localis
Waitlist

Describe a service in plain words, or type a CPT/HCPCS code.

Medicare's 500 most-billed CPT codes of 2013

In CY2013 Medicare paid $74.9B across these 500 CPT codes. 99213 (Established Patient Office Visit, Level 3) leads every measure: 26.7M beneficiaries and $7.0B allowed. Below the top few the rankings split apart. The codes that reach the most patients are rarely the ones that move the most money.

Allowed
$74.9B
Total Medicare allowed dollars
Services
1.2B
Times these codes were billed
Top 25
57.7%
Share of the allowed dollars
Vintage
CY2013
Medicare fee-for-service only

All 500 codes, ranked

Sorted by beneficiaries. Every code links to its full rate breakdown.

# Code What it is Beneficiaries Services Allowed Per service
1 99213 Established Patient Office Visit, Level 3 26,717,318 103,145,125 $6,990,008,028 $67.77
2 99214 Established Patient Office Visit, Level 4 25,114,505 88,968,373 $8,879,227,816 $99.80
3 36415 Routine Venipuncture (Blood Draw) 18,663,331 61,175,241 $180,152,232 $2.94
6 80053 Comprehensive Metabolic Panel 14,148,401 28,483,873 $315,498,512 $11.08
7 85025 Complete Blood Count with Differential 13,374,177 31,003,258 $321,575,755 $10.37
9 80061 Lipid Panel 12,902,324 20,554,644 $289,720,951 $14.10
11 84443 Thyroid-Stimulating Hormone (TSH) 10,118,447 15,398,584 $348,847,030 $22.65
13 92014 Comprehensive Eye Exam, Established Patient 9,276,862 11,715,360 $1,419,866,766 $121.20
15 99212 Established Patient Office Visit, Level 2 9,011,907 17,408,817 $703,711,749 $40.42
19 99203 New Patient Office Visit, Level 3 8,442,855 10,343,373 $1,052,588,791 $101.76
20 93010 Electrocardiogram (ECG), Interpretation Only 8,195,378 19,347,800 $156,097,968 $8.07
22 93000 Electrocardiogram (ECG), Complete 7,674,374 11,658,544 $211,817,545 $18.17
23 88305 Surgical Pathology Exam, Level IV 7,511,901 19,898,257 $954,919,284 $47.99
14 99204 New Patient Office Visit, Level 4 7,281,966 8,967,853 $1,401,035,301 $156.23
25 83036 Hemoglobin A1c 7,111,212 13,293,974 $173,358,399 $13.04
12 99285 Emergency Department Visit, Level 5 6,325,852 10,541,050 $1,728,173,621 $163.95
26 93306 Transthoracic Echocardiogram, Complete with Doppler 6,183,659 7,261,387 $766,507,906 $105.56
17 99215 Established Patient Office Visit, Level 5 5,635,244 9,450,643 $1,260,864,232 $133.42
4 99232 Subsequent Hospital Care, Level 2 5,032,676 49,690,437 $3,433,156,852 $69.09
34 80048 Basic Metabolic Panel 4,652,436 8,667,408 $82,757,056 $9.55
8 99223 Initial Hospital Care, Level 3 4,635,897 11,122,645 $2,174,293,768 $195.48
38 81001 Urinalysis, Automated with Microscopy 4,453,915 7,225,386 $30,779,254 $4.26
39 82306 Vitamin D, 25-Hydroxy 4,252,814 5,827,937 $230,133,699 $39.49
30 99284 Emergency Department Visit, Level 4 4,032,604 5,766,604 $635,669,531 $110.23
43 81003 Urinalysis, Automated without Microscopy 3,807,753 6,350,926 $19,170,713 $3.02
35 92012 Established Patient Eye Exam, Intermediate Level 3,745,859 6,791,659 $581,583,429 $85.63
45 70450 CT Head/Brain, without Contrast 3,696,138 5,391,126 $223,784,298 $41.51
24 99222 Initial Hospital Care, Level 2 3,650,595 7,154,507 $949,231,752 $132.68
48 17000 Destruction of Premalignant Skin Lesion, First 3,492,265 5,197,918 $341,015,122 $65.61
10 99233 Subsequent Hospital Care, Level 3 3,491,675 21,685,173 $2,172,285,648 $100.17
51 82570 Creatinine, Non-Blood Sample 3,327,090 5,727,852 $39,576,038 $6.91
53 84439 Free Thyroxine (Free T4) 3,169,312 4,653,137 $56,339,936 $12.11
54 87086 Urine Culture, Quantitative 2,971,453 5,094,991 $55,396,089 $10.87
56 99202 New Patient Office Visit, Level 2 2,942,960 3,125,160 $214,917,639 $68.77
58 99238 Hospital Discharge Day Management, 30 Minutes or Less 2,905,213 4,089,948 $282,133,280 $68.98
59 82607 Vitamin B12 Level 2,865,869 3,763,711 $76,602,867 $20.35
49 20610 Major Joint Injection or Aspiration 2,848,146 6,196,108 $352,194,182 $56.84
57 11721 Trimming of Six or More Thickened Nails 2,806,265 7,480,986 $324,451,793 $43.37
62 81002 Manual Urinalysis, Dipstick Only 2,799,133 4,430,864 $15,103,401 $3.41
44 99239 Hospital Discharge Day Management, Longer Visit 2,768,221 3,953,369 $406,075,200 $102.72
65 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,718,771 9,478,391 $228,978,988 $24.16
67 99283 Emergency Department Visit, Level 3 2,617,576 3,593,606 $204,417,892 $56.88
