Radiation Oncology
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Ct guidance for insertion of radiation therapy fields | 2,564,322 |
| Calculation of radiation therapy dose | 1,099,668 |
| Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 1,021,432 |
| Radiation treatment management, 5 treatment sessions | 831,225 |
| Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 693,562 |
| Design and construction of complex radiation treatment device | 634,701 |
| Continuing radiation therapy consultation per week | 306,177 |
| Complex radiation therapy planning | 269,938 |
| Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 233,977 |
| Established patient office or other outpatient visit, 20-29 minutes | 225,598 |
| Design and construction of radiation treatment device for high precision radiation therapy | 185,248 |
| Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie | 178,555 |
| New patient office or other outpatient visit, 60-74 minutes | 177,716 |
| High precision radiation therapy planning | 168,306 |
| Established patient office or other outpatient visit, 30-39 minutes | 155,045 |
| Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 132,923 |
| Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 130,813 |
| 3d radiation therapy planning | 91,070 |
| Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 88,076 |
| Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment | 84,908 |
| Established patient office or other outpatient visit, 40-54 minutes | 78,021 |
| Special radiation treatment | 70,060 |
| New patient office or other outpatient visit, 45-59 minutes | 59,512 |
| Intermediate proton beam radiation treatment | 57,551 |
| Design and construction of simple radiation treatment device | 49,080 |
| Established patient office or other outpatient visit, 10-19 minutes | 46,018 |
| Cranial lesion surgery using radiation over multiple sessions | 34,126 |
| Management of cranial lesion surgery using radiation over multiple sessions | 33,769 |
| Obtaining respiratory data needed to develop the optimal radiation treatment | 24,713 |
| Special radiation therapy planning | 21,056 |
| Insertion of needle into vein for collection of blood sample | 18,124 |
| X-ray during radiation therapy | 17,083 |
| Nuclear medicine study from skull base to mid-thigh with ct scan | 14,764 |
| 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 | 14,755 |
| Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 11,967 |
| Complex proton beam radiation treatment | 11,367 |
| Piflufolastat f-18, diagnostic, 1 millicurie | 11,180 |
| Complex radiation therapy planning for delivery of external radiation | 11,080 |
| Radioelements for brachytherapy, any type, each | 10,112 |
| X-ray of chest, 1 view | 10,070 |
| Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme | 10,034 |
| Special medical radiation therapy consultation | 9,667 |
| Ct scan of abdomen and pelvis with contrast | 9,108 |
| Ct scan of chest with contrast | 8,599 |
| Diagnostic exam of voice box using a flexible endoscope | 8,557 |
| New patient office or other outpatient visit, 30-44 minutes | 8,017 |
| High dose rate electronic brachytherapy, external | 7,778 |
| Telephone medical discussion with physician, 11-20 minutes | 7,683 |
| Design and construction of intermediate radiation treatment device | 7,382 |
| Ultrasonic guidance for placement of radiation therapy fields | 6,151 |
| Lutetium lu 177, dotatate, therapeutic, 1 millicurie | 6,100 |
| Placement of device in prostate for radiation therapy | 6,092 |
| Injection of biodegradable material next to prostate | 5,905 |
| Superficial and/or low voltage radiation treatment delivery | 5,378 |
| Tissue marker, implantable, any type, each | 5,297 |
| Psa (prostate specific antigen) measurement, total | 5,191 |
| Telephone medical discussion with physician, 5-10 minutes | 5,136 |
| Simple proton beam radiation treatment with compensation | 5,035 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 5,009 |
| X-ray of chest, 2 views | 4,975 |
| Telephone medical discussion with physician, 21-30 minutes | 4,967 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 4,608 |
| Special radiation therapy planning for delivery of external radiation | 4,479 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 4,434 |
| Ct scan of chest without contrast | 4,403 |
| High dose radiation therapy, 1 channel | 4,359 |
| Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater | 4,256 |
| Management of complete single session course of cranial lesion surgery using radiation | 4,234 |
| Insertion of device into vagina for radiation therapy | 4,137 |
| Ct scan head or brain without contrast | 3,788 |
| Ct scan of abdomen and pelvis without contrast | 3,713 |
| Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 3,661 |
| Injection of drug or substance under skin or into muscle | 3,606 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 3,304 |
| Administration of chemotherapy into vein, 1 hour or less | 3,297 |
| Screening mammography | 3,238 |
| Ultrasonic guidance for needle placement | 3,184 |
| High dose radiation therapy, 2-12 channels | 3,155 |
| High dose skin surface radiation therapy, 2 channels and lesion diameter more than 2.0 cm, or multiple lesions | 3,122 |
| Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev | 3,100 |
| Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle | 2,772 |
| Screening 3d breast mammography | 2,713 |
| Complex radiation therapy planning for delivery of internal radiation | 2,667 |
| Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 2,662 |
| Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment | 2,625 |
| Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less | 2,619 |
| Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session | 2,454 |
| Injection of additional new drug or substance into vein | 2,385 |
| Dxa bone density measurement of hip, pelvis, spine | 2,295 |
| Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 2,247 |
| Ultrasonic guidance for administration of radiation therapy | 2,036 |
| X-ray of abdomen, 1 view | 2,010 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 1,946 |
| Radioactive drug therapy through a vein | 1,929 |
| High dose skin surface radiation therapy, 1 channel or lesion diameter 2.0 cm or less | 1,848 |
| Ct scan of abdomen and pelvis before and after contrast | 1,842 |
| Blood test, comprehensive group of blood chemicals | 1,827 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1,827 |
| Complex application of radiation source | 1,798 |
| Blood creatinine level | 1,768 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).