Internal Medicine
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Established patient office or other outpatient visit, 30-39 minutes | 13,638,285 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 8,363,448 |
| Established patient office or other outpatient visit, 20-29 minutes | 6,683,633 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 6,017,499 |
| Insertion of needle into vein for collection of blood sample | 4,308,223 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3,829,224 |
| Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 3,055,550 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 2,376,600 |
| Hospital discharge day management, more than 30 minutes | 2,277,948 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,960,307 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,885,788 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1,878,012 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1,489,453 |
| Blood test, comprehensive group of blood chemicals | 1,447,163 |
| Established patient office or other outpatient visit, 40-54 minutes | 1,413,085 |
| Administration of influenza virus vaccine | 1,404,064 |
| Blood test, lipids (cholesterol and triglycerides) | 1,324,142 |
| Hemoglobin a1c level | 1,255,535 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,179,360 |
| Blood test, thyroid stimulating hormone (tsh) | 962,969 |
| Annual depression screening, 5 to 15 minutes | 940,107 |
| Injection of drug or substance under skin or into muscle | 877,483 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 835,382 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 764,323 |
| 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 | 756,006 |
| Advance care planning, first 30 minutes | 733,207 |
| Hospital discharge day management, 30 minutes or less | 584,001 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 488,305 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 482,604 |
| Automated urinalysis test | 412,888 |
| Blood test, basic group of blood chemicals (calcium, total) | 399,785 |
| Critical care, first 30-74 minutes | 392,941 |
| Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 391,947 |
| Vitamin d-3 level | 388,323 |
| New patient office or other outpatient visit, 45-59 minutes | 386,734 |
| Thyroxine (thyroid chemical), free | 386,090 |
| Administration of pneumococcal vaccine | 385,623 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 384,895 |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 380,625 |
| Established patient office or other outpatient visit, 10-19 minutes | 375,763 |
| Annual alcohol misuse screening, 5 to 15 minutes | 357,073 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 342,702 |
| Manual urinalysis test with examination using microscope, automated | 306,381 |
| Urinalysis, manual test | 292,385 |
| Cyanocobalamin (vitamin b-12) level | 291,712 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 291,098 |
| 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 | 259,000 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 257,068 |
| Creatinine level to test for kidney function or muscle injury | 254,039 |
| Test for allergy using allergenic extract | 242,184 |
| Telephone medical discussion with physician, 11-20 minutes | 237,075 |
| Urine microalbumin (protein) level | 231,359 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 230,287 |
| Blood test, clotting time | 216,363 |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 196,578 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 190,025 |
| X-ray of chest, 2 views | 187,478 |
| Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 186,004 |
| 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 | 181,066 |
| Ferritin (blood protein) level | 162,360 |
| Transitional care management services for problem of high complexity | 160,899 |
| Iron level | 157,526 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 157,395 |
| Magnesium level | 156,484 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 154,912 |
| Anticoagulant management of patient taking warfarin | 150,234 |
| Uric acid level, blood | 144,795 |
| Transitional care management services for problem of at least moderate complexity | 141,555 |
| Blood glucose (sugar) test performed by hand-held instrument | 140,072 |
| Liver function blood test panel | 138,865 |
| Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 137,880 |
| 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 | 135,922 |
| Telephone medical discussion with physician, 21-30 minutes | 132,884 |
| New patient office or other outpatient visit, 30-44 minutes | 128,457 |
| Professional service for preparation and provision of 1 or more antigens | 126,930 |
| Prostate cancer screening; prostate specific antigen test (psa) | 126,170 |
| 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 | 123,299 |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 120,944 |
| Admn sarscov2 vacc 1 dose | 120,718 |
| Psa (prostate specific antigen) measurement, total | 115,488 |
| Iron binding capacity | 114,195 |
| Telephone medical discussion with physician, 5-10 minutes | 108,680 |
| Face-to-face behavioral counseling for obesity, 15 minutes | 108,261 |
| Detection test by immunoassay with direct visual observation for influenza virus | 108,209 |
| Creatine kinase (cardiac enzyme) level, total | 104,178 |
| Dxa bone density measurement of hip, pelvis, spine | 103,986 |
| Folic acid level, serum | 103,665 |
| Assessment of emotional or behavioral problems | 97,520 |
| New patient office or other outpatient visit, 60-74 minutes | 96,616 |
| Emergency department visit with high level of medical decision making | 94,392 |
| 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 | 89,205 |
| Ldl cholesterol level | 88,060 |
| Removal of skin and tissue, 20.0 sq cm or less | 87,750 |
| Blood glucose (sugar) level | 86,881 |
| Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 83,712 |
| Ultrasound of both sides of head and neck blood flow | 78,415 |
| Measurement of antibody (ige) to allergic substance, crude allergen extract, each | 76,450 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 75,781 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 72,954 |
| Thyroid hormone, t3 measurement, free | 72,265 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).