Geriatric Medicine
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 894,657 |
| Established patient office or other outpatient visit, 30-39 minutes | 487,023 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 355,281 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 223,966 |
| Established patient office or other outpatient visit, 20-29 minutes | 200,294 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 176,748 |
| Established patient office or other outpatient visit, 40-54 minutes | 115,454 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 113,931 |
| Insertion of needle into vein for collection of blood sample | 108,503 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 86,689 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 85,683 |
| Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 79,072 |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 76,377 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 55,902 |
| Administration of influenza virus vaccine | 47,310 |
| Advance care planning, first 30 minutes | 46,822 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 44,720 |
| Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 39,305 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 39,062 |
| Annual depression screening, 5 to 15 minutes | 34,180 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 32,638 |
| 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 | 27,689 |
| Injection of drug or substance under skin or into muscle | 27,145 |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 26,590 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 24,907 |
| Blood test, comprehensive group of blood chemicals | 24,153 |
| 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 | 23,959 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23,874 |
| 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 | 23,503 |
| Blood test, lipids (cholesterol and triglycerides) | 23,047 |
| New patient office or other outpatient visit, 60-74 minutes | 22,859 |
| Hemoglobin a1c level | 22,474 |
| Hospital discharge day management, more than 30 minutes | 22,377 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 20,626 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 20,401 |
| 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 | 19,912 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 17,426 |
| Established patient office or other outpatient visit, 10-19 minutes | 16,829 |
| New patient office or other outpatient visit, 45-59 minutes | 16,815 |
| Blood test, thyroid stimulating hormone (tsh) | 16,496 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 15,806 |
| Annual alcohol misuse screening, 5 to 15 minutes | 14,642 |
| 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 | 13,130 |
| Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 13,126 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 12,828 |
| Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | 12,806 |
| Telephone medical discussion with physician, 11-20 minutes | 12,784 |
| Nursing facility discharge management, more than 30 minutes | 12,535 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 12,240 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 11,278 |
| Telephone medical discussion with physician, 21-30 minutes | 11,043 |
| Hospital discharge day management, 30 minutes or less | 10,594 |
| 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 | 10,533 |
| Administration of pneumococcal vaccine | 9,997 |
| 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 | 9,755 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 8,752 |
| Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 8,384 |
| Transitional care management services for problem of high complexity | 8,219 |
| Vitamin d-3 level | 7,901 |
| Urinalysis, manual test | 7,884 |
| Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 7,720 |
| Automated urinalysis test | 7,573 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 6,749 |
| Admn sarscov2 vacc 1 dose | 6,380 |
| Cyanocobalamin (vitamin b-12) level | 6,199 |
| Face-to-face behavioral counseling for obesity, 15 minutes | 6,186 |
| Assessment of emotional or behavioral problems | 6,068 |
| Blood test, basic group of blood chemicals (calcium, total) | 6,018 |
| Telephone medical discussion with physician, 5-10 minutes | 5,987 |
| Thyroxine (thyroid chemical), free | 5,663 |
| Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 5,656 |
| Transitional care management services for problem of at least moderate complexity | 5,610 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 5,011 |
| Nursing facility discharge day management, 30 minutes or less | 4,631 |
| Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 4,582 |
| Urine microalbumin (protein) level | 4,524 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 4,363 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 4,281 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 4,223 |
| New patient office or other outpatient visit, 30-44 minutes | 4,182 |
| Magnesium level | 4,120 |
| Creatinine level to test for kidney function or muscle injury | 4,094 |
| Removal of impacted ear wax | 4,050 |
| Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 4,045 |
| Critical care, first 30-74 minutes | 3,820 |
| Blood glucose (sugar) test performed by hand-held instrument | 3,696 |
| Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 3,678 |
| Therapy procedure using ultrasound | 3,549 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 3,540 |
| Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 3,518 |
| Detection test by immunoassay with direct visual observation for influenza virus | 3,304 |
| Removal of skin and tissue, 20.0 sq cm or less | 3,288 |
| Blood test, clotting time | 3,073 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3,041 |
| Creatine kinase (cardiac enzyme) level, total | 2,952 |
| Uric acid level, blood | 2,933 |
| Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 2,923 |
| Removal of fingernails or toenails, 6 or more nails | 2,829 |
| Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 2,807 |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 2,706 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).