36 99205 New Patient Office Visit, Level 5 2,609,531 2,929,266 $565,361,954 $193.00
69 17003 Destruction of Additional Precancerous Skin Lesions 2,609,453 16,453,864 $106,808,467 $6.49
64 93880 Carotid Duplex Ultrasound, Complete 2,542,734 2,852,147 $298,741,421 $104.74
46 99231 Subsequent Hospital Care, Level 1 2,428,480 10,807,414 $401,448,469 $37.15
71 92083 Extended Visual Field Test 2,420,226 2,838,051 $177,209,042 $62.44
74 84153 Prostate-Specific Antigen (PSA), Total 2,390,531 3,434,500 $85,131,226 $24.79
77 92250 Retinal Photography with Interpretation 2,349,024 2,860,800 $196,257,856 $68.60
79 77080 DEXA Bone Density, Axial 2,347,157 2,443,667 $77,963,043 $31.90
81 82043 Urine Microalbumin, Quantitative 2,346,730 3,098,697 $22,135,822 $7.14
83 85027 Complete Blood Count, Automated, No Differential 2,224,775 3,617,097 $31,049,740 $8.58
85 92134 Retinal OCT Scan 2,188,881 4,971,667 $219,551,097 $44.16
60 92004 Comprehensive Eye Exam, New Patient 2,165,621 2,267,172 $321,935,966 $142.00
88 85610 Prothrombin Time (PT/INR) 2,146,096 18,615,637 $98,420,727 $5.29
18 97110 Therapeutic Exercise, 15 Minutes 2,133,777 42,712,902 $1,157,469,044 $27.10
32 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 2,128,838 2,257,443 $622,808,450 $275.89
89 84550 Uric Acid Blood Test 2,113,939 3,423,734 $12,629,122 $3.69
28 99308 Subsequent Nursing Facility Visit, Level 2 2,092,529 10,817,281 $692,166,909 $63.99
92 92133 Optic Nerve Imaging (OCT) 2,049,490 2,298,038 $97,255,058 $42.32
93 99211 Established Patient Office Visit, Minimal 1,953,118 6,355,032 $122,885,219 $19.34
73 74177 CT Abdomen and Pelvis, With Contrast 1,901,570 2,466,709 $276,579,700 $112.12
98 73030 Shoulder X-ray, Complete 1,795,394 2,487,516 $50,495,985 $20.30
29 99309 Subsequent Nursing Facility Visit, Level 3 1,763,296 8,015,884 $667,183,650 $83.23
100 82746 Serum Folate Blood Test 1,698,123 2,179,075 $42,953,742 $19.71
21 99291 Critical Care, First Time Block 1,695,843 5,227,410 $1,130,479,557 $216.26
103 83540 Serum Iron Level 1,693,953 2,678,956 $22,805,810 $8.51
104 74176 CT Abdomen and Pelvis, Without Contrast 1,682,282 2,100,414 $198,869,343 $94.68
106 81000 Manual Urinalysis with Microscopy 1,652,506 2,911,556 $12,356,222 $4.24
107 73630 Foot X-ray, Complete Series 1,616,075 2,489,960 $55,119,364 $22.14
108 87186 Antibiotic Susceptibility Panel, MIC 1,615,723 2,860,648 $32,817,029 $11.47
110 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,600,191 1,999,784 $44,055,008 $22.03
112 80076 Liver Function Blood Panel 1,539,116 2,451,222 $18,456,899 $7.53
114 82728 Ferritin Blood Test 1,537,024 2,479,222 $45,481,135 $18.34
40 97140 Manual Therapy, 15 Minutes 1,530,364 19,375,901 $466,145,253 $24.06
116 87088 Urine Culture with Isolate Identification 1,527,261 2,484,986 $26,330,126 $10.60
118 72170 Basic Pelvis X-Ray 1,474,164 1,877,999 $31,136,740 $16.58
119 82550 Total Creatine Kinase Blood Test 1,451,773 2,233,852 $10,849,374 $4.86
121 73562 Knee X-Ray, Three Views 1,451,715 2,110,817 $56,220,822 $26.63
122 73560 Basic Knee X-Ray, One or Two Views 1,423,205 2,116,651 $44,509,125 $21.03
124 83735 Magnesium Blood Level 1,420,431 2,673,095 $23,922,665 $8.95
126 93970 Complete Duplex Ultrasound of Limb Veins 1,410,961 1,723,384 $136,366,576 $79.13
41 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,387,965 13,110,868 $451,837,958 $34.46
47 43239 Upper GI Endoscopy (EGD) with Biopsy 1,377,785 2,000,669 $353,290,362 $176.59
117 99221 Initial Hospital Care, Level 1 1,376,374 1,864,504 $180,628,138 $96.88
128 84436 Total Thyroxine (T4) Blood Test 1,361,299 1,842,626 $16,819,021 $9.13
131 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,344,296 1,697,972 $78,184,920 $46.05
132 83550 Iron Binding Capacity Blood Test 1,339,306 2,087,701 $24,123,412 $11.56
134 71260 CT Scan of the Chest with Contrast 1,311,134 1,770,969 $130,623,275 $73.76
115 17110 Destruction of Benign Lesions, Up to 14 1,305,207 1,739,708 $181,994,593 $104.61
5 66984 Cataract Surgery with Lens Implant 1,295,616 6,993,885 $2,177,652,311 $311.37
138 93018 Cardiac Stress Test, Interpretation and Report Only 1,293,458 1,342,502 $18,698,396 $13.93
139 87077 Definitive Identification of Cultured Isolate 1,285,019 2,037,257 $21,289,690 $10.45
141 85652 Erythrocyte Sedimentation Rate, Automated 1,283,816 1,956,150 $7,111,068 $3.64
143 51798 Post-Void Residual Urine, Ultrasound 1,277,608 2,007,230 $39,071,560 $19.47
