 28,011 |
| Established patient office or other outpatient visit, 10-19 minutes | 22,458 |
| X-ray of shoulder, minimum of 2 views | 18,047 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 17,952 |
| X-ray of pelvis, 1-2 views | 17,019 |
| Computer-assisted surgery for muscle and bone procedure | 13,297 |
| Established patient office or other outpatient visit, 40-54 minutes | 12,166 |
| Therapy procedure using manual technique, each 15 minutes | 11,935 |
| Therapy procedure using functional activities | 8,682 |
| X-ray of lower and sacral spine, 2-3 views | 8,415 |
| X-ray of hip, 1 view | 8,249 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 7,556 |
| X-ray of both knees while standing | 6,804 |
| X-ray of both hips, 3-4 views | 5,743 |
| Musculoskeletal surgical navigational orthopedic operation using imaging guidance | 5,648 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 4,940 |
| X-ray for bone length assessment | 4,889 |
| New patient office or other outpatient visit, 60-74 minutes | 4,872 |
| Mri scan of leg joint without contrast | 4,716 |
| X-ray of hip, minimum of 4 views | 3,606 |
| X-ray of both hips, 2 views | 3,598 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 3,457 |
| Therapy procedure in a group setting | 3,371 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 3,022 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 2,669 |
| X-ray of thigh bone, minimum 2 views | 2,482 |
| X-ray of joints, multiple | 2,357 |
| Insertion of needle into vein for collection of blood sample | 2,194 |
| Fluoroscopic guidance for needle placement | 2,058 |
| Application of blood vessel compression device | 2,049 |
| Evaluation for physical therapy, typically 20 minutes | 2,027 |
| Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation | 1,952 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,840 |
| X-ray of both hips, minimum of 5 views | 1,818 |
| Mri scan of lower spinal canal without contrast | 1,811 |
| Complete ultrasound scan of joint | 1,788 |
| X-ray of ankle, minimum of 3 views | 1,578 |
| Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 1,576 |
| Replacement of knee joint on side of knee | 1,528 |
| Prosthetic repair of shoulder joint, total shoulder | 1,494 |
| X-ray of pelvis, minimum of 3 views | 1,360 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1,329 |
| X-ray of foot, minimum of 3 views | 1,309 |
| Revision of thigh and lower leg bone components of total knee joint prosthesis | 1,291 |
| X-ray of wrist, minimum of 3 views | 1,270 |
| X-ray of lower and sacral spine, minimum of 4 views | 1,204 |
| Treatment of broken neck of thigh bone with bone implant | 1,203 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 1,097 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 1,092 |
| Test or measurement for functional capacity, each 15 minutes | 983 |
| New patient office or other outpatient visit, 15-29 minutes | 981 |
| Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days | 976 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 956 |
| X-ray of hand, minimum of 3 views | 936 |
| Telephone medical discussion with physician, 11-20 minutes | 933 |
| Application of ultrasound, each 15 minutes | 832 |
| Mri scan of arm joint without contrast | 793 |
| Ct scan of leg without contrast | 771 |
| Evaluation for physical therapy, typically 30 minutes | 763 |
| X-ray of upper spine, 2-3 views | 729 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 693 |
| Training for self-care or home management, each 15 minutes | 658 |
| Destruction of peripheral nerve or branch | 656 |
| Blood test, comprehensive group of blood chemicals | 650 |
| Set-up and patient education for remote monitoring of therapy | 615 |
| Injection of trigger points, 1-2 muscles | 608 |
| Therapy procedure for walking training, each 15 minutes | 590 |
| Routine electrocardiogram (ecg) using at least 12 leads with tracing | 569 |
| Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month | 543 |
| Telephone medical discussion with physician, 5-10 minutes | 540 |
| Injection into tendon or ligament | 539 |
| Imaging guidance for procedure, 60 minutes or less | 529 |
| Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less | 512 |
| Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 473 |
| Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less | 462 |
| Therapy procedure using massage, each 15 minutes | 447 |
| Removal of skin and tissue, 20.0 sq cm or less | 447 |
| X-ray of elbow, minimum of 3 views | 444 |
| Shaving of part of shoulder bone and repair of ligament using an endoscope | 430 |
| Red blood cell sedimentation rate, to detect inflammation, automated | 409 |
| Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month | 404 |
| X-ray of thigh bone, 1 view | 395 |
| Repair of shoulder rotator cuff using an endoscope | 388 |
| Manual urinalysis test with examination using microscope, automated | 373 |
| Revision of thigh bone and hip joint prosthesis | 373 |
| Insertion of drug delivery implant into tissue | 370 |
| X-ray of lower leg, 2 views | 339 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 335 |
| Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 334 |
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Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).