Pain Medicine

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Established patient office or other outpatient visit, 30-39 minutes	99214	2,383,060	896,384
Established patient office or other outpatient visit, 20-29 minutes	99213	1,394,332	597,814
Testing for presence of drug, by chemistry analyzers	80307	470,147	217,910
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	K1034	457,081	37,349
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	64483	366,771	266,150
New patient office or other outpatient visit, 45-59 minutes	99204	366,312	366,282
Injection of substance into lower spine canal using imaging guidance	62323	323,142	234,709
Injection of lower or sacral spine facet joint using imaging guidance, single level	64493	266,637	172,914
Injection of lower or sacral spine facet joint using imaging guidance, second level	64494	245,510	159,473
Aspiration and/or injection of fluid from large joint	20610	211,504	120,174
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	27096	178,538	132,483
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	64484	170,410	123,303
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint	64636	164,649	119,732
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	64635	158,595	128,630
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	150,579	39,180
Fluoroscopic guidance for needle placement	77002	142,536	84,550
Testing for presence of drug, read by direct observation	80305	128,042	68,393
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	99152	109,460	70,963
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	G0482	107,793	59,248
Injection of substance into middle or upper spine canal using imaging guidance	62321	104,177	77,774
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	97110	96,979	7,364
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	99308	93,770	16,999
Injection of trigger points, 3 or more muscles	20553	91,825	51,052
Assessment of emotional or behavioral problems	96127	90,111	30,790
New patient office or other outpatient visit, 30-44 minutes	99203	84,283	84,274
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	99309	82,972	17,001
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	G0480	81,759	43,809
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	G0483	80,743	39,310
Injection of upper or middle spine facet joint using imaging guidance, single level	64490	79,972	51,367
Ultrasonic guidance for needle placement	76942	78,932	41,270
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	G0481	76,407	47,136
Established patient office or other outpatient visit, 40-54 minutes	99215	75,041	43,416
Injection of upper or middle spine facet joint using imaging guidance, second level	64491	71,577	46,072
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	99490	67,088	14,847
Aspiration and/or injection of fluid large joint using ultrasound guidance	20611	64,122	36,811
Unclassified drugs	J3490	60,570	3,558
Injection of trigger points, 1-2 muscles	20552	53,338	35,213
Established patient office or other outpatient visit, 10-19 minutes	99212	53,255	34,826
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	50,773	17,373
Therapy procedure using manual technique, each 15 minutes	97140	44,968	4,885
Injection of drug or substance under skin or into muscle	96372	44,291	21,025
Telephone medical discussion with physician, 11-20 minutes	99442	41,105	19,023
Therapy procedure using functional activities	97530	37,778	1,982
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	99439	36,415	7,470
Needle measurement of electrical activity in arm or leg muscles, complete study	95886	36,324	21,046
Insertion of spinal neurostimulator electrode array through skin	63650	35,458	14,460
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint	64634	34,972	24,763
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha	G3002	34,776	13,164
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	64633	34,758	27,723
Injection of anesthetic agent and/or steroid into other nerve or branch	64450	33,249	11,879
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	99153	32,205	9,685
New patient office or other outpatient visit, 60-74 minutes	99205	31,785	31,783
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	62370	31,448	9,788
Administration of psychological or neuropsychological test by technician, first 30 minutes	96138	29,463	14,554
Telephone medical discussion with physician, 21-30 minutes	99443	22,977	11,755
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99231	22,807	9,094
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	97112	21,310	1,992
X-ray of lower and sacral spine, 2-3 views	72100	21,133	18,159
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	21,064	19,226
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	G0396	19,892	10,342
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	99489	18,585	2,475
Administration of psychological or neuropsychological test, first 30 minutes	96136	18,422	8,378
X-ray of lower and sacral spine, minimum of 4 views	72110	18,030	17,609
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99211	17,890	6,139
Injection into tendon or ligament	20550	17,844	4,412
Acupuncture, each additional 15 minutes	97811	17,818	2,194
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	99457	17,780	3,926
Evaluation of psychological test, first hour	96130	17,765	9,364
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes	99458	17,559	2,636
Anesthesia for lens surgery	00142	17,205	14,928
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	G0283	16,710	1,643
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	99484	16,685	7,541
Injection of additional new drug or substance into vein	96375	16,383	1,137
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	15,984	14,643
Evaluation of neuropsychological test, first hour	96132	15,219	8,224
Mri scan of lower spinal canal without contrast	72148	15,206	14,223
Application of electrical stimulation with therapist present, each 15 minutes	97032	15,123	829
Administration and interpretation of patient-focused health risk assessment	96160	14,041	6,035
Acupuncture, initial 15 minutes	97810	13,530	2,558
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	99454	13,481	3,227
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope	00731	12,913	12,655
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	99306	12,675	11,535
Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)	G3003	12,279	2,605
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	99305	11,562	10,743
Destruction of peripheral nerve or branch	64640	11,529	4,442
Anesthesia for other procedure on large bowel using an endoscope	00811	11,506	11,428
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	96366	11,008	589
Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level	64479	10,919	8,157
Therapy procedure using massage, each 15 minutes	97124	10,887	596
Acupuncture with electrical stimulation, each additional 15 minutes	97814	10,309	1,414
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	G2212	10,228	1,905
Acupuncture with electrical stimulation, initial 15 minutes	97813	9,880	1,756
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	96365	9,860	1,630
Telephone medical discussion with physician, 5-10 minutes	99441	9,858	6,480
Insertion of needle into vein for collection of blood sample	36415	9,502	5,788
Anesthesia for nerve block and injection procedure, prone position	01992	9,479	6,817
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	99310	9,106	2,106
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	64454	8,061	6,081
Compounded drug, not otherwise classified	J7999	7,913	2,466
Insertion of spinal neurostimulator generator or receiver	63685	7,755	7,658

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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).