146 71250 CT Scan of the Chest, No Contrast 1,272,525 1,617,832 $125,934,432 $77.84
147 84460 ALT (Alanine Aminotransferase) Blood Test 1,272,358 2,085,892 $6,460,295 $3.10
70 88342 Immunohistochemistry Stain, First Antibody 1,270,683 4,600,388 $280,159,786 $60.90
150 82565 Creatinine, Blood 1,268,954 2,049,741 $6,635,354 $3.24
151 69210 Impacted Earwax Removal, Instrumentation 1,260,944 1,579,176 $77,180,360 $48.87
155 93015 Cardiovascular Stress Test, Complete 1,191,323 1,230,174 $86,151,688 $70.03
66 76942 Ultrasound Guidance for Needle Placement 1,185,562 1,960,732 $295,338,762 $150.63
78 72148 MRI Lumbar Spine, without Contrast 1,179,584 1,342,003 $255,895,394 $190.68
157 82947 Glucose, Quantitative (Blood) 1,133,269 2,476,607 $10,088,471 $4.07
160 93016 Cardiac Stress Test, Supervision Only 1,124,574 1,161,005 $24,066,544 $20.73
94 00142 Anesthesia for Cataract and Lens Surgery 1,108,564 2,114,258 $217,493,705 $102.87
163 76770 Complete Retroperitoneal Ultrasound 1,108,392 1,270,789 $83,694,216 $65.86
164 86140 C-Reactive Protein, Standard 1,090,306 1,879,206 $12,903,825 $6.87
168 84450 AST (Aspartate Aminotransferase) Blood Test 1,071,006 1,686,819 $4,498,416 $2.67
133 99307 Subsequent Nursing Facility Visit, Level 1 1,068,491 3,531,289 $146,504,298 $41.49
171 92557 Comprehensive Audiometry 1,053,542 1,147,449 $42,417,258 $36.97
96 99306 Initial Nursing Facility Visit, High Level 1,036,413 1,339,539 $216,710,116 $161.78
174 94060 Spirometry, Pre- and Post-Bronchodilator 1,019,720 1,243,956 $61,185,152 $49.19
177 82248 Direct Bilirubin Blood Test 1,005,476 1,539,982 $3,242,767 $2.11
178 76700 Abdominal Ultrasound, Complete 985,428 1,117,695 $84,653,118 $75.74
181 92136 Eye Measurement for Cataract Lens Power 981,882 1,654,736 $97,407,651 $58.87
183 88312 Special Stain for Microorganisms 974,934 1,643,114 $91,588,181 $55.74
186 11720 Nail Trimming/Debridement, Up to 5 958,924 2,308,523 $73,138,745 $31.68
55 45380 Colonoscopy with Biopsy 949,430 1,347,066 $335,720,088 $249.22
190 94010 Spirometry 943,749 1,313,716 $41,088,115 $31.28
192 88304 Surgical Pathology Exam, Level III 935,576 1,123,198 $20,391,603 $18.15
194 84100 Phosphorus (Inorganic Phosphate) Blood Test 922,061 1,756,313 $5,237,920 $2.98
196 73564 Complete Knee X-Ray, Four or More Views 908,001 1,217,283 $35,177,667 $28.90
197 94729 Gas Diffusing Capacity Test (DLCO) 893,439 984,603 $38,612,560 $39.22
198 76705 Limited Abdominal Ultrasound 890,885 1,023,011 $39,156,252 $38.28
127 98940 Chiropractic Spinal Manipulation, One to Two Regions 880,493 6,692,797 $168,372,929 $25.16
200 84403 Total Testosterone Blood Test 877,577 1,290,167 $44,495,804 $34.49
202 72110 Lower Back (Lumbar) Spine X-ray, Full Series 862,112 954,299 $27,884,391 $29.22
136 70551 Brain MRI Without Contrast 860,600 953,619 $136,543,311 $143.18
205 73610 Full Ankle X-Ray Series 859,014 1,264,561 $24,936,281 $19.72
207 85651 Erythrocyte Sedimentation Rate, Manual 852,058 1,389,616 $6,627,608 $4.77
91 70553 MRI Brain, With and Without Contrast 842,350 1,012,452 $220,151,875 $217.44
213 83721 Direct LDL Cholesterol Measurement 822,559 1,249,630 $15,912,624 $12.73
165 90791 Psychiatric Diagnostic Evaluation 812,747 919,051 $116,185,401 $126.42
215 83615 Lactate Dehydrogenase (LDH) Blood Test 811,807 1,828,866 $6,937,050 $3.79
167 11056 Paring of Corns or Calluses, 2-4 Lesions 798,483 1,951,094 $112,334,027 $57.57
218 88313 Special Stain for Tissue Elements and Pigments 785,516 1,745,586 $62,706,278 $35.92
153 99305 Initial Nursing Facility Visit, Moderate Level 783,150 975,709 $124,783,665 $127.89
221 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 779,884 881,692 $46,686,081 $52.95
223 73130 Full Hand X-Ray Series 774,937 1,071,006 $20,560,429 $19.20
224 92020 Gonioscopy, Exam of the Eye's Drainage Angle 772,279 882,086 $24,440,597 $27.71
227 82962 Blood Sugar Check with Handheld Glucose Meter 765,305 2,303,113 $7,125,652 $3.09
229 84520 Urea Nitrogen (BUN) 764,410 1,181,865 $2,441,488 $2.07
111 52000 Diagnostic Cystoscopy 762,960 1,004,225 $184,997,777 $184.22
212 88112 Non-Gynecologic Enhanced Cytology 759,639 1,216,578 $88,774,166 $72.97
90 97112 Neuromuscular Re-education Therapy 725,083 7,473,160 $225,896,396 $30.23
235 84481 Free Triiodothyronine (T3) Blood Test 721,269 1,035,230 $22,778,465 $22.00
