Urology

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm	52224	9,801	8,116
Other procedure on male genital system	55899	9,802	9,317
Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	52441	10,211	10,143
Ketone bodies analysis, quantitative	82010	10,229	6,450
Total protein level, urine	84156	10,247	6,477
Urine hemoglobin level	83069	10,459	6,506
Glucose (sugar) level on body fluid	82945	10,464	6,508
Surgical removal of prostate and surrounding lymph nodes using an endoscope	55866	10,892	10,884
Bilirubin level, total	82247	11,374	7,144
Measurement of total estradiol (hormone)	82670	13,223	8,421
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	87184	13,328	6,361
Blood test, comprehensive group of blood chemicals	80053	13,899	10,485
Complicated insertion of bladder tube	51703	13,934	7,192
Cell examination of specimen, selective cellular enhancement technique	88112	14,036	10,167
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	51729	14,057	13,635
Urinalysis using microscope	81015	14,863	9,068
Telephone medical discussion with physician, 21-30 minutes	99443	15,156	12,724
Injection, medroxyprogesterone acetate, 1 mg	J1050	16,152	59
Urinalysis for bacteria	81007	17,129	10,542
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope	52601	17,483	17,467
Telephone medical discussion with physician, 5-10 minutes	99441	17,991	15,605
Chemical analysis using spectrophotometry (light)	84311	18,284	6,455
Sex hormone binding globulin (protein) level	84270	18,510	12,178
Dilation of urethra using an endoscope	52281	19,058	16,228
Ct scan of abdomen and pelvis before and after contrast	74178	19,422	19,029
Detection test by nucleic acid for organism, quantification	87799	20,437	7,749
Shock wave crushing of kidney stones	50590	21,073	18,481
Ct scan of abdomen and pelvis without contrast	74176	21,757	20,143
Blood creatinine level	82565	22,169	20,254
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85025	24,258	17,141
Insertion of temporary bladder tube	51701	26,779	20,613
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique	87651	27,217	16,679
Exam with injections of chemical for destruction of bladder using an endoscope	52287	27,422	19,794
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	99221	28,657	27,634
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99233	29,940	15,697
Blood test, basic group of blood chemicals (calcium, total)	80048	31,508	25,861
Telephone medical discussion with physician, 11-20 minutes	99442	31,772	26,790
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	87641	34,589	22,253
New patient office or other outpatient visit, 60-74 minutes	99205	34,793	34,791
Simple change of bladder tube	51705	35,319	12,191
Bacterial culture for aerobic isolates	87077	36,981	23,654
Insertion of lower leg neurostimulator electrode	64566	38,438	7,681
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	99439	38,648	18,844
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	99426	39,144	11,750
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	87500	39,418	26,420
Unclassified drugs	J3490	40,632	4,027
Psa (prostate specific antigen) measurement, free	84154	40,858	31,842
Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	52442	42,031	10,022
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	87186	42,909	25,803
Ultrasonic guidance for needle placement	76942	43,304	42,190
Insertion of device into abdomen with pressure and urine flow rate study	51797	43,963	42,842
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	52310	46,608	45,011
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	50,844	47,870
Complex measurement of pressure of urine flow in bladder with voiding pressure studies	51728	54,206	51,333
Complete ultrasound scan of pelvis	76856	54,322	44,870
Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	87653	55,143	36,466
Instillation of anti-cancer drug into bladder	51720	55,397	19,519
Crushing of stone of ureter with insertion of stent using an endoscope	52356	57,302	52,378
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99211	58,121	35,936
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	87640	58,163	38,653
Bacterial urine culture	87088	58,372	37,436
X-ray of abdomen, 1 view	74018	62,283	46,215
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	51784	64,756	60,759
Simple bladder irrigation and/or instillation	51700	74,709	52,494
Limited ultrasound scan of pelvis	76857	74,773	55,899
Testosterone (hormone) level, total	84403	75,219	49,032
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99231	79,446	46,657
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique	87801	80,905	17,571
Insertion of stent in ureter using an endoscope	52332	86,721	71,550
Imaging of urinary tract following injection of a contrast agent	74420	89,653	72,221
Simple insertion of temporary bladder tube	51702	93,547	44,070
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	102,734	98,269
Limited ultrasound scan behind abdominal cavity	76775	103,582	84,969
Biopsy of prostate gland	55700	107,562	106,695
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	96402	108,333	57,413
Identification of organisms by genetic analysis, amplified probe technique	87150	109,979	4,746
Bacterial colony count, urine	87086	117,581	76,046
Complete ultrasound scan behind abdominal cavity	76770	125,570	104,163
Detection test for candida species (yeast), amplified probe technique	87481	132,480	34,784
Creatinine level to test for kidney function or muscle injury	82570	141,069	82,019
Established patient office or other outpatient visit, 10-19 minutes	99212	147,125	115,707
Established patient office or other outpatient visit, 40-54 minutes	99215	151,245	119,811
Ultrasound scan of pelvic region through rectum	76872	152,788	146,478
Injection of drug or substance under skin or into muscle	96372	167,951	66,280
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	170,142	87,251
New patient office or other outpatient visit, 30-44 minutes	99203	183,633	183,625
Electronic assessment of bladder emptying	51741	232,413	189,041
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	99490	255,945	54,140
Manual urinalysis test with examination using microscope, non-automated	81000	277,208	160,644
Psa (prostate specific antigen) measurement, total	84153	383,557	286,234
Manual urinalysis test with examination using microscope, automated	81001	413,237	262,579
Detection test by nucleic acid for organism, amplified probe technique	87798	566,382	39,003
New patient office or other outpatient visit, 45-59 minutes	99204	573,163	573,142
Urinalysis, manual test	81002	602,429	389,968
Diagnostic exam of bladder and urethra using an endoscope	52000	678,956	574,154
Insertion of needle into vein for collection of blood sample	36415	700,532	511,070
Ultrasound measurement of bladder capacity after voiding	51798	1,384,063	1,006,451
Automated urinalysis test	81003	1,748,644	1,122,577
Established patient office or other outpatient visit, 20-29 minutes	99213	2,058,443	1,510,271
Established patient office or other outpatient visit, 30-39 minutes	99214	2,711,959	1,830,950

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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).