Trauma Surgery
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58,887 |
| Critical care, first 30-74 minutes | 35,167 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25,091 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17,380 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16,486 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 15,357 |
| Hospital discharge day management, 30 minutes or less | 5,023 |
| Established patient office or other outpatient visit, 20-29 minutes | 3,590 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 3,246 |
| Hospital discharge day management, more than 30 minutes | 2,003 |
| Emergency department visit with moderate level of medical decision making | 1,824 |
| Established patient office or other outpatient visit, 30-39 minutes | 1,821 |
| New patient office or other outpatient visit, 45-59 minutes | 1,547 |
| Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 1,512 |
| New patient office or other outpatient visit, 30-44 minutes | 1,369 |
| Established patient office or other outpatient visit, 10-19 minutes | 1,186 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 1,116 |
| Critical care, each additional 30 minutes | 1,050 |
| Limited ultrasound scan of abdomen | 984 |
| Emergency department visit with low level of medical decision making | 929 |
| Emergency department visit with high level of medical decision making | 826 |
| Ultrasound of heart, follow-up | 762 |
| Removal of bone, each additional 20.0 sq cm or less | 653 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 497 |
| Removal of gallbladder using an endoscope | 432 |
| Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 417 |
| Ct scan of abdomen and pelvis with contrast | 415 |
| New patient office or other outpatient visit, 60-74 minutes | 387 |
| Removal of skin and tissue, 20.0 sq cm or less | 376 |
| Established patient office or other outpatient visit, 40-54 minutes | 348 |
| Removal of muscle and/or tissue, 20.0 sq cm or less | 347 |
| Insertion of artery tube for blood sampling or infusion through skin | 343 |
| Ultrasound scan of chest | 311 |
| Removal of bone, 20.0 sq cm or less | 310 |
| Management of oxygen chamber therapy | 304 |
| Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 298 |
| Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 283 |
| Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 233 |
| Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 216 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 208 |
| Limited ultrasound scan behind abdominal cavity | 186 |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 152 |
| Insertion of stomach tube using a flexible endoscope | 148 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 147 |
| Repair of groin hernia using an endoscope | 142 |
| Removal of gallbladder with x-ray study of bile ducts using an endoscope | 136 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 130 |
| Ct scan of abdomen and pelvis without contrast | 115 |
| Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 108 |
| Fusion of lower spine bone through abdomen with partial removal of disc | 102 |
| Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm | 97 |
| Complete ultrasound scan of abdomen | 96 |
| Coagulation function screening test with interpretation and report | 95 |
| New patient office or other outpatient visit, 15-29 minutes | 92 |
| Complete ultrasound study of arm and leg arteries | 91 |
| X-ray of abdomen, 1 view | 89 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 87 |
| Application of chemical to stop tissue regrowth in wound | 85 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 85 |
| Telephone medical discussion with physician, 21-30 minutes | 84 |
| Repair of groin hernia (5 years or older) | 84 |
| Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 82 |
| Incision of windpipe for insertion of breathing tube (older than 2 years) | 82 |
| Emergency department visit with straightforward medical decision making | 81 |
| Telephone medical discussion with physician, 11-20 minutes | 76 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 75 |
| Ultrasonic guidance for blood vessel access | 73 |
| Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 69 |
| Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm | 67 |
| Removal or exploration of parathyroid glands | 62 |
| Fusion of spine bones through front of body with partial removal of disc, each additional disc | 60 |
| Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less | 59 |
| Biopsy of large bowel using a flexible endoscope | 58 |
| Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 55 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 55 |
| Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 53 |
| Mri scan of abdomen before and after contrast | 51 |
| Complete ultrasound scan behind abdominal cavity | 48 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 47 |
| Ultrasound of heart | 47 |
| Insertion of central venous tube with port (5 years or older) | 46 |
| Ultrasound scan of head and neck soft tissue | 46 |
| Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 44 |
| Initial repair of sliding hernia of abdomen, 3-10 cm in length | 44 |
| Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 43 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 39 |
| Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus | 36 |
| Insertion of needle into vein (3 years or older) | 36 |
| Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | 33 |
| Mri scan of pelvis before and after contrast | 33 |
| Partial removal of breast | 31 |
| Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 30 |
| Insertion of cage or mesh device to spine bone and disc space during spine fusion | 29 |
| Ct scan of abdomen and pelvis before and after contrast | 28 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 26 |
| Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope | 26 |
| Application of light to destroy precancer skin growth | 25 |
| Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth | 25 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 25 |
| Imaging of lymph nodes during surgery | 25 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).