219 71275 CT Angiogram of the Chest 720,178 807,305 $82,460,768 $102.14
236 84479 Thyroid Hormone Uptake Test 717,869 973,838 $8,313,592 $8.54
52 45385 Colonoscopy with Lesion Removal (Snare) 716,588 1,041,040 $341,394,975 $327.94
238 86038 Antinuclear Antibody Screen 715,278 826,868 $13,460,979 $16.28
50 90834 Psychotherapy, 45 Minutes 688,481 6,045,167 $348,997,398 $57.73
241 84165 Serum Protein Electrophoresis (SPEP) 680,998 1,006,255 $16,792,060 $16.69
244 82270 678,853 681,736 $2,963,151 $4.35
247 84480 Total Triiodothyronine (T3) Blood Test 674,153 940,429 $17,819,201 $18.95
249 76775 Limited Retroperitoneal Ultrasound 673,693 757,959 $47,531,259 $62.71
251 76536 Ultrasound of Neck and Head Soft Tissues 670,271 786,398 $58,956,078 $74.97
252 73110 Full Wrist X-Ray Series 669,087 992,947 $21,776,419 $21.93
254 87070 Bacterial Culture, Other Source 657,936 841,635 $9,774,807 $11.61
257 92567 Eardrum Movement Test (Tympanometry) 648,288 739,596 $10,291,891 $13.92
86 97530 Therapeutic Activities, Per 15 Minutes 646,749 7,302,882 $232,454,797 $31.83
263 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 626,316 959,781 $43,429,335 $45.25
264 77003 603,684 1,057,338 $55,420,602 $52.42
109 45378 Diagnostic Colonoscopy 589,194 753,355 $192,400,967 $255.39
230 88307 Surgical Pathology Exam, Level V 578,165 918,523 $80,257,416 $87.38
172 73721 MRI of Leg Joint, No Contrast 575,821 709,932 $110,104,060 $155.09
274 93922 Limited Arterial Circulation Study, Arms or Legs 566,697 678,986 $42,720,760 $62.92
149 74178 CT Abdomen and Pelvis, Before and After Contrast 562,822 661,301 $125,942,602 $190.45
276 74022 551,427 696,198 $11,347,347 $16.30
210 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 550,519 654,823 $89,224,830 $136.26
280 88311 Decalcification of Tissue for Sectioning 546,018 654,995 $8,358,352 $12.76
258 95886 Complete Needle EMG of One Limb 540,271 935,058 $71,008,834 $75.94
285 94726 Lung Volume Testing by Body Plethysmography 534,185 582,997 $22,083,909 $37.88
288 72040 Neck (Cervical) Spine X-ray, Limited Views 521,846 650,265 $14,229,584 $21.88
289 86431 Rheumatoid Factor, Quantitative 521,105 596,237 $4,562,277 $7.65
145 17004 Destruction of Fifteen or More Precancerous Skin Lesions 520,919 784,616 $131,394,162 $167.46
182 72141 Neck MRI, No Contrast Dye 519,413 581,388 $104,603,672 $179.92
292 11719 518,687 1,372,263 $11,730,444 $8.55
130 93458 Left Heart Catheterization with Coronary Angiography 513,339 538,203 $148,539,455 $275.99
295 73620 Foot X-ray, Two Views 510,715 778,192 $18,402,310 $23.65
76 67028 Intravitreal Injection of Medication 510,420 2,527,875 $256,917,623 $101.63
298 36620 Arterial Line Placement, Percutaneous 509,451 566,186 $28,314,613 $50.01
80 66821 YAG Laser Capsulotomy After Cataract Surgery 508,737 1,186,857 $255,023,638 $214.87
300 84311 504,427 1,277,491 $11,999,047 $9.39
301 93923 Complete Arterial Circulation Study, Arms or Legs 498,273 597,030 $52,780,821 $88.41
303 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 496,847 882,471 $2,830,640 $3.21
305 80069 Renal Function Panel 490,124 988,001 $10,194,303 $10.32
306 97035 485,488 3,169,186 $33,178,589 $10.47
142 92235 Fluorescein Angiography of the Retina 484,368 1,158,605 $131,681,636 $113.66
307 11055 Paring of a Single Corn or Callus 478,660 909,842 $42,072,552 $46.24
310 84156 Total Protein Measurement, Urine 474,917 771,359 $3,807,649 $4.94
312 76856 Complete Pelvic Ultrasound, Non-Pregnancy 473,241 554,678 $43,969,479 $79.27
313 84132 Potassium Blood Level 471,599 740,054 $2,459,121 $3.32
268 31575 Flexible Laryngoscopy, Diagnostic 470,774 623,484 $67,535,332 $108.32
277 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 468,846 540,346 $63,245,859 $117.05
317 20550 Tendon Sheath, Ligament, or Fascia Injection 466,225 767,095 $39,327,129 $51.27
135 99310 Subsequent Nursing Facility Visit, Level 4 463,963 1,130,921 $137,952,266 $121.98
61 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 458,393 615,206 $321,060,093 $521.87
320 86803 Hepatitis C Antibody Test 455,623 539,940 $10,371,394 $19.21
322 82044 453,155 593,216 $3,168,090 $5.34
323 51741 Complex Urine Flow Study 446,675 604,248 $7,381,031 $12.22
327 86141 High-Sensitivity C-Reactive Protein 442,868 581,352 $10,169,380 $17.49
329 93005 Electrocardiogram, Tracing Only 440,573 521,169 $5,011,598 $9.62
332 70486 CT Scan of Sinuses and Facial Bones 436,678 479,172 $44,437,376 $92.74
