Pediatric Cardiology

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	93010	2,157	1,573
Ultrasound of heart with color-depicted blood flow, rate and valve function	93325	2,053	1,860
Ultrasound of heart for congenital defect	93303	1,473	1,360
Ultrasound of heart blood flow, valves and chambers	93320	1,450	1,344
Established patient office or other outpatient visit, 30-39 minutes	99214	1,298	1,022
Established patient office or other outpatient visit, 40-54 minutes	99215	1,179	914
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	93000	822	650
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	93306	369	364
Ultrasound of heart blood flow, valves and chambers, follow-up	93321	250	219
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	176	78
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days	93294	150	70
Technetium tc-99m sestamibi, diagnostic, per study dose	A9500	140	71
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	131	67
Ultrasound of heart for congenital defect, follow-up	93304	117	101
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	93296	98	54
Nuclear medicine studies of heart muscle at rest and with stress and spect	78452	86	86
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	93295	82	34
Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report	93355	81	79
Insertion of pacemaker and upper and lower heart chamber electrode	33208	72	72
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	93018	61	60
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	93244	61	51
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	56	31
Ultrasound of heart, follow-up	93308	55	50
Electrocardiogram (ecg) 2-day continuous with review by health care professional	93227	51	49
Established patient office or other outpatient visit, 20-29 minutes	99213	51	47
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	42	38
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	93015	42	42
Ultrasound of heart with probe in esophagus, with report	93312	40	39
Mri scan of blood flow of heart	75565	38	37
New patient office or other outpatient visit, 60-74 minutes	99205	36	36
Ultrasound evaluation of heart blood vessel with review by radiologist	93662	31	30
Exercise or drug-induced heart stress test with electrocardiogram (ecg)	93017	31	31
Insertion of tunneled central venous tube for infusion (5 years or older)	36558	30	30
Repair of congenital abnormality in wall between upper heart chambers with implant	93580	30	30
Fluoroscopic guidance for insertion or removal of central vein access device	77001	28	26
Critical care, first 30-74 minutes	99291	27	21
Mri scan of heart before and after contrast	75561	26	25
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	93297	24	11
3d radiographic procedure	76376	22	22
Insertion of tube in right heart chambers for measurement	93451	20	20
Assessment of emotional or behavioral problems	96127	20	12
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	20	17
Heart muscle strain imaging	93356	19	19
Removal and replacement of dual lead permanent pacemaker	33228	16	16
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	99152	16	16
Removal and replacement of multiple lead defibrillator	33264	15	15
Test for exercise-induced heart and lung stress	94621	15	15
New patient office or other outpatient visit, 45-59 minutes	99204	15	15
Test to measure exhaled air for evaluation of lung function during rest and exercise	94680	14	13
Test to measure expiratory airflow and volume	94010	14	13
Routine electrocardiogram (ecg) using at least 12 leads with tracing	93005	14	14
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	99490	13	12
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	99457	13	13
Hospital discharge day management, 30 minutes or less	99238	12	12

← Back to Pediatric Cardiology

Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).