Sleep Medicine
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Established patient office or other outpatient visit, 30-39 minutes | 230,451 |
| Established patient office or other outpatient visit, 20-29 minutes | 119,663 |
| New patient office or other outpatient visit, 45-59 minutes | 64,239 |
| Sleep study in sleep lab with continuous airway pressure (6 years or older) | 52,300 |
| Sleep study in sleep lab (6 years or older) | 48,549 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38,479 |
| Established patient office or other outpatient visit, 40-54 minutes | 35,238 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 33,111 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 27,954 |
| Sleep study including heart rate, breathing, and sleep time | 25,641 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 22,973 |
| Sleep study including heart rate, breathing, airflow, and effort | 21,532 |
| Test for allergy using allergenic extract | 20,002 |
| New patient office or other outpatient visit, 30-44 minutes | 16,206 |
| 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 | 15,558 |
| Test to examine how well the lungs exchange gases | 13,558 |
| New patient office or other outpatient visit, 60-74 minutes | 13,529 |
| Critical care, first 30-74 minutes | 12,540 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 9,897 |
| Test to measure expiratory airflow and volume | 9,382 |
| Test to determine lung volumes using sensors | 7,643 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 7,371 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 6,065 |
| Therapy procedure using a positive pressure ventilator | 5,754 |
| Administration and interpretation of patient-focused health risk assessment | 5,096 |
| Test to determine lung volumes using gas dilution or washout | 4,991 |
| Established patient office or other outpatient visit, 10-19 minutes | 4,408 |
| Professional service for preparation and provision of 1 or more antigens | 4,285 |
| Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 4,198 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 4,078 |
| Hospital discharge day management, more than 30 minutes | 3,850 |
| Test to measure oxygen level in blood using ear or finger device continuously overnight | 3,445 |
| Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days | 3,322 |
| Needle measurement of electrical activity in arm or leg muscles, complete study | 3,226 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 3,119 |
| Test for allergy using airborne allergenic extract injected into skin | 2,931 |
| Assessment of emotional or behavioral problems | 2,886 |
| Insertion of needle into vein for collection of blood sample | 2,882 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 2,821 |
| Professional service for multiple injections of allergen | 2,677 |
| Test for exercise-induced lung stress | 2,516 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 2,407 |
| Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 2,355 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 2,228 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 2,211 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,144 |
| Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels | 2,110 |
| Telephone medical discussion with physician, 11-20 minutes | 2,106 |
| Removal of impacted ear wax | 2,026 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1,925 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 1,892 |
| Telephone medical discussion with physician, 21-30 minutes | 1,791 |
| Placement of skin electrodes and measurement of stimulated sites on arms and legs | 1,788 |
| Measurement of brain wave activity (eeg), awake and drowsy | 1,785 |
| Diagnostic exam of nasal passages using an endoscope | 1,785 |
| Measurement of brain wave activity (eeg), awake and asleep | 1,737 |
| Injection of drug or substance under skin or into muscle | 1,719 |
| 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 | 1,704 |
| Test to measure rate of airflow | 1,592 |
| Test to measure largest amount of air breathed in an out | 1,551 |
| X-ray of chest, 2 views | 1,543 |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 1,514 |
| Hospital discharge day management, 30 minutes or less | 1,438 |
| Diagnostic exam of voice box using a flexible endoscope | 1,405 |
| Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming | 1,238 |
| Evaluation of use of breathing device | 1,225 |
| Administration of influenza virus vaccine | 1,038 |
| Advance care planning, first 30 minutes | 1,014 |
| Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 1,008 |
| Placement of skin electrodes and measurement of central motor stimulation in arms and legs | 976 |
| Needle measurement of electrical activity in arm or leg muscles, 2 extremities | 966 |
| 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 | 959 |
| Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) | 952 |
| Psychotherapy, 30 minutes | 825 |
| Ultrasound of both sides of head and neck blood flow | 816 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 814 |
| Critical care, each additional 30 minutes | 778 |
| Annual depression screening, 5 to 15 minutes | 772 |
| Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator | 763 |
| Psychotherapy with evaluation and management visit, 45 minutes | 748 |
| Measurement of brain wave activity (eeg) outside the brain during surgery | 744 |
| Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation | 737 |
| Psychotherapy with evaluation and management visit, 30 minutes | 678 |
| Electronic analysis of implanted neurostimulator generator with complex cranial nerve stimulator programming | 644 |
| Test for allergy using allergenic extract injected into skin | 618 |
| Inhalation treatment for airway obstruction or sputum production | 602 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 582 |
| Professional service for single injection of allergen | 578 |
| Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management | 565 |
| Nerve conduction, 11-12 studies | 508 |
| Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study | 501 |
| Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 495 |
| Testing for presence of drug, by chemistry analyzers | 495 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 465 |
| Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days | 462 |
| Telephone medical discussion with physician, 5-10 minutes | 461 |
| Test for allergy using allergenic extract injected into skin with delayed reaction analysis | 447 |
| Test for exercise-induced spasm of lung airways | 443 |
| Face-to-face behavioral counseling for obesity, 15 minutes | 422 |
| Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 415 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).