333 93325 Color Flow Mapping with Heart Ultrasound 435,035 492,262 $3,851,810 $7.82
335 82310 Total Calcium Blood Test 434,334 624,024 $1,918,463 $3.07
337 76937 Ultrasound Guidance for Vascular Access 428,685 545,389 $8,356,414 $15.32
338 94640 Inhalation Treatment for Airway Obstruction 426,896 650,165 $11,849,618 $18.23
340 83704 426,825 597,039 $25,294,743 $42.37
342 85730 Partial Thromboplastin Time (PTT) Blood Test 426,548 640,699 $5,169,600 $8.07
344 76830 Transvaginal Pelvic Ultrasound 425,657 492,412 $27,709,584 $56.27
63 78815 PET/CT Scan, Skull Base to Mid-Thigh 424,642 622,121 $312,810,590 $502.81
347 84155 Total Protein, Blood 423,899 584,743 $1,664,512 $2.85
348 82150 Amylase Blood Test 421,365 542,408 $4,740,026 $8.74
99 64483 Transforaminal Epidural Injection, Lumbar/Sacral 420,274 972,382 $204,562,751 $210.37
354 76514 Corneal Thickness Measurement by Ultrasound 416,794 445,307 $6,218,728 $13.97
355 82274 Fecal Immunochemical Test for Blood 413,641 451,524 $9,461,525 $20.95
316 10060 Incision and Drainage of Abscess, Simple 413,114 486,129 $53,150,917 $109.34
287 36556 Non-Tunneled Central Line Placement, Age 5 and Over 412,999 496,719 $59,081,806 $118.94
180 90832 Individual Psychotherapy, 30 Minutes 411,955 2,399,833 $105,261,871 $43.86
359 93224 408,985 440,806 $37,638,881 $85.39
363 72050 Neck (Cervical) Spine X-ray, Extended Views 402,843 438,947 $12,479,720 $28.43
159 11042 Debridement, Subcutaneous Tissue 402,427 1,451,251 $119,858,400 $82.59
243 73221 Arm Joint MRI, No Contrast Dye 401,859 490,338 $76,178,808 $155.36
371 83690 Lipase Blood Test 387,390 488,231 $4,454,207 $9.12
373 90471 Immunization Administration, First 385,788 432,468 $10,250,690 $23.70
75 90837 Psychotherapy, 60 Minutes 384,208 3,216,008 $265,584,157 $82.58
375 73590 Lower Leg X-Ray 382,524 507,297 $6,925,254 $13.65
377 99282 377,663 443,127 $16,904,203 $38.15
379 85018 374,368 735,011 $2,335,717 $3.18
380 90833 Shorter Psychotherapy Session Added to a Medical Visit 374,293 1,256,985 $42,248,396 $33.61
383 86334 Serum Immunofixation Electrophoresis 369,632 560,812 $14,663,938 $26.15
385 82040 Blood Albumin Test 365,919 603,837 $1,353,113 $2.24
357 11730 360,683 513,664 $48,069,635 $93.58
387 93227 359,784 393,213 $9,908,119 $25.20
259 43235 Upper GI Endoscopy, Diagnostic 359,363 452,090 $69,986,795 $154.81
278 97597 Selective Wound Debridement, Smaller Area 355,263 1,100,913 $63,242,292 $57.45
392 87880 Rapid Strep A Antigen Test 355,082 398,117 $6,116,488 $15.36
394 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 351,469 388,361 $25,675,461 $66.11
395 77001 349,140 447,948 $10,963,849 $24.48
397 84075 Total Alkaline Phosphatase Blood Test 348,792 538,745 $933,736 $1.73
399 93042 347,531 620,772 $4,495,299 $7.24
154 00790 Anesthesia for Upper Abdominal Surgery 346,753 507,446 $124,428,403 $245.21
144 95811 Sleep Study with CPAP or BiPAP Titration 346,323 405,384 $131,532,680 $324.46
402 20605 Intermediate Joint Injection or Aspiration 345,996 503,073 $30,401,728 $60.43
404 80051 342,191 544,962 $2,441,300 $4.48
406 83090 Homocysteine Blood Test 341,255 439,864 $10,034,934 $22.81
195 31231 Diagnostic Nasal Endoscopy 337,450 487,354 $100,143,577 $205.48
409 94762 336,535 380,319 $9,543,999 $25.09
411 99304 Initial Nursing Facility Visit, Level 1 333,571 381,918 $34,559,722 $90.49
413 93320 Full Doppler Flow Measurement with Heart Ultrasound 332,141 361,794 $9,377,104 $25.92
415 94727 Lung Volume Testing by Gas Dilution or Washout 326,578 357,319 $12,930,080 $36.19
416 83516 325,839 628,836 $9,346,978 $14.86
418 84478 325,170 477,361 $1,465,429 $3.07
420 74230 Swallowing Study with Video X-ray 322,040 385,691 $10,756,997 $27.89
426 88331 312,645 555,571 $37,705,967 $67.87
427 76519 311,084 496,731 $28,681,430 $57.74
179 95810 Attended Overnight Sleep Study in a Lab 309,850 347,759 $105,826,482 $304.31
430 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 305,971 349,151 $7,005,475 $20.06
432 83525 Total Insulin Blood Test 302,945 419,987 $6,449,821 $15.36
434 82378 302,447 650,322 $16,649,366 $25.60
33 90960 Monthly Dialysis Management, Adult, Four or More Visits 299,481 2,241,563 $617,408,512 $275.44
204 96365 Initial IV Infusion, Up to One Hour 299,098 1,278,455 $94,869,976 $74.21
438 73565 298,568 348,052 $10,891,146 $31.29
