Cardiothoracic Surgery
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Established patient office or other outpatient visit, 20-29 minutes | 68,106 |
| New patient office or other outpatient visit, 60-74 minutes | 63,552 |
| Established patient office or other outpatient visit, 30-39 minutes | 60,763 |
| New patient office or other outpatient visit, 45-59 minutes | 52,596 |
| Replacement of aortic valve through the skin and femoral artery | 43,007 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41,823 |
| Coronary artery bypass using artery graft, 1 graft | 39,681 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 34,404 |
| Harvest of vein using an endoscope | 32,047 |
| Established patient office or other outpatient visit, 40-54 minutes | 27,239 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21,584 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 19,460 |
| New patient office or other outpatient visit, 30-44 minutes | 17,935 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16,985 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 16,959 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 16,583 |
| Critical care, first 30-74 minutes | 13,627 |
| Coronary artery bypass using vein or artery graft, 2 grafts | 13,446 |
| Established patient office or other outpatient visit, 10-19 minutes | 11,189 |
| Ultrasound of both sides of head and neck blood flow | 10,908 |
| Removal of lymph nodes of chest cavity using an endoscope | 10,683 |
| Removal of skin and tissue, 20.0 sq cm or less | 6,716 |
| Telephone medical discussion with physician, 21-30 minutes | 5,686 |
| Replacement of aortic valve on heart-lung machine | 5,538 |
| Aspiration and/or injection of fluid from large joint | 5,324 |
| Exclusion of appendage of left upper chamber of heart performed during other procedure on chest | 5,246 |
| Fluoroscopic guidance for needle placement | 5,199 |
| Ultrasonic guidance during surgery | 5,162 |
| Removal of tissue from wound, 20.0 sq cm or less | 5,158 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 4,896 |
| Ultrasound of leg arteries or artery grafts | 4,880 |
| Removal of tissue from wound, each additional 20.0 sq cm | 4,651 |
| Ultrasound study of arm and leg arteries | 4,630 |
| Exam of lung with removal of lung lobe using an endoscope | 4,623 |
| Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 4,420 |
| Coronary artery bypass using vein or artery graft, 3 grafts | 3,862 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 3,803 |
| Diagnostic exam of lung airway using an endoscope | 3,603 |
| Coronary artery bypass using vein or artery graft, 1 graft | 3,586 |
| Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 3,510 |
| Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 3,509 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 3,394 |
| Ultrasonic guidance for blood vessel access | 3,245 |
| Initial removal of wedge of lung tissue using an endoscope | 2,904 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 2,901 |
| Injection of chemical agent into multiple incompetent veins of leg | 2,856 |
| Interpretation and report of ultrasound of heart | 2,743 |
| Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 2,725 |
| Complete ultrasound study of arm and leg arteries | 2,672 |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 2,663 |
| Telephone medical discussion with physician, 5-10 minutes | 2,529 |
| Telephone medical discussion with physician, 11-20 minutes | 2,342 |
| Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 2,298 |
| Removal of muscle and/or tissue, 20.0 sq cm or less | 2,282 |
| New patient office or other outpatient visit, 15-29 minutes | 2,276 |
| Removal of blood clot and portion of chest, neck, or brain artery | 2,178 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 2,158 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,153 |
| Irrigation and suction of lung airways to obtain cells using an endoscope | 2,038 |
| Replacement of mitral valve on heart-lung machine | 2,029 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 2,004 |
| Evaluation of lower heart chamber assist device | 1,954 |
| Test for allergy using allergenic extract | 1,920 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,915 |
| Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 1,828 |
| Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 1,715 |
| Aspiration of initial secretion of lung airway using an endoscope | 1,658 |
| Review by radiologist of additional artery image | 1,621 |
| Review by radiologist of arm or leg artery image | 1,618 |
| Laser destruction of incompetent vein of arm or leg using imaging guidance | 1,598 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 1,590 |
| 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 | 1,567 |
| Ct scan of blood vessels and grafts of heart with contrast | 1,536 |
| Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 1,518 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 1,495 |
| Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,494 |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,438 |
| Application of vein wound compression bandages on lower leg, ankle, and foot | 1,412 |
| Emergency department visit with high level of medical decision making | 1,389 |
| Coronary artery bypass using artery graft, 2 grafts | 1,366 |
| Ultrasonic guidance for needle placement | 1,352 |
| Refilling and maintenance of portable pump | 1,326 |
| Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 1,273 |
| Ct scan of heart with evaluation of blood vessel calcium | 1,233 |
| Ultrasound of one leg arteries or artery grafts | 1,214 |
| Insertion of needle into vein for collection of blood sample | 1,198 |
| Radical reconstruction of mitral valve on heart-lung machine | 1,197 |
| Review by radiologist of abdominal aorta image | 1,181 |
| Removal of plaque in artery of leg, initial vessel | 1,173 |
| Computer-assisted image-guided navigation of lung airways using an endoscope | 1,115 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 1,095 |
| Removal of plaque in arteries of leg | 1,064 |
| Management of oxygen chamber therapy | 989 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 957 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 937 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 925 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 924 |
| Review by radiologist of both arms or legs arteries image | 896 |
| Repair of hernia of muscle at esophagus and stomach using an endoscope | 883 |
| Insertion of central venous tube with port (5 years or older) | 854 |
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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).