Vascular Surgery
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Established patient office or other outpatient visit, 20-29 minutes | 417,770 |
| Ultrasound of both sides of head and neck blood flow | 302,082 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 300,256 |
| Established patient office or other outpatient visit, 30-39 minutes | 280,333 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 242,630 |
| Ultrasound study of arm and leg arteries | 191,169 |
| Ultrasound of leg arteries or artery grafts | 130,813 |
| New patient office or other outpatient visit, 45-59 minutes | 123,255 |
| New patient office or other outpatient visit, 30-44 minutes | 102,283 |
| Complete ultrasound study of arm and leg arteries | 88,250 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 86,930 |
| Ultrasound of one leg arteries or artery grafts | 83,864 |
| Ultrasonic guidance for blood vessel access | 72,842 |
| Established patient office or other outpatient visit, 10-19 minutes | 60,550 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 60,435 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 55,944 |
| Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 54,086 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 52,695 |
| Ultrasound of hemodialysis access | 50,399 |
| 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 | 42,772 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 36,832 |
| Review by radiologist of arm or leg artery image | 35,888 |
| Established patient office or other outpatient visit, 40-54 minutes | 32,096 |
| Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 31,355 |
| Removal of skin and tissue, 20.0 sq cm or less | 30,500 |
| Review by radiologist of abdominal aorta image | 26,834 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 24,988 |
| Complete ultrasound of abdomen and pelvis artery and vein blood flow | 21,836 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 21,225 |
| Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 20,917 |
| New patient office or other outpatient visit, 60-74 minutes | 19,614 |
| Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 19,394 |
| Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 18,829 |
| Ultrasound of aorta, vena cava, groin vessels or bypass grafts | 16,192 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 15,863 |
| Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 14,265 |
| Injection of chemical agent into multiple incompetent veins of leg | 13,329 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 10,008 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 9,770 |
| 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 | 9,693 |
| Review by radiologist of both arms or legs arteries image | 8,764 |
| Removal of plaque in artery of leg, initial vessel | 8,691 |
| Removal of plaque in arteries of leg | 8,361 |
| Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 8,282 |
| Strapping, unna boot | 8,195 |
| New patient office or other outpatient visit, 15-29 minutes | 8,068 |
| Application of vein wound compression bandages on lower leg, ankle, and foot | 7,862 |
| Ultrasound of leg arteries at rest and after exercise | 7,105 |
| Removal of blood clot and portion of chest, neck, or brain artery | 7,095 |
| Ultrasound of one side of head and neck blood flow | 6,806 |
| Removal of tissue from wound, 20.0 sq cm or less | 6,780 |
| Insertion of tunneled central venous tube for infusion (5 years or older) | 6,720 |
| Relocation of arm vein with connection to arm artery for hemodialysis | 6,311 |
| Removal of muscle and/or tissue, 20.0 sq cm or less | 5,793 |
| Balloon dilation of dialysis segment with review by radiologist | 5,791 |
| Telephone medical discussion with physician, 5-10 minutes | 5,559 |
| Insertion of needle into vein for collection of blood sample | 5,334 |
| Telephone medical discussion with physician, 11-20 minutes | 5,282 |
| Laser destruction of incompetent vein of arm or leg using imaging guidance | 5,256 |
| Removal of plaque and insertion of stents in arteries of leg | 4,821 |
| Ultrasonic guidance for needle placement | 4,650 |
| Ultrasound of one arm arteries or artery grafts | 4,546 |
| Balloon dilation of artery of leg, initial vessel | 4,534 |
| Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access | 4,456 |
| Ultrasound scan of abdominal aorta | 4,354 |
| Ultrasound of abdomen and pelvis artery and vein blood flow | 4,349 |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 4,340 |
| Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 4,038 |
| Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 3,924 |
| Balloon dilation of artery of leg | 3,726 |
| Smoking and tobacco use intensive counseling, 4-10 minutes | 3,590 |
| Removal of tunneled central venous tube | 3,582 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 3,492 |
| Insertion of stent and blood clot protection device in neck artery with review by radiologist | 3,333 |
| Fusion of lower spine bone through abdomen with partial removal of disc | 3,192 |
| Review by radiologist of additional artery image | 3,122 |
| Management of oxygen chamber therapy | 3,111 |
| Exposure of groin artery for delivery of graft | 3,096 |
| Injection of drug or substance under skin or into muscle | 2,807 |
| Blood test, basic group of blood chemicals (calcium, ionized) | 2,787 |
| Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 2,760 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,695 |
| Revision of hemodialysis graft | 2,622 |
| Review by radiologist of abdominal aorta and both leg arteries image | 2,616 |
| Therapy procedure using manual technique, each 15 minutes | 2,562 |
| Removal of varicose veins of arm or leg, 10-20 incisions | 2,487 |
| Application of electrical stimulation with therapist present, each 15 minutes | 2,365 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 2,365 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 2,330 |
| Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch | 2,270 |
| Telephone medical discussion with physician, 21-30 minutes | 2,238 |
| Creation of artery-vein connection using tube graft for hemodialysis | 2,201 |
| Insertion of stent in groin artery, initial vessel | 1,990 |
| 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 | 1,933 |
| Insertion of needle or tube into artery of arm or leg | 1,885 |
| Insertion of stent in arteries of leg | 1,872 |
| Insertion of central venous tube with port (5 years or older) | 1,858 |
| Limited ultrasound scan behind abdominal cavity | 1,807 |
| Fusion of spine bones through front of body with partial removal of disc, each additional disc | 1,611 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 1,609 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).