440 87804 Rapid Influenza Antigen Test 296,708 517,376 $8,085,445 $15.63
443 84402 Free Testosterone Blood Test 294,265 395,987 $13,517,628 $34.14
448 78306 291,693 326,814 $22,774,405 $69.69
450 70544 289,705 307,834 $32,158,458 $104.47
451 83695 Lipoprotein(a) Blood Test 287,446 392,050 $6,870,720 $17.53
454 99316 Nursing Facility Discharge Visit, Longer Session 284,405 309,338 $29,640,307 $95.82
456 73080 Full Elbow X-Ray Series 283,724 345,075 $5,853,016 $16.96
458 92285 External Photography of the Eye and Lids 283,098 344,921 $6,417,095 $18.60
460 87205 281,481 367,163 $2,046,706 $5.57
188 01402 Anesthesia for Knee Replacement Surgery 280,044 422,111 $103,291,785 $244.70
233 77300 Basic Radiation Dose Calculation 279,567 1,789,354 $79,445,937 $44.40
325 00400 Anesthesia for Skin Surgery on Limbs and Trunk 277,100 445,508 $52,235,384 $117.25
464 82247 Total Bilirubin Blood Test 276,746 535,344 $910,549 $1.70
466 73140 Finger X-Ray 275,063 362,591 $8,106,266 $22.36
468 73060 Upper Arm Bone X-Ray 274,368 371,500 $5,459,673 $14.70
169 64493 Lower Back Facet Joint Injection, First Level 271,197 588,932 $112,275,051 $190.64
358 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 270,807 315,440 $47,777,382 $151.46
140 99349 Home Visit, Established Patient, Level 3 269,967 1,086,691 $131,725,988 $121.22
472 88175 269,111 286,679 $9,858,898 $34.39
341 93351 Stress Echocardiogram, Complete with Supervision 267,102 273,521 $51,022,902 $186.54
474 82465 266,785 389,049 $1,107,329 $2.85
477 85045 Automated Reticulocyte Count 266,403 368,223 $1,989,506 $5.40
428 95816 EEG, Awake and Drowsy 265,278 291,817 $39,026,624 $133.74
480 20600 Arthrocentesis, Small Joint 264,765 408,685 $16,720,878 $40.91
481 83698 264,537 348,909 $15,992,687 $45.84
482 92550 263,828 285,923 $6,033,663 $21.10
72 96413 Chemotherapy Infusion, First Hour 262,737 2,010,345 $276,995,091 $137.78
484 85014 262,522 482,006 $1,536,054 $3.19
486 99315 262,317 284,921 $19,413,512 $68.14
487 88173 Fine Needle Aspiration Interpretation 259,487 351,676 $30,622,176 $87.07
42 27447 Total Knee Replacement 258,163 428,641 $441,744,946 $1,030.57
123 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 258,033 452,548 $171,629,002 $379.25
490 84295 252,644 438,565 $974,771 $2.22
492 31500 251,936 290,403 $31,497,500 $108.46
495 86592 251,868 286,117 $1,645,185 $5.75
496 99406 Smoking Cessation Counseling, Intermediate 250,550 368,315 $4,828,305 $13.11
391 77263 Complex Radiation Therapy Treatment Planning 250,313 270,445 $42,125,838 $155.76
101 77427 Radiation Treatment Management, Per Five Sessions 249,223 1,137,608 $199,674,056 $175.52
270 72158 Low-Back MRI, Before and After Contrast 248,907 284,736 $66,957,446 $235.16
499 71101 Rib X-ray, One Side, with Chest View 248,820 269,950 $5,066,567 $18.77
381 95819 EEG Recording Both Awake and Asleep 247,577 272,777 $43,320,526 $158.81
228 77290 Complex Radiation Therapy Simulation 247,051 342,560 $80,455,073 $234.86
352 99292 Critical Care, Additional Time 245,279 455,644 $48,806,373 $107.12
504 84154 Free PSA Blood Test 242,673 307,171 $7,621,007 $24.81
405 64494 Lower Back Facet Joint Injection, Second Level 241,923 522,773 $41,000,418 $78.43
507 86376 Thyroid Microsomal Antibody 240,407 284,595 $5,538,430 $19.46
509 71100 238,266 265,599 $4,603,603 $17.33
512 93312 Transesophageal Heart Ultrasound, Complete Service 236,266 272,731 $27,627,576 $101.30
513 87340 Hepatitis B Surface Antigen Test 235,079 255,820 $3,505,934 $13.70
516 86200 Cyclic Citrullinated Peptide Antibody 222,437 245,715 $4,284,852 $17.44
129 90961 Monthly Dialysis Management, Adult, Two or Three Visits 222,116 672,671 $155,836,119 $231.67
518 92002 220,775 222,948 $17,348,410 $77.81
521 83718 217,864 336,323 $3,703,736 $11.01
345 99348 Home Visit, Established Patient, Level 2 217,724 611,188 $50,484,544 $82.60
523 20552 Trigger Point Injection, One or Two Muscles 217,098 339,235 $15,900,820 $46.87
214 90935 Hemodialysis Session with One Physician Evaluation 216,330 1,248,431 $87,567,663 $70.14
526 78582 214,921 230,065 $12,671,567 $55.08
531 86235 Extractable Nuclear Antigen Antibody 210,522 1,070,393 $25,047,508 $23.40
462 00910 Anesthesia for Transurethral Bladder Procedures 209,502 360,327 $35,524,329 $98.59
535 97535 Self-Care and Home Management Training 207,934 900,191 $27,348,074 $30.38
537 73100 207,933 346,918 $8,150,724 $23.49
