Speech-Language Pathologists
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination | 11 |
| Test for ability to detect and repeat spoken words with speech recognition | 12 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 |
| Evaluation for occupational therapy, typically 45 minutes | 13 |
| Test for hearing various pitches using earphone | 14 |
| Imaging of voice box with speech evaluation | 15 |
| Monitoring and recording of esophageal function through nasal tube | 18 |
| Evaluation of hearing function related to surgically implanted hearing device, first hour | 21 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 22 |
| Test or measurement for functional capacity, each 15 minutes | 23 |
| Analysis and reprogramming of inner ear implant (7 years or older) | 23 |
| Placement of ear probe for computerized measurement of repeated sounds with interpretation and report | 38 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 47 |
| Insertion of needle into vein for collection of blood sample | 67 |
| Test to assess the loss of the ability to speak, write, and understand language | 74 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 74 |
| Test for eardrum and muscle function | 80 |
| Evaluation with prescription of speech-generating and alternative communication device, each additional 30 minutes | 103 |
| Established patient office or other outpatient visit, 30-39 minutes | 118 |
| Therapy procedure using manual technique, each 15 minutes | 121 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 131 |
| Established patient office or other outpatient visit, 20-29 minutes | 131 |
| Evaluation with prescription of speech-generating and alternative communication device, first hour | 136 |
| Evaluation of speech continuity, smoothness, rate, and effort | 136 |
| Psychotherapy, 1 hour | 201 |
| Biofeedback training | 280 |
| Therapy procedure for walking training, each 15 minutes | 376 |
| Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type | 498 |
| Test to assess middle ear function | 614 |
| Evaluation and recording of swallowing and voice box sensory function using an endoscope | 629 |
| Psychotherapy, 45 minutes | 661 |
| Comprehensive hearing and speech recognition test | 742 |
| Evaluation for use of voice artificial device to supplement oral speech | 907 |
| Evaluation of speech sound production | 917 |
| Therapy procedure using sensory experiences | 1,380 |
| Treatment of speech, language, voice, communication, and/or hearing processing disorder in a group setting | 1,421 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,662 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,818 |
| Evaluation and recording of swallowing using an endoscope | 2,498 |
| Test to assess the ability to complete specific functional tasks applicable to environment | 2,950 |
| Study of voice box function | 4,192 |
| Therapy service for use of speech-generating device with programming | 5,165 |
| Evaluation of swallowing function image | 5,185 |
| Exam to assess movement of vocal cord flaps using an endoscope | 5,760 |
| Training for self-care or home management, each 15 minutes | 8,911 |
| Analysis of voice and resonance production | 14,093 |
| Evaluation of swallowing function | 19,916 |
| Evaluation of speech sound production with evaluation of language comprehension and expression | 27,002 |
| Therapy procedure using functional activities | 28,260 |
| Therapy procedure for a range of mental processes, initial 15 minutes | 156,122 |
| Treatment of swallowing and feeding disorder | 165,031 |
| Therapy procedure for a range of mental processes, each additional 15 minutes | 372,949 |
| Treatment of speech, language, voice, communication, and/or hearing processing disorder | 546,159 |
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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).