Pediatric Nephrology

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Established patient office or other outpatient visit, 40-54 minutes	99215	2,005	708
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	1,558	438
Established patient office or other outpatient visit, 30-39 minutes	99214	1,361	647
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	402	194
Hemodialysis procedure with physician evaluation	90935	156	102
Established patient office or other outpatient visit, 20-29 minutes	99213	136	126
Dialysis services, 4 or more physician visits per month (20 years or older)	90960	128	21
Insertion of needle into vein for collection of blood sample	36415	103	83
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	87	81
Kidney function blood test panel	80069	72	65
Manual urinalysis test with examination using microscope, non-automated	81000	71	65
Blood count, hemoglobin	85018	68	49
Automated urinalysis test	81003	63	28
Parathormone (parathyroid hormone) level	83970	57	53
Home dialysis services per month (20 years or older)	90966	50	23
Creatinine level to test for kidney function or muscle injury	82570	50	50
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	49	48
Total protein level, urine	84156	48	48
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	47	28
Magnesium level	83735	47	40
Urinalysis, manual test	81002	41	12
Dialysis services, 2-3 physician visits per month (20 years or older)	90961	40	17
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99231	35	14
Hospital discharge day management, more than 30 minutes	99239	30	23
Blood test, comprehensive group of blood chemicals	80053	29	25
Phosphate level	84100	29	26
Hospital discharge day management, 30 minutes or less	99238	28	26
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85025	25	22
Dialysis procedure including 1 evaluation	90945	20	11
Vitamin d-3 level	82306	18	18
Complete blood cell count (red cells, white blood cell, platelets), automated test	85027	16	16
New patient office or other outpatient visit, 45-59 minutes	99204	16	16
Uric acid level, blood	84550	15	15
New patient office or other outpatient visit, 30-44 minutes	99203	12	12
New patient office or other outpatient visit, 60-74 minutes	99205	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).