Emergency Medicine
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Emergency department visit with high level of medical decision making | 7,014,706 |
| Emergency department visit with moderate level of medical decision making | 3,373,579 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 2,824,279 |
| Critical care, first 30-74 minutes | 1,544,946 |
| Emergency department visit with low level of medical decision making | 595,867 |
| Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 555,599 |
| Established patient office or other outpatient visit, 20-29 minutes | 393,682 |
| Established patient office or other outpatient visit, 30-39 minutes | 318,522 |
| Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 161,697 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 121,082 |
| New patient office or other outpatient visit, 30-44 minutes | 115,237 |
| New patient office or other outpatient visit, 45-59 minutes | 86,879 |
| Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 66,413 |
| Detection test by immunoassay with direct visual observation for influenza virus | 61,253 |
| Removal of skin and tissue, 20.0 sq cm or less | 58,525 |
| X-ray of chest, 2 views | 56,226 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 55,083 |
| Injection of drug or substance under skin or into muscle | 50,947 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49,858 |
| Ground mileage, per statute mile | 48,829 |
| X-ray of chest, 1 view | 43,725 |
| Insertion of needle into vein for collection of blood sample | 43,533 |
| Established patient office or other outpatient visit, 10-19 minutes | 43,089 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 40,086 |
| Automated urinalysis test | 39,909 |
| Emergency department visit with straightforward medical decision making | 33,656 |
| Critical care, each additional 30 minutes | 31,909 |
| Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 31,770 |
| Ultrasound of heart, follow-up | 31,677 |
| Urinalysis, manual test | 28,954 |
| Established patient office or other outpatient visit, 40-54 minutes | 28,144 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 28,072 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 27,660 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 26,518 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 25,704 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 25,560 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 22,633 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 21,805 |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 20,139 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 19,396 |
| Hospital discharge day management, 30 minutes or less | 19,026 |
| Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 18,747 |
| Hospital discharge day management, more than 30 minutes | 18,706 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 18,519 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 18,057 |
| Management of oxygen chamber therapy | 17,730 |
| Removal of tissue from wound, 20.0 sq cm or less | 17,454 |
| Blood test, comprehensive group of blood chemicals | 17,113 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 16,861 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16,367 |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 16,267 |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 15,749 |
| Professional service for preparation and provision of 1 or more antigens | 15,090 |
| Professional services for outpatient pulmonary rehabilitation, per session | 13,802 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 12,681 |
| Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 11,699 |
| Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 11,490 |
| Ultrasound scan of chest | 11,160 |
| Aspiration and/or injection of fluid from large joint | 10,503 |
| Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 10,458 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 10,394 |
| Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 10,316 |
| Manual urinalysis test with examination using microscope, automated | 8,862 |
| Advance care planning, first 30 minutes | 8,715 |
| Telephone medical discussion with physician, 11-20 minutes | 8,499 |
| Routine electrocardiogram (ecg) using at least 12 leads with tracing | 8,317 |
| Telephone medical discussion with physician, 5-10 minutes | 8,229 |
| New patient office or other outpatient visit, 15-29 minutes | 7,782 |
| New patient office or other outpatient visit, 60-74 minutes | 7,504 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 7,389 |
| 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 | 7,085 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6,718 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 6,670 |
| Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services | 6,584 |
| Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 6,398 |
| Professional services for outpatient pulmonary rehabilitation with continuous monitoring of blood oxygen, per session | 6,321 |
| X-ray of foot, minimum of 3 views | 6,248 |
| Fluoroscopic guidance for needle placement | 6,130 |
| Limited ultrasound scan of abdomen | 6,124 |
| Administration of influenza virus vaccine | 6,105 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 5,982 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 5,977 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 5,865 |
| Blood test, basic group of blood chemicals (calcium, total) | 5,737 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 5,676 |
| Physician or allowed practitioner re-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 a | 5,534 |
| Troponin (protein) analysis, quantitative | 5,499 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 5,472 |
| Injection of drug or substance into vein | 5,450 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 5,382 |
| Infusion into a vein for hydration, 31-60 minutes | 5,263 |
| Testing for presence of drug, read by direct observation | 5,255 |
| Destruction of precancer skin growth, 2-14 growths | 5,227 |
| Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 5,032 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 4,989 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 4,981 |
| X-ray of shoulder, minimum of 2 views | 4,947 |
| Telephone medical discussion with physician, 21-30 minutes | 4,873 |
| Detection test by nucleic acid for multiple types influenza virus | 4,775 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 4,770 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).