Nephrology (Kidney)
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,848,746 |
| Established patient office or other outpatient visit, 30-39 minutes | 1,946,590 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,674,089 |
| Dialysis services, 4 or more physician visits per month (20 years or older) | 1,101,411 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 554,462 |
| Hemodialysis procedure with physician evaluation | 460,090 |
| Established patient office or other outpatient visit, 20-29 minutes | 440,314 |
| Dialysis services, 2-3 physician visits per month (20 years or older) | 346,380 |
| Established patient office or other outpatient visit, 40-54 minutes | 337,047 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 311,245 |
| Insertion of needle into vein for collection of blood sample | 302,265 |
| Dialysis services, per day, less than full month service (20 years or older) | 252,170 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 179,269 |
| Home dialysis services per month (20 years or older) | 174,028 |
| Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 167,346 |
| New patient office or other outpatient visit, 45-59 minutes | 162,967 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 123,616 |
| Creatinine level to test for kidney function or muscle injury | 117,207 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 115,692 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 112,040 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 107,967 |
| Kidney function blood test panel | 107,346 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 103,238 |
| Critical care, first 30-74 minutes | 91,778 |
| Parathormone (parathyroid hormone) level | 86,511 |
| Dialysis services, 1 physician visit per month (20 years or older) | 82,778 |
| Total protein level, urine | 76,665 |
| Automated urinalysis test | 65,339 |
| Magnesium level | 62,859 |
| New patient office or other outpatient visit, 60-74 minutes | 62,775 |
| Blood test, comprehensive group of blood chemicals | 61,701 |
| Dialysis procedure including 1 evaluation | 56,883 |
| Phosphate level | 55,791 |
| 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 | 55,511 |
| Injection of drug or substance under skin or into muscle | 53,928 |
| Manual urinalysis test with examination using microscope, automated | 51,118 |
| Vitamin d-3 level | 48,987 |
| Urine microalbumin (protein) level | 46,079 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 40,703 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 40,157 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 37,639 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 37,429 |
| Uric acid level, blood | 34,662 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 32,438 |
| Urinalysis, manual test | 32,434 |
| Hospital discharge day management, more than 30 minutes | 28,201 |
| Blood count, hemoglobin | 27,800 |
| Iron level | 27,760 |
| Ferritin (blood protein) level | 26,525 |
| Blood test, basic group of blood chemicals (calcium, total) | 23,799 |
| Iron binding capacity | 23,412 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19,085 |
| Hemodialysis procedure requiring repeated evaluation | 18,877 |
| New patient office or other outpatient visit, 30-44 minutes | 17,669 |
| Manual urinalysis test with examination using microscope, non-automated | 17,491 |
| Telephone medical discussion with physician, 21-30 minutes | 15,939 |
| Telephone medical discussion with physician, 11-20 minutes | 15,629 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 15,104 |
| Blood test, lipids (cholesterol and triglycerides) | 14,108 |
| Measurement of complement (immune system proteins), antigen, | 13,593 |
| Hospital discharge day management, 30 minutes or less | 13,320 |
| Established patient office or other outpatient visit, 10-19 minutes | 12,995 |
| Hemoglobin a1c level | 12,746 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 12,498 |
| Advance care planning, first 30 minutes | 12,261 |
| Administration of influenza virus vaccine | 12,150 |
| Complete ultrasound scan behind abdominal cavity | 11,784 |
| Cystatin c (enzyme inhibitor) level | 11,656 |
| Balloon dilation of dialysis segment with review by radiologist | 11,584 |
| Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 11,185 |
| Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 10,844 |
| Review by radiologist of arm or leg artery image | 10,547 |
| Annual depression screening, 5 to 15 minutes | 9,658 |
| Insertion of tube into chest or arm artery, each first order branch | 9,524 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 9,343 |
| Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 8,709 |
| Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 8,208 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 8,115 |
| Red blood cell concentration measurement | 8,090 |
| Ultrasonic guidance for blood vessel access | 7,457 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 7,391 |
| Removal of tunneled central venous tube | 6,892 |
| Cyanocobalamin (vitamin b-12) level | 6,817 |
| Transitional care management services for problem of high complexity | 6,400 |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 6,145 |
| Blood test, thyroid stimulating hormone (tsh) | 6,059 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 6,042 |
| Albumin (protein) level | 6,020 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 5,710 |
| 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 | 5,598 |
| Folic acid level, serum | 5,580 |
| 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 | 5,426 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 5,021 |
| Transferrin (iron binding protein) level | 4,694 |
| Telephone medical discussion with physician, 5-10 minutes | 4,494 |
| Red blood count automated, with additional calculations | 4,494 |
| Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 4,462 |
| Replacement of tunneled central venous tube | 4,307 |
| 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 | 4,134 |
| Blood creatinine level | 4,130 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).