Hematology & Oncology

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Established patient office or other outpatient visit, 30-39 minutes	99214	2,985,577	1,299,978
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85025	2,261,618	662,990
Insertion of needle into vein for collection of blood sample	36415	1,944,424	633,123
Blood test, comprehensive group of blood chemicals	80053	1,201,440	407,575
Established patient office or other outpatient visit, 20-29 minutes	99213	1,187,591	695,726
Established patient office or other outpatient visit, 40-54 minutes	99215	1,117,544	479,926
Administration of chemotherapy into vein, 1 hour or less	96413	716,225	186,993
Injection of drug or substance under skin or into muscle	96372	714,845	199,948
Injection of additional new drug or substance into vein	96375	692,512	126,152
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	96367	566,659	111,159
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	435,439	155,668
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	414,786	143,498
Flow cytometry technique for dna or cell analysis, each additional marker	88185	383,850	14,057
Lactate dehydrogenase (enzyme) level	83615	362,754	160,220
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	96365	355,600	151,070
Ferritin (blood protein) level	82728	318,043	165,070
Iron level	83540	278,506	147,544
Gammaglobulin (immune system protein) measurement	82784	264,657	47,496
Iron binding capacity	83550	256,741	136,816
New patient office or other outpatient visit, 60-74 minutes	99205	219,217	219,191
Administration of chemotherapy into vein, each additional hour	96415	218,868	54,031
Magnesium level	83735	203,233	72,322
Administration of additional new drug or substance into vein, 1 hour or less	96417	195,760	58,417
Unclassified drugs	J3490	187,520	32,823
Infusion into a vein for hydration, each additional hour	96361	166,911	42,165
New patient office or other outpatient visit, 45-59 minutes	99204	160,748	160,726
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	96401	160,113	32,926
Uric acid level, blood	84550	156,300	64,109
Phosphate level	84100	147,759	60,767
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	96366	144,725	32,362
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	144,663	131,614
Cyanocobalamin (vitamin b-12) level	82607	119,464	81,716
Carcinoembryonic antigen (cea) protein level	82378	110,127	46,884
Blood test, thyroid stimulating hormone (tsh)	84443	99,906	47,107
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	96402	87,036	27,712
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	86,398	79,886
Folic acid level, serum	82746	84,793	58,739
Blood test, basic group of blood chemicals (calcium, total)	80048	83,124	30,993
Infusion into a vein for hydration, 31-60 minutes	96360	78,626	33,966
Complete blood cell count (red cells, white blood cell, platelets), automated test	85027	77,586	25,768
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3	86300	70,594	32,645
Liver function blood test panel	80076	66,892	23,088
Measurement of immunoglobulin light chains	83521	64,434	17,736
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	99490	63,505	15,579
Irrigation of implanted venous access drug delivery device	96523	60,450	26,990
Psa (prostate specific antigen) measurement, total	84153	57,630	22,655
Microscopic examination for white blood cells with manual cell count	85007	56,428	17,498
Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services	M0010	51,138	11,241
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99231	50,500	22,478
Protein measurement, serum	84165	48,341	26,888
Established patient office or other outpatient visit, 10-19 minutes	99212	47,887	29,343
Administration of additional new drug or substance into vein using push technique	96411	47,300	15,722
Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion	96368	44,461	14,955
Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie	A9607	42,515	113
Injection of drug or substance into vein	96374	40,142	22,377
Immunologic analysis technique on serum (immunofixation)	86334	38,894	22,263
Ct scan of chest with contrast	71260	37,846	29,732
Thyroxine (thyroid chemical), free	84439	37,468	16,568
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	A9552	33,561	26,110
Nuclear medicine study from skull base to mid-thigh with ct scan	78815	32,623	25,589
Vitamin d-3 level	82306	32,600	23,308
Blood test, clotting time	85610	32,096	9,152
Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l	G0498	31,474	9,696
Nephelometry, test method using light	83883	31,452	8,597
Bilirubin level, direct	82248	29,621	11,436
Ct scan of abdomen and pelvis with contrast	74177	29,532	24,032
Beta-2 microglobulin (protein) level	82232	29,415	15,314
Blood creatinine level	82565	29,407	15,530
Collection of blood sample from implanted device	36591	29,250	15,429
Calcium level, total	82310	28,699	9,536
Telephone medical discussion with physician, 11-20 minutes	99442	27,880	21,028
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99211	27,179	14,964
Blood chloride level	82435	26,948	8,393
Blood sodium level	84295	26,388	7,979
Telephone medical discussion with physician, 21-30 minutes	99443	26,311	18,198
New patient office or other outpatient visit, 30-44 minutes	99203	25,468	25,463
Drawing of blood for a medical problem	99195	25,461	12,009
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	24,440	13,068
Red blood count, automated test	85045	23,147	15,660
Measurement of substance using immunoassay technique	83520	21,309	6,470
Bilirubin level, total	82247	20,833	6,019
Total protein level, blood	84155	20,338	5,643
Liver enzyme (sgot), level	84450	19,888	5,116
Phosphatase (enzyme) level, alkaline	84075	19,850	5,094
Liver enzyme (sgpt), level	84460	19,439	4,916
Urea nitrogen level to assess kidney function, quantitative	84520	19,373	8,227
Reticulated (young) platelet measurement	85055	19,262	7,366
Albumin (protein) level	82040	18,946	4,654
Red blood count automated, with additional calculations	85046	18,866	12,259
Red blood count, manual test	85044	17,909	11,560
Blood potassium level	84132	17,249	4,022
Flow cytometry technique for dna or cell analysis, first marker	88184	16,414	13,969
Urinalysis, manual test	81002	15,451	7,563
Telephone medical discussion with physician, 5-10 minutes	99441	14,905	11,603
Red blood cell sedimentation rate, to detect inflammation, non-automated	85651	14,146	9,474
Transferrin (iron binding protein) level	84466	13,803	7,668
Blood test, basic group of blood chemicals (calcium, ionized)	80047	12,814	4,433
Cortisol (hormone) measurement, total	82533	12,631	4,151
Hospital discharge day management, more than 30 minutes	99239	12,536	11,620
Administration of influenza virus vaccine	G0008	12,476	12,404

← Back to Hematology & Oncology

Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).