Pediatric Pulmonology

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	1,135	566
Test to examine how well the lungs exchange gases	94729	1,081	521
Test to measure expiratory airflow and volume changes before and after medication administration	94060	967	523
Test to measure exhaled air for evaluation of lung function at rest	94690	848	207
Test to measure the level of nitric oxide gas	95012	804	205
Established patient office or other outpatient visit, 40-54 minutes	99215	742	504
Test to determine lung volumes using sensors	94726	716	417
Test for allergy using allergenic extract	95004	644	12
Established patient office or other outpatient visit, 20-29 minutes	99213	613	340
Test to determine lung volumes using gas dilution or washout	94727	532	314
Ultrasound study of arm and leg arteries	93922	396	195
Testing of autonomic (sympathetic) nervous system function, heart rate response to breathing exercises, and passive tilt	95922	382	194
Testing of autonomic (sympathetic) nervous system function	95923	379	193
Test to measure lung airway sensitivity	94070	366	192
Sleep study in sleep lab with continuous airway pressure (6 years or older)	95811	324	302
Sleep study in sleep lab (6 years or older)	95810	265	264
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	256	69
Test for exercise-induced lung stress	94618	227	190
New patient office or other outpatient visit, 45-59 minutes	99204	222	222
Inhalation treatment for acute airway obstruction, first hour	94644	220	129
Test to measure expiratory airflow and volume	94010	187	130
Inhalation treatment for airway obstruction or sputum production	94640	179	105
Sleep study including heart rate, breathing, airflow, and effort	95806	170	170
Critical care, first 30-74 minutes	99291	166	54
Test to measure rate of airflow	94375	158	99
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	136	133
Test to measure oxygen level in blood using ear or finger device continuously overnight	94762	116	95
New patient office or other outpatient visit, 60-74 minutes	99205	114	114
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	82	37
New patient office or other outpatient visit, 30-44 minutes	99203	49	49
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	39	22
Emergency department visit with high level of medical decision making	99285	35	33
Emergency department visit with moderate level of medical decision making	99284	29	29
Assessment of emotional or behavioral problems	96127	25	12
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	93010	21	21
Telephone medical discussion with physician, 11-20 minutes	99442	21	17
Blood count, hemoglobin	85018	17	17
Established patient office or other outpatient visit, 10-19 minutes	99212	15	15
Sleep study including heart rate, breathing, and sleep time	95800	14	14

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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).