Retina Specialist
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Imaging of retina | 2,137,038 |
| Injection of drug into eye | 1,359,771 |
| Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 928,800 |
| Established patient complete exam of visual system | 790,267 |
| Established patient office or other outpatient visit, 30-39 minutes | 325,210 |
| Established patient office or other outpatient visit, 20-29 minutes | 293,758 |
| Established patient problem focused exam of visual system | 232,303 |
| Photography of the retina | 231,857 |
| Extended exam of the back part of the eye with optic nerve drawing | 210,847 |
| Extended exam of the back part of the eye with retinal drawing | 134,673 |
| Compounded drug, not otherwise classified | 114,771 |
| New patient office or other outpatient visit, 45-59 minutes | 101,158 |
| Exam of retinal blood vessels using a special camera after injection of a dye | 95,004 |
| New patient complete exam of visual system | 56,104 |
| Unclassified biologics | 51,181 |
| 2d ultrasound scan of eye tissue and structures | 33,829 |
| Unclassified drugs | 31,183 |
| Established patient office or other outpatient visit, 10-19 minutes | 16,269 |
| Exam of visual field with extended testing | 15,945 |
| Imaging of optic nerve | 11,904 |
| Exam of the internal drainage system of eye | 11,769 |
| Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 11,660 |
| New patient office or other outpatient visit, 30-44 minutes | 10,405 |
| Test for allergy using allergenic extract | 8,464 |
| Photocoagulation treatment to prevent detachment of retina | 8,387 |
| Destruction of leaking blood vessels of retina using laser | 8,000 |
| Measurement of corneal curvature and depth of eye | 7,738 |
| Removal of membrane of retina with removal of internal limiting membrane of retina | 7,266 |
| Removal of cataract with insertion of prosthetic lens | 6,150 |
| Established patient office or other outpatient visit, 40-54 minutes | 6,119 |
| Destruction of growth of retina using a laser | 5,323 |
| Measurement of retinal and optic nerve function | 5,303 |
| New patient office or other outpatient visit, 60-74 minutes | 5,115 |
| Removal of eye fluid (vitreous) between lens and retina | 5,062 |
| Removal of recurring cataract in lens capsule using a laser | 3,783 |
| Repair of detached retina with drainage and removal of eye fluid between lens and retina | 3,600 |
| Injection of drug or substance into membrane covering eyeball | 3,139 |
| Closure of tear duct opening using plug | 3,082 |
| 1d and 2d ultrasound scan of eye tissue and structures | 2,960 |
| Removal of membrane of retina | 2,884 |
| Removal of eye fluid | 2,726 |
| Photography of content of eyes | 2,629 |
| Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 2,421 |
| Imaging of front third of eye using a special camera after injection of a dye | 1,992 |
| Microfluid analysis of tears | 1,545 |
| Complex repair of detached retina and drainage of eye fluid between lens and retina | 1,416 |
| Ultrasound scan of cornea to determine thickness | 1,384 |
| Ct scan of cornea | 1,139 |
| Measurement of nerve conduction using visual stimulation testing with report | 1,087 |
| Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month | 1,082 |
| Complete ultrasound of within the brain blood flow | 952 |
| Laser repair to improve eye fluid flow | 938 |
| Ultrasound of within the brain blood flow following medication | 907 |
| Ultrasound of within the brain blood flow for blood clots | 904 |
| New patient problem focused exam of visual system | 841 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 750 |
| Destruction of eye fluid (vitreous) between lens and retina using a laser | 738 |
| Multiple measurements of eye fluid pressure over an extended time period | 648 |
| Imaging of retina with remote review by physician | 586 |
| Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye | 563 |
| New patient office or other outpatient visit, 15-29 minutes | 538 |
| Removal of eyelashes using forceps | 534 |
| Measurement of eye artery pressure | 530 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 516 |
| Exam of visual field with intermediate testing | 512 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 491 |
| Emergency department visit with low level of medical decision making | 487 |
| Pathology examination of tissue using a microscope, moderately low complexity | 467 |
| Analysis of substance using immunoassay technique, multiple step method | 450 |
| Measurement of retinal and optic nerve function targeting multiple separate locations | 434 |
| Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 427 |
| Removal of recurring cataract in lens capsule by stab incision | 392 |
| Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 369 |
| Ultrasound scan to determine eye length and lens power | 367 |
| Ultrasound scan of eye using water bath method | 360 |
| Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t | 333 |
| Extended exam involving color vision testing | 302 |
| Exchange of prosthetic lens | 298 |
| Release of scar tissue between lens and retina using a laser | 291 |
| Repair of detached retina using a laser | 291 |
| Special stained specimen slides to identify organisms including interpretation and report | 288 |
| Complex removal of cataract with insertion of prosthetic lens | 277 |
| Emergency department visit with moderate level of medical decision making | 274 |
| Special stained specimen slides to examine tissue including interpretation and report | 273 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 242 |
| Not otherwise classified, antineoplastic drugs | 206 |
| Injection into conjunctiva | 180 |
| Insertion of drug delivery implant into tear duct of eye | 154 |
| Removal of implant material from inside of eye | 146 |
| Imaging of front third of eye | 134 |
| Removal of foreign body from external eye (conjunctiva or sclera) | 128 |
| Heat or freezing treatment to prevent detachment of retina | 121 |
| Telephone medical discussion with physician, 11-20 minutes | 117 |
| Fitting of contact lens for treatment of eye surface disease | 108 |
| Special stained specimen slides to examine tissue, each additional procedure | 108 |
| Insertion of prosthetic lens | 105 |
| Exam to measure eye deviation and range of motion | 104 |
| Destruction of vascular growth between retina and sclera by photocoagulation | 99 |
| Other service or procedure on eye | 96 |
| Aspiration of lens material by fragmenting and aspiration | 95 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).