Pediatric Emergency Medicine

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Emergency department visit with high level of medical decision making	99285	6,238	6,136
Emergency department visit with moderate level of medical decision making	99284	2,927	2,876
Established patient office or other outpatient visit, 20-29 minutes	99213	2,734	2,186
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	93010	2,011	1,821
Critical care, first 30-74 minutes	99291	1,042	1,030
New patient office or other outpatient visit, 30-44 minutes	99203	793	792
Established patient office or other outpatient visit, 30-39 minutes	99214	684	583
Detection test by immunoassay with direct visual observation for influenza virus	87804	483	253
Emergency department visit with low level of medical decision making	99283	417	410
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	87426	403	388
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	87811	364	332
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	87880	313	304
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	305	150
New patient office or other outpatient visit, 45-59 minutes	99204	242	242
Automated urinalysis test	81003	194	180
Injection of drug or substance under skin or into muscle	96372	189	163
Urinalysis, manual test	81002	175	150
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	87428	157	153
Ultrasound of heart, follow-up	93308	146	146
Insertion of needle into vein for collection of blood sample	36415	145	140
X-ray of chest, 2 views	71046	133	130
Established patient office or other outpatient visit, 10-19 minutes	99212	133	124
Electrocardiogram (ecg) 1 to 3 leads with review by physician only	93042	117	59
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85025	110	105
Hospital discharge day management, more than 30 minutes	99239	106	105
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	87637	105	102
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	93	92
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	87635	58	57
Manual urinalysis test with examination using microscope, automated	81001	51	46
Routine electrocardiogram (ecg) using at least 12 leads with tracing	93005	46	46
Blood test, comprehensive group of blood chemicals	80053	45	44
New patient office or other outpatient visit, 60-74 minutes	99205	44	44
Established patient office or other outpatient visit, 40-54 minutes	99215	40	40
Blood test, basic group of blood chemicals (calcium, total)	80048	38	38
Inhalation treatment for airway obstruction or sputum production	94640	35	27
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	33	23
Removal of impacted ear wax	69210	33	28
Troponin (protein) analysis, quantitative	84484	32	32
Ultrasound scan of chest	76604	31	31
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	93000	26	26
X-ray of shoulder, minimum of 2 views	73030	24	24
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	U0002	23	23
Limited ultrasound scan of abdomen	76705	22	22
Lipase (fat enzyme) level	83690	18	17
Acupuncture with electrical stimulation, initial 15 minutes	97813	18	11
X-ray of hand, minimum of 3 views	73130	18	18
Ct scan head or brain without contrast	70450	15	15
X-ray of foot, minimum of 3 views	73630	14	14
X-ray of ankle, minimum of 3 views	73610	14	12
Coagulation function measurement, qualitative or semiquantitative	85378	13	13
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less	12001	13	13
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	0241U	12	12
X-ray of lower and sacral spine, 2-3 views	72100	12	12
Injection of drug or substance into vein	96374	11	11
X-ray of wrist, minimum of 3 views	73110	11	11
Administration of vaccine	90471	11	11

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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).