Pulmonology
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Established patient office or other outpatient visit, 30-39 minutes | 2,026,846 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,401,376 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,273,108 |
| Critical care, first 30-74 minutes | 1,045,835 |
| Test to examine how well the lungs exchange gases | 745,824 |
| Established patient office or other outpatient visit, 20-29 minutes | 720,070 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 545,303 |
| Test to determine lung volumes using sensors | 476,258 |
| Test to measure expiratory airflow and volume | 452,969 |
| Established patient office or other outpatient visit, 40-54 minutes | 356,314 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 341,885 |
| New patient office or other outpatient visit, 45-59 minutes | 310,269 |
| Test for allergy using allergenic extract | 197,450 |
| Test to determine lung volumes using gas dilution or washout | 191,897 |
| Test for exercise-induced lung stress | 158,950 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 142,796 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 113,919 |
| Test to measure rate of airflow | 112,640 |
| New patient office or other outpatient visit, 60-74 minutes | 103,059 |
| X-ray of chest, 2 views | 90,102 |
| Sleep study in sleep lab with continuous airway pressure (6 years or older) | 72,108 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 70,478 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 68,617 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 66,763 |
| Sleep study in sleep lab (6 years or older) | 63,786 |
| Injection of drug or substance under skin or into muscle | 61,099 |
| Evaluation of use of breathing device | 59,138 |
| Insertion of needle into vein for collection of blood sample | 57,675 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 55,732 |
| Critical care, each additional 30 minutes | 54,817 |
| Irrigation and suction of lung airways to obtain cells using an endoscope | 52,415 |
| New patient office or other outpatient visit, 30-44 minutes | 51,170 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 48,449 |
| Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) | 44,192 |
| Test to measure the level of nitric oxide gas | 40,354 |
| Sleep study including heart rate, breathing, airflow, and effort | 40,124 |
| Professional service for preparation and provision of 1 or more antigens | 36,900 |
| Administration of influenza virus vaccine | 33,112 |
| Inhalation treatment for airway obstruction or sputum production | 31,577 |
| Sleep study including heart rate, breathing, and sleep time | 28,105 |
| Professional services for outpatient pulmonary rehabilitation, per session | 28,103 |
| Test to measure largest amount of air breathed in an out | 26,253 |
| Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 25,978 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 25,892 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 24,514 |
| Established patient office or other outpatient visit, 10-19 minutes | 23,774 |
| Smoking and tobacco use intensive counseling, 4-10 minutes | 23,493 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 20,808 |
| Biopsy of lobe of lung using an endoscope, 1 lobe | 20,200 |
| Hospital discharge day management, more than 30 minutes | 19,724 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17,236 |
| Test to measure oxygen level in blood using ear or finger device continuously overnight | 16,710 |
| Telephone medical discussion with physician, 11-20 minutes | 16,489 |
| Ct scan of chest without contrast | 15,452 |
| Telephone medical discussion with physician, 21-30 minutes | 15,238 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 15,136 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15,075 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15,065 |
| Administration and interpretation of patient-focused health risk assessment | 15,065 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 14,950 |
| Aspiration of initial secretion of lung airway using an endoscope | 14,868 |
| Computer-assisted image-guided navigation of lung airways using an endoscope | 14,387 |
| Hospital discharge day management, 30 minutes or less | 14,199 |
| Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope | 13,681 |
| Blood count, hemoglobin | 13,677 |
| Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 13,199 |
| Aspiration of fluid from chest cavity using imaging guidance | 12,972 |
| Advance care planning, first 30 minutes | 12,871 |
| Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound | 12,444 |
| Nursing facility ventilation assistance and management | 12,399 |
| Follow-up inpatient or observation ventilation assistance and management | 11,640 |
| Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes | 11,617 |
| Blood test, comprehensive group of blood chemicals | 11,416 |
| Therapy procedure using a positive pressure ventilator | 11,090 |
| Measurement of antibody (ige) to allergic substance, crude allergen extract, each | 11,072 |
| 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 | 10,391 |
| Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 10,127 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 9,374 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 9,356 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 9,061 |
| Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes | 8,921 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 8,842 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 8,509 |
| Ultrasound scan of chest | 8,429 |
| Hemoglobin measurement | 8,402 |
| Professional service for multiple injections of allergen | 8,210 |
| Professional service for preparation and provision of single-dose vial of allergen | 8,202 |
| Administration of pneumococcal vaccine | 8,150 |
| Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | 8,133 |
| Blood test, lipids (cholesterol and triglycerides) | 7,407 |
| Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 7,378 |
| Ultrasonic guidance for blood vessel access | 6,635 |
| Annual depression screening, 5 to 15 minutes | 6,017 |
| Telephone medical discussion with physician, 5-10 minutes | 5,956 |
| X-ray of chest, 1 view | 5,936 |
| Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 5,644 |
| Insertion of artery tube for blood sampling or infusion through skin | 5,380 |
| Smoking and tobacco use intensive counseling, more than 10 minutes | 5,291 |
| Exam of lung airways using an endoscope | 5,288 |
| Test for exercise-induced heart and lung stress | 5,194 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).