412 64484 207,255 522,338 $40,173,191 $76.91
539 72072 205,252 221,597 $3,526,102 $15.91
540 77002 Fluoroscopic Guidance for Needle Placement 203,325 345,669 $19,696,401 $56.98
542 86225 Double-Stranded DNA Antibody 202,125 249,012 $4,591,348 $18.44
543 76872 201,548 233,541 $14,437,150 $61.82
296 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 200,193 223,595 $57,215,897 $255.89
546 76857 200,072 259,721 $17,075,146 $65.74
461 96375 199,007 1,649,788 $35,731,382 $21.66
551 73090 198,781 239,515 $3,142,262 $13.12
262 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 198,283 234,270 $69,700,650 $297.52
553 85007 197,960 415,165 $1,906,866 $4.59
555 70498 CT Angiogram of the Neck 197,631 210,052 $22,197,393 $105.68
452 97116 Gait Training Therapy 197,419 1,590,714 $36,189,007 $22.75
558 73700 CT Scan of Leg or Foot, No Contrast 196,831 222,237 $15,140,296 $68.13
560 88300 196,160 220,181 $1,079,636 $4.90
562 70491 CT Scan of Neck Soft Tissue with Contrast 195,044 239,258 $21,720,138 $90.78
148 92928 Coronary Stent Placement, Single Major Vessel 193,922 231,606 $127,184,347 $549.14
567 73600 193,169 266,581 $5,154,284 $19.33
569 76376 3D Image Reconstruction and Interpretation 192,272 226,142 $5,922,384 $26.19
393 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 192,125 296,994 $42,085,993 $141.71
572 82610 191,439 296,669 $5,442,751 $18.35
573 88108 189,447 262,814 $7,937,585 $30.20
275 00840 Anesthesia for Lower Abdominal Surgery 189,172 273,333 $63,639,353 $232.83
576 86800 Thyroglobulin Antibody 188,040 239,145 $5,070,398 $21.20
579 73120 186,154 282,062 $5,597,716 $19.85
581 74220 185,809 199,898 $6,480,168 $32.42
269 98942 Chiropractic Spinal Manipulation, Five Regions 184,544 1,514,030 $67,200,870 $44.39
245 95165 Preparation of Allergy Immunotherapy Extracts 184,537 6,083,580 $75,436,609 $12.40
465 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 183,793 232,517 $35,004,029 $150.54
488 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 183,035 208,686 $32,542,522 $155.94
290 96367 182,663 1,886,318 $58,772,763 $31.16
544 01810 182,391 276,149 $27,615,872 $100.00
590 73070 182,278 243,326 $4,251,140 $17.47
467 72146 Mid-Back MRI, No Contrast Dye 181,154 202,639 $34,875,572 $172.11
422 95911 Nerve Conduction Studies, 9-10 Studies 181,002 191,579 $39,233,907 $204.79
593 12001 Simple Wound Repair, Small 180,630 185,016 $9,482,053 $51.25
541 77280 Simple Radiation Therapy Simulation 179,640 299,734 $27,720,470 $92.48
595 93926 179,088 237,310 $15,418,339 $64.97
597 83921 178,679 387,569 $8,605,670 $22.20
599 82533 Total Cortisol Blood Test 178,608 242,960 $5,324,819 $21.92
601 94375 178,498 272,444 $9,371,158 $34.40
319 74183 MRI Abdomen, Before and After Contrast 178,422 214,073 $53,032,348 $247.73
439 27096 Sacroiliac Joint Injection with Imaging Guidance 173,526 266,607 $37,038,397 $138.93
519 95910 Nerve Conduction Studies, 7-8 Studies 170,813 177,963 $29,285,733 $164.56
378 11750 169,157 225,792 $43,846,733 $194.19
286 95004 Skin Prick Allergy Testing 166,189 9,078,303 $59,618,010 $6.57
401 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 165,091 255,941 $41,329,262 $161.48
536 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 159,955 188,581 $28,026,783 $148.62
87 66982 Complex Cataract Surgery with Lens Implant 157,345 487,871 $230,139,861 $471.72
473 99236 155,226 165,871 $34,540,764 $208.24
476 10061 154,559 182,044 $33,785,319 $185.59
580 64495 154,487 330,506 $26,327,883 $79.66
478 96415 153,674 1,137,011 $33,761,493 $29.69
362 68761 Punctal Plug Insertion for Dry Eye 151,388 341,209 $46,854,363 $137.32
586 99495 Transitional Care Management, Moderate Complexity 150,918 162,146 $25,295,481 $156.00
334 45384 149,003 202,979 $51,230,319 $252.39
538 01400 147,229 205,998 $27,756,978 $134.74
208 00670 Anesthesia for Major Spine and Spinal Cord Surgery 143,190 211,559 $89,756,126 $424.26
445 55700 Prostate Needle Biopsy 142,523 163,380 $36,501,366 $223.41
225 99350 Home Visit, Established Patient, Level 4 141,445 497,719 $81,014,810 $162.77
463 01992 136,881 306,592 $35,505,071 $115.81
331 01214 Anesthesia for Hip Replacement Surgery 134,573 195,932 $51,763,500 $264.19
403 64450 131,673 854,616 $41,255,345 $48.27
408 77295 3D Conformal Radiotherapy Planning 127,113 146,589 $40,650,545 $277.31
102 27130 Total Hip Replacement 126,636 207,859 $199,436,044 $959.48
