Infectious Disease
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Removal of tunneled central venous tube | 803 |
| 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 | 831 |
| Red blood cell sedimentation rate, to detect inflammation, non-automated | 851 |
| Nursing facility discharge management, more than 30 minutes | 866 |
| Assessment of emotional or behavioral problems | 867 |
| Iron level | 880 |
| Infusion into a vein for hydration, each additional hour | 908 |
| Uric acid level, blood | 928 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 945 |
| Administration of vaccine | 979 |
| Ferritin (blood protein) level | 1,014 |
| Creatinine level to test for kidney function or muscle injury | 1,026 |
| Phosphate level | 1,060 |
| Urine microalbumin (protein) level | 1,067 |
| Transitional care management services for problem of high complexity | 1,110 |
| Removal of muscle and/or tissue, 20.0 sq cm or less | 1,128 |
| Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 1,173 |
| Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 1,199 |
| Cyanocobalamin (vitamin b-12) level | 1,200 |
| Adm sarscv2 bvl 30mcg/.3ml a | 1,285 |
| Magnesium level | 1,389 |
| Interpretation and report of genetic testing | 1,428 |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 1,430 |
| Administration of pneumococcal vaccine | 1,468 |
| Creatine kinase (cardiac enzyme) level, total | 1,471 |
| 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 | 1,501 |
| Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes | 1,537 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,653 |
| Telephone medical discussion with physician, 5-10 minutes | 1,698 |
| Transitional care management services for problem of at least moderate complexity | 1,795 |
| Vitamin d-3 level | 1,815 |
| Annual depression screening, 5 to 15 minutes | 1,840 |
| Advance care planning, first 30 minutes | 1,920 |
| Removal of tissue from wound, each additional 20.0 sq cm | 1,941 |
| Thyroxine (thyroid chemical), free | 2,076 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 2,139 |
| Manual urinalysis test with examination using microscope, automated | 2,163 |
| 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 | 2,278 |
| Red blood cell sedimentation rate, to detect inflammation, automated | 2,435 |
| Liver function blood test panel | 2,444 |
| Measurement c-reactive protein for detection of infection or inflammation | 2,520 |
| Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 2,763 |
| Application of vein wound compression bandages on lower leg, ankle, and foot | 2,810 |
| Kerecis omega3, per square centimeter | 2,855 |
| Administration of chemotherapy into vein, each additional hour | 3,003 |
| Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 3,063 |
| Telephone medical discussion with physician, 21-30 minutes | 3,302 |
| Hemoglobin a1c level | 3,373 |
| Telephone medical discussion with physician, 11-20 minutes | 3,760 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 3,931 |
| Blood test, thyroid stimulating hormone (tsh) | 3,933 |
| Blood test, basic group of blood chemicals (calcium, total) | 3,938 |
| Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 4,098 |
| Admn sarscov2 vacc 1 dose | 4,226 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 4,249 |
| Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion | 4,637 |
| Hospital discharge day management, 30 minutes or less | 5,013 |
| 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 | 5,042 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 5,263 |
| Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 5,305 |
| Injection of drug or substance into vein | 5,356 |
| Blood test, lipids (cholesterol and triglycerides) | 5,856 |
| Administration of chemotherapy into vein, 1 hour or less | 6,291 |
| 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 | 6,890 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 7,005 |
| New patient office or other outpatient visit, 30-44 minutes | 7,121 |
| Management of oxygen chamber therapy | 7,387 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 7,792 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 9,130 |
| Hospital discharge day management, more than 30 minutes | 9,142 |
| Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 9,390 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 10,377 |
| Blood test, comprehensive group of blood chemicals | 10,608 |
| Injection of additional new drug or substance into vein | 10,746 |
| Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 11,202 |
| Administration of influenza virus vaccine | 11,519 |
| Established patient office or other outpatient visit, 10-19 minutes | 11,535 |
| New patient office or other outpatient visit, 60-74 minutes | 14,145 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 14,915 |
| Refilling and maintenance of portable pump | 15,298 |
| Removal of tissue from wound, 20.0 sq cm or less | 16,002 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 16,300 |
| Injection of drug or substance under skin or into muscle | 19,718 |
| Removal of skin and tissue, 20.0 sq cm or less | 22,948 |
| Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 25,981 |
| New patient office or other outpatient visit, 45-59 minutes | 28,070 |
| Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 37,120 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 41,565 |
| Insertion of needle into vein for collection of blood sample | 49,724 |
| Critical care, first 30-74 minutes | 52,554 |
| Established patient office or other outpatient visit, 40-54 minutes | 64,956 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 75,124 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 117,958 |
| Established patient office or other outpatient visit, 20-29 minutes | 160,993 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 191,244 |
| Established patient office or other outpatient visit, 30-39 minutes | 324,947 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 331,154 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 475,901 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,155,817 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,098,341 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).