Certified Nurse-Midwives

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Admn sarscov2 vacc 1 dose	90480	11	11
Hospital discharge day management, more than 30 minutes	99239	11	11
Detection test for candida species (yeast), direct probe technique	87480	12	11
Telephone medical discussion with physician, 5-10 minutes	99441	12	12
Detection test for gardnerella vaginalis (bacteria), direct probe technique	87510	12	11
Punch biopsy, first skin growth	11104	13	13
Biopsy of growth of external female genitals, first growth	56605	13	13
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	87426	13	13
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	87428	13	13
Stool analysis for blood, by fecal hemoglobin determination by immunoassay	82274	14	14
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	87186	14	13
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	99309	15	11
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes	99344	16	16
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	G0268	17	17
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	87635	17	17
Thyroid hormone, t3 measurement, total	84480	18	17
Exam of external female genitals using an endoscope	56820	18	15
Thyroxine (thyroid chemical), free	84439	18	17
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	G2212	18	18
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	87880	21	21
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85025	21	17
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	G0402	23	23
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique	87801	24	22
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99211	26	25
Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique	87661	27	22
X-ray of both knees while standing	73565	29	29
Detection test for candida species (yeast), amplified probe technique	87481	30	11
Blood test, thyroid stimulating hormone (tsh)	84443	30	29
Vaginal fluid chemical analysis for bacteria	82120	31	24
Telephone medical discussion with physician, 11-20 minutes	99442	31	30
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	G0438	31	31
Emergency department visit with high level of medical decision making	99285	32	32
Blood test, lipids (cholesterol and triglycerides)	80061	32	30
Body fluid ph level	83986	32	24
Testing for presence of drug, read by direct observation	80305	32	13
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	G2087	35	20
Blood test, comprehensive group of blood chemicals	80053	36	35
Biopsy of lining of uterus	58100	37	37
New patient office or other outpatient visit, 15-29 minutes	99202	37	37
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	87811	45	45
Emergency department visit with low level of medical decision making	99283	45	45
Screening 3d breast mammography	77063	46	46
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	99347	46	29
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	99491	46	45
Hemoglobin a1c level	83036	46	44
Advance care planning, first 30 minutes	99497	47	47
Annual alcohol misuse screening, 5 to 15 minutes	G0442	54	54
Emergency department visit with moderate level of medical decision making	99284	56	56
X-ray of knee, 1-2 views	73560	58	29
Detection test by immunoassay with direct visual observation for influenza virus	87804	60	30
Screening mammography	77067	60	60
Pessary, non rubber, any type	A4562	61	49
Manual urinalysis test with examination using microscope, automated	81001	64	51
Administration of influenza virus vaccine	G0008	66	66
Ultrasound of abdomen and pelvis artery and vein blood flow	93976	69	67
New patient office or other outpatient visit, 60-74 minutes	99205	70	70
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	G0328	78	78
Bacterial colony count, urine	87086	87	76
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	99349	87	35
Insertion of temporary bladder tube	51701	89	80
Insertion of lower leg neurostimulator electrode	64566	105	11
Removal of skin and tissue, 20.0 sq cm or less	11042	123	26
Telephone medical discussion with physician, 21-30 minutes	99443	127	62
Annual depression screening, 5 to 15 minutes	G0444	139	139
Complete ultrasound scan of pelvis	76856	148	140
Stool analysis for blood to screen for colon tumors	82270	149	149
Smear for infectious agents	87210	151	103
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	76830	154	142
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	G0480	166	35
Assessment of emotional or behavioral problems	96127	169	147
Testing for presence of drug, by chemistry analyzers	80307	210	41
Automated urinalysis test	81003	248	224
Fitting and insertion of vaginal support device	57160	300	215
Fluoroscopic guidance for needle placement	77002	317	40
Aspiration and/or injection of fluid from large joint	20610	325	40
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	99490	327	46
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	99348	335	81
Insertion of needle into vein for collection of blood sample	36415	375	300
New patient office or other outpatient visit, 45-59 minutes	99204	383	383
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	G0439	418	418
Established patient office or other outpatient visit, 40-54 minutes	99215	438	239
Established patient office or other outpatient visit, 10-19 minutes	99212	527	380
New patient office or other outpatient visit, 30-44 minutes	99203	823	823
Urinalysis, manual test	81002	1,149	846
Removal of impacted ear wax	69210	1,155	636
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	G0283	1,253	130
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	Q0091	2,523	2,523
Injection of drug or substance under skin or into muscle	96372	6,094	227
Established patient office or other outpatient visit, 30-39 minutes	99214	6,227	3,965
Cervical or vaginal cancer screening; pelvic and clinical breast examination	G0101	7,316	7,316
Established patient office or other outpatient visit, 20-29 minutes	99213	9,188	6,988

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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).