Nurse Practitioners
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 78,498 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 78,530 |
| Annual alcohol misuse screening, 5 to 15 minutes | 78,869 |
| Thyroxine (thyroid chemical), free | 81,049 |
| Telephone medical discussion with physician, 5-10 minutes | 81,089 |
| Vitamin d-3 level | 82,959 |
| Emergency department visit with low level of medical decision making | 83,961 |
| Testing for presence of drug, read by direct observation | 84,803 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 85,111 |
| Hospital discharge day management, 30 minutes or less | 87,290 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 87,468 |
| Removal of fingernails or toenails, 6 or more nails | 87,671 |
| Transitional care management services for problem of high complexity | 88,903 |
| Prolonged nursing facility 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 the physician or qualifi | 90,845 |
| New patient office or other outpatient visit, 60-74 minutes | 91,369 |
| Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 94,849 |
| 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 | 94,886 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 95,961 |
| Professional service for multiple injections of allergen | 99,280 |
| Blood glucose (sugar) test performed by hand-held instrument | 100,599 |
| Prolonged home or residence 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 the physician or qualif | 104,017 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 104,455 |
| Creatinine level to test for kidney function or muscle injury | 104,964 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 106,212 |
| Telephone medical discussion with physician, 21-30 minutes | 108,389 |
| Assessment of emotional or behavioral problems | 109,479 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 114,189 |
| Biopsy of related skin growth, each additional growth | 114,263 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 114,422 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 115,126 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 118,528 |
| Blood test, basic group of blood chemicals (calcium, total) | 118,912 |
| Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 134,787 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 135,758 |
| Removal of impacted ear wax | 136,888 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 140,711 |
| Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 140,809 |
| Telephone medical discussion with physician, 11-20 minutes | 142,356 |
| Blood test, clotting time | 147,516 |
| Manual urinalysis test with examination using microscope, automated | 149,013 |
| X-ray of chest, 2 views | 156,030 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 161,327 |
| Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 164,480 |
| Nursing facility discharge management, more than 30 minutes | 177,517 |
| Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 191,977 |
| Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 193,012 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 198,391 |
| Blood test, thyroid stimulating hormone (tsh) | 210,498 |
| Anticoagulant management of patient taking warfarin | 211,147 |
| Ultrasound measurement of bladder capacity after voiding | 212,344 |
| Annual depression screening, 5 to 15 minutes | 221,883 |
| Testing for presence of drug, by chemistry analyzers | 223,522 |
| 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 | 228,602 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 235,346 |
| Professional service for preparation and provision of 1 or more antigens | 238,482 |
| 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 | 238,522 |
| Critical care, first 30-74 minutes | 248,352 |
| Hospital discharge day management, more than 30 minutes | 253,050 |
| Destruction of skin growth, 1-14 growths | 260,424 |
| Aspiration and/or injection of fluid from large joint | 270,225 |
| Biopsy of related skin growth, first growth | 283,682 |
| Blood test, lipids (cholesterol and triglycerides) | 288,284 |
| Urinalysis, manual test | 291,834 |
| Emergency department visit with high level of medical decision making | 312,004 |
| Test for allergy using allergenic extract | 319,355 |
| Emergency department visit with moderate level of medical decision making | 356,764 |
| Removal of skin and tissue, 20.0 sq cm or less | 361,321 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 376,988 |
| Administration of influenza virus vaccine | 388,724 |
| Detection test by immunoassay with direct visual observation for influenza virus | 398,884 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 430,222 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 432,552 |
| Blood test, comprehensive group of blood chemicals | 489,566 |
| Hemoglobin a1c level | 491,398 |
| Destruction of precancer skin growth, 1 growth | 525,549 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 559,285 |
| Advance care planning, first 30 minutes | 585,816 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 613,472 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 620,396 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 625,299 |
| Established patient office or other outpatient visit, 10-19 minutes | 653,605 |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 673,049 |
| Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 695,068 |
| Automated urinalysis test | 724,266 |
| New patient office or other outpatient visit, 45-59 minutes | 830,988 |
| New patient office or other outpatient visit, 30-44 minutes | 930,775 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 985,207 |
| Injection of drug or substance under skin or into muscle | 1,039,783 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1,058,610 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,149,962 |
| Established patient office or other outpatient visit, 40-54 minutes | 1,176,455 |
| Destruction of precancer skin growth, 2-14 growths | 1,649,302 |
| Insertion of needle into vein for collection of blood sample | 1,695,577 |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 1,877,552 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,511,440 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 4,091,591 |
| Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 4,413,627 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 5,724,870 |
| Established patient office or other outpatient visit, 20-29 minutes | 8,696,982 |
| Established patient office or other outpatient visit, 30-39 minutes | 11,842,392 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).