Pediatric Gastroenterology

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Established patient office or other outpatient visit, 20-29 minutes	99213	558	224
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	470	183
Established patient office or other outpatient visit, 30-39 minutes	99214	370	175
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	96365	279	147
Injection of drug or substance under skin or into muscle	96372	251	176
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43239	214	201
Measurement of hydrogen in breath to test for stomach and bowel symptoms	91065	187	155
Review by radiologist of image from tube placement into bile duct using an endoscope	74328	124	88
Established patient office or other outpatient visit, 40-54 minutes	99215	122	69
Hospital discharge day management, more than 30 minutes	99239	119	115
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	117	47
Biopsy of large bowel using a flexible endoscope	45380	114	110
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	101	92
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope	43264	99	65
New patient office or other outpatient visit, 30-44 minutes	99203	91	91
Replacement of stent in pancreatic or bile duct using a flexible endoscope	43276	90	34
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43259	84	84
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43242	67	65
Pathology examination of tissue using a microscope, intermediate complexity	88305	63	33
Dilation of esophagus	43450	56	49
Insertion of stent into pancreatic or bile duct using a flexible endoscope	43274	49	35
Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope	43277	47	31
Dilation of stomach outlet using a flexible endoscope	43245	40	38
Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45385	34	33
Hemoglobin measurement	88738	30	19
Removal of stent from pancreatic or bile duct using a flexible endoscope	43275	28	28
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm	43249	26	26
Study of esophagus to assess movement	91010	25	25
New patient office or other outpatient visit, 45-59 minutes	99204	25	25
Monitoring and recording of esophageal function through nasal tube with electrode	91037	23	23
Hospital discharge day management, 30 minutes or less	99238	20	19
Administration of chemotherapy into vein, 1 hour or less	96413	20	12
Review by radiologist of image to guide opening of digestive tract	74360	19	16
Limited ultrasound scan of abdomen	76705	18	18
Biopsy of gallbladder, pancreatic, liver, and bile ducts using a flexible endoscope	43261	17	14
Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43247	17	15
Ultrasound of abdomen and pelvis artery and vein blood flow	93976	16	16
Removal of large bowel tissue using a flexible endoscope	45390	13	13
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	43251	13	12
Measurement of liver stiffness	91200	13	13
Destruction of stone of bile or pancreatic duct using a flexible endoscope	43265	13	11
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	13	13
Exam of common bile and/or pancreatic duct using a flexible endoscope	43273	12	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).