Interventional Cardiology
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Established patient office or other outpatient visit, 30-39 minutes | 2,414,381 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,993,065 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,365,526 |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 1,290,426 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 669,254 |
| Established patient office or other outpatient visit, 20-29 minutes | 510,176 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 415,716 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 373,643 |
| New patient office or other outpatient visit, 45-59 minutes | 268,595 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 247,287 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 242,921 |
| Established patient office or other outpatient visit, 40-54 minutes | 239,324 |
| Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 227,829 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 170,725 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 163,212 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 160,457 |
| Ultrasound of both sides of head and neck blood flow | 152,189 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 146,576 |
| Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 143,431 |
| Technetium tc-99m sestamibi, diagnostic, per study dose | 132,807 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 132,766 |
| Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 119,466 |
| Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch | 115,800 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 115,448 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 113,696 |
| Blood test, clotting time | 104,910 |
| Anticoagulant management of patient taking warfarin | 101,241 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 97,723 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 97,279 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 91,677 |
| Technetium tc-99m tetrofosmin, diagnostic, per study dose | 91,424 |
| Insertion of needle into vein for collection of blood sample | 79,828 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 76,231 |
| Ultrasound of heart, follow-up | 75,343 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 70,360 |
| New patient office or other outpatient visit, 60-74 minutes | 65,006 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 64,154 |
| Programming of dual lead pacemaker system | 62,581 |
| Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 57,317 |
| Insertion of tube in coronary artery for diagnosis with review by radiologist | 54,679 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 51,928 |
| Ultrasound of leg arteries or artery grafts | 49,636 |
| Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 47,237 |
| Heart muscle strain imaging | 47,062 |
| Ultrasound of heart blood flow, valves and chambers, follow-up | 38,610 |
| Critical care, first 30-74 minutes | 38,606 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 38,278 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 35,623 |
| Heart rhythm review and interpretation of continous external ekg over 8-15 days | 34,759 |
| Replacement of aortic valve through the skin and femoral artery | 33,999 |
| Ultrasound of heart with probe in esophagus, with report | 33,995 |
| Blood test, lipids (cholesterol and triglycerides) | 33,490 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 32,931 |
| Ultrasonic guidance for blood vessel access | 32,900 |
| Blood test, comprehensive group of blood chemicals | 32,632 |
| New patient office or other outpatient visit, 30-44 minutes | 31,694 |
| Ultrasound of heart blood flow, valves and chambers | 31,636 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 30,457 |
| Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 29,567 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 29,227 |
| Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel | 28,135 |
| Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 27,379 |
| 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 | 27,031 |
| Ultrasound study of arm and leg arteries | 24,487 |
| Established patient office or other outpatient visit, 10-19 minutes | 23,507 |
| Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 23,504 |
| Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 22,600 |
| Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 22,349 |
| Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report | 22,344 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 21,628 |
| Electrocardiogram (ecg) 2-day continuous with review and report by health care professional | 20,666 |
| Nuclear medicine study of heart muscle blood flow by pet | 20,588 |
| Routine electrocardiogram (ecg) using at least 12 leads with tracing | 20,543 |
| Electrocardiogram (ecg) 2-day continuous with review by health care professional | 20,218 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 17,865 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 17,730 |
| Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 17,328 |
| Heart rhythm recording of continous external ekg over 8-15 days | 15,997 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) | 15,678 |
| Complete ultrasound study of arm and leg arteries | 15,437 |
| External shock to heart to regulate heart beat | 15,297 |
| Repair of left upper heart chamber with implant with review by radiologist | 15,252 |
| Blood test, basic group of blood chemicals (calcium, total) | 14,934 |
| Hospital discharge day management, 30 minutes or less | 14,858 |
| Evaluation of single, dual, multiple lead or leadless pacemaker system | 14,421 |
| Hospital discharge day management, more than 30 minutes | 12,391 |
| Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 11,988 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 10,785 |
| External counterpulsation, per treatment session | 10,496 |
| Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent | 10,233 |
| Blood test, thyroid stimulating hormone (tsh) | 10,139 |
| Insertion of tube in right heart chambers for measurement | 9,476 |
| Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 9,422 |
| Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional | 9,070 |
| Natriuretic peptide (heart and blood vessel protein) level | 8,641 |
| 3d radiographic procedure | 8,608 |
| Telephone medical discussion with physician, 11-20 minutes | 8,584 |
| Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 8,424 |
| Telephone medical discussion with physician, 21-30 minutes | 8,097 |
| Hemoglobin a1c level | 7,751 |
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Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).