Ophthalmology
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Creation of shunt to improve eye fluid flow using tissue graft | 4,001 |
| Removal of eye fluid | 4,020 |
| Insertion of eye fluid drainage device | 4,076 |
| Incision and drainage of abscess of eyelid | 4,108 |
| Injection of drug into cavity behind eye | 4,163 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 4,176 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 4,296 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 4,528 |
| Evaluation of eye adaptation to light and dark with interpretation and report | 4,622 |
| Injection into skin growth, 1-7 growths | 4,707 |
| Repair of detached retina with drainage and removal of eye fluid between lens and retina | 4,716 |
| Ultrasound of within the brain blood flow following medication | 4,719 |
| Ultrasound of within the brain blood flow for blood clots | 4,777 |
| Complete ultrasound of within the brain blood flow | 5,153 |
| Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 5,444 |
| 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 | 5,653 |
| Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye | 5,702 |
| Near infrared dual imaging of tear glands with interpretation and report | 5,771 |
| Injection of drug or substance into membrane covering eyeball | 5,878 |
| Injection of medication into eye | 5,886 |
| Release of arm or leg nerve | 6,138 |
| Dilation of tear drainage opening | 6,203 |
| Repair of brow paralysis | 6,256 |
| Pattern recording of retinal electrical responses to external stimuli with interpretation and report | 6,271 |
| Release of nerve using operating microscope | 6,393 |
| Ultrasound scan of eye using water bath method | 6,489 |
| Removal of eye fluid (vitreous) between lens and retina | 6,523 |
| Extended exam involving color vision testing | 6,703 |
| 1d and 2d ultrasound scan of eye tissue and structures | 7,064 |
| Transplantation of outer layer of corneal tissue | 8,353 |
| Extensive repair of turning-outward eyelid defect | 8,777 |
| Insertion of probe into nasal tear duct | 8,813 |
| Fitting of contact lens for treatment of eye surface disease | 8,963 |
| New patient office or other outpatient visit, 15-29 minutes | 8,990 |
| Removal of membrane of retina with removal of internal limiting membrane of retina | 9,372 |
| Photocoagulation treatment to prevent detachment of retina | 9,517 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 10,391 |
| Measurement of nerve conduction using visual stimulation testing with report | 10,754 |
| Multiple measurements of eye fluid pressure over an extended time period | 11,086 |
| Destruction of leaking blood vessels of retina using laser | 11,426 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 12,814 |
| Dilation of fluid outflow drainage within eye | 13,925 |
| Creation of eye fluid drainage tracts in iris using a laser, per session | 15,081 |
| Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 16,102 |
| Placement of amniotic membrane on eye surface for wound healing | 17,687 |
| Destruction of growth of retina using a laser | 19,414 |
| Measurement of corneal pressure | 19,877 |
| Repair of tendon of upper eyelid | 19,988 |
| Probing of nasal tear duct | 21,073 |
| Injection of chemical for paralysis of nerve muscles on side of face | 23,991 |
| Imaging of front third of eye | 24,103 |
| Incision to improve eye fluid flow | 24,336 |
| Removal of growth of eyelid | 24,466 |
| New patient office or other outpatient visit, 60-74 minutes | 26,518 |
| Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 27,430 |
| Analysis of substance using immunoassay technique, multiple step method | 35,494 |
| Removal of excessive skin and fat of upper eyelid | 35,815 |
| New patient problem focused exam of visual system | 42,275 |
| Exam of visual field with limited testing | 46,251 |
| Exam of visual field with intermediate testing | 46,839 |
| Removal of eyelashes using forceps | 47,606 |
| Measurement of retinal and optic nerve function | 48,067 |
| Unclassified drugs | 49,819 |
| Imaging of front third of eye using a special microscope | 58,929 |
| Established patient office or other outpatient visit, 40-54 minutes | 69,540 |
| Unclassified biologics | 70,535 |
| Test for allergy using allergenic extract | 73,481 |
| Exam to measure eye deviation and range of motion | 78,020 |
| Insertion of drug delivery implant into tear duct of eye | 80,967 |
| Laser repair to improve eye fluid flow | 97,061 |
| 2d ultrasound scan of eye tissue and structures | 99,528 |
| Ultrasound scan to determine eye length and lens power | 103,383 |
| Complex removal of cataract with insertion of prosthetic lens | 111,421 |
| New patient office or other outpatient visit, 30-44 minutes | 130,789 |
| Exam of retinal blood vessels using a special camera after injection of a dye | 151,008 |
| Compounded drug, not otherwise classified | 177,724 |
| Established patient office or other outpatient visit, 10-19 minutes | 206,649 |
| Ct scan of cornea | 216,060 |
| Closure of tear duct opening using plug | 228,514 |
| Photography of content of eyes | 253,033 |
| Ultrasound scan of cornea to determine thickness | 276,350 |
| Extended exam of the back part of the eye with retinal drawing | 293,766 |
| Microfluid analysis of tears | 300,218 |
| Extended exam of the back part of the eye with optic nerve drawing | 381,237 |
| Removal of recurring cataract in lens capsule using a laser | 534,378 |
| Exam of the internal drainage system of eye | 541,939 |
| New patient complete exam of visual system | 721,163 |
| New patient office or other outpatient visit, 45-59 minutes | 787,709 |
| Photography of the retina | 1,404,990 |
| Measurement of corneal curvature and depth of eye | 1,615,046 |
| Exam of visual field with extended testing | 1,732,851 |
| Removal of cataract with insertion of prosthetic lens | 1,734,855 |
| Imaging of optic nerve | 1,765,900 |
| Injection of drug into eye | 2,069,845 |
| Established patient problem focused exam of visual system | 2,240,450 |
| Established patient office or other outpatient visit, 20-29 minutes | 2,311,684 |
| Established patient office or other outpatient visit, 30-39 minutes | 2,829,686 |
| Imaging of retina | 4,653,298 |
| Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 4,770,688 |
| Established patient complete exam of visual system | 4,862,165 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).