514 99496 Transitional Care Management, High Complexity 124,867 136,405 $30,114,500 $220.77
309 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 123,607 132,367 $54,230,181 $409.70
447 01230 Anesthesia for Upper Thigh Bone Surgery 121,228 170,154 $36,395,952 $213.90
479 01630 120,675 170,070 $33,740,388 $198.39
503 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 119,108 567,351 $30,811,323 $54.31
564 52332 Cystoscopy with Ureteral Stent Placement 115,859 170,071 $27,113,947 $159.43
226 47562 Laparoscopic Cholecystectomy 114,848 140,712 $80,527,111 $572.28
175 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 114,782 117,989 $107,176,085 $908.36
442 93459 113,443 121,122 $36,606,324 $302.23
470 00320 112,066 173,064 $34,817,527 $201.18
410 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 111,474 131,873 $40,416,251 $306.48
356 96401 Chemotherapy Injection Under the Skin or into Muscle 111,398 648,534 $48,303,448 $74.48
250 64635 Lower Back Facet Nerve Ablation, First Joint 110,621 214,611 $73,399,134 $342.01
431 36558 109,578 130,392 $38,459,584 $294.95
302 33208 Dual-Chamber Pacemaker Insertion 108,238 109,479 $55,900,138 $510.60
372 64636 Lower Back Facet Nerve Ablation, Additional Joint 104,167 375,572 $45,419,590 $120.93
491 95913 103,394 112,045 $31,919,229 $284.88
246 64721 Carpal Tunnel Release 103,354 160,724 $75,285,106 $468.41
550 43246 102,396 115,930 $27,411,000 $236.44
588 72156 101,201 113,446 $25,212,652 $222.24
311 65855 Laser Trabeculoplasty for Glaucoma 99,553 175,518 $54,144,767 $308.49
592 01922 Anesthesia for Imaging or Radiation Therapy 96,335 143,869 $24,547,861 $170.63
583 95912 96,113 106,984 $25,458,250 $237.96
424 01844 95,935 186,268 $39,126,059 $210.05
449 00630 94,961 140,393 $36,281,589 $258.43
216 63047 Lumbar Laminectomy for Spinal Decompression 94,816 150,076 $82,965,723 $552.82
489 43248 94,309 154,701 $31,934,747 $206.43
444 93460 93,582 95,074 $36,543,997 $384.37
398 77338 Multi-Leaf Collimator Design for IMRT 92,758 124,106 $41,731,471 $336.26
170 77301 IMRT Treatment Planning 92,739 102,637 $111,883,211 $1,090.09
471 96417 92,506 504,512 $34,776,525 $68.93
231 78492 Cardiac PET Perfusion Imaging, Rest and Stress 90,638 97,046 $80,001,992 $824.37
407 11043 Wound Debridement Down to Muscle or Fascia 87,640 226,452 $40,769,411 $180.04
552 51729 86,012 95,019 $27,359,338 $287.94
533 43249 Upper Endoscopy with Esophageal Balloon Dilation 86,000 126,547 $28,286,938 $223.53
433 64490 Neck or Mid-Back Facet Joint Injection, First Level 84,868 187,436 $38,360,666 $204.66
549 52281 82,565 103,533 $27,537,835 $265.98
475 90962 81,886 191,384 $34,315,124 $179.30
500 29826 Arthroscopic Shoulder Decompression (Add-On) 79,123 135,254 $31,116,059 $230.06
201 27245 Hip Fracture Repair with Intramedullary Nail 76,431 97,034 $96,695,818 $996.51
520 63048 73,106 202,824 $29,197,747 $143.96
199 88185 Flow Cytometry, Additional Marker, Technical Work 71,348 1,753,621 $98,381,525 $56.10
346 49505 Inguinal Hernia Repair, Age 5 or Older 70,566 88,210 $50,093,524 $567.89
367 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 70,077 90,241 $46,025,470 $510.03
273 29881 Knee Arthroscopy with Meniscectomy 69,209 100,499 $63,716,366 $634.00
370 88368 68,848 309,890 $45,593,608 $147.13
528 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 66,516 99,772 $28,702,110 $287.68
161 33533 Coronary Bypass Using a Single Arterial Graft 65,526 107,482 $119,035,822 $1,107.50
343 97113 Aquatic Therapy with Exercise 65,236 1,468,078 $50,542,405 $34.43
240 27236 Surgical Repair of Femoral Neck Fracture 62,155 83,836 $76,407,219 $911.39
429 26055 Trigger Finger Release (Tendon Sheath Incision) 60,906 116,630 $38,636,099 $331.27
365 67210 60,341 92,336 $46,282,833 $501.24
187 29827 Arthroscopic Rotator Cuff Repair 58,060 103,129 $103,596,682 $1,004.53
321 00562 55,832 68,231 $52,298,364 $766.49
220 67228 54,973 85,190 $81,590,267 $957.74
315 29880 Knee Arthroscopy, Meniscectomy Both Compartments 54,596 80,368 $53,317,127 $663.41
396 28285 Hammertoe Correction 54,316 121,577 $41,744,295 $343.36
203 84999 54,309 60,431 $96,385,267 $1,594.96
304 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 53,349 64,010 $55,601,478 $868.64
417 47563 52,644 64,036 $39,578,597 $618.07
364 33249 Implantable Defibrillator System Placement 50,496 51,040 $46,711,231 $915.19
557 20680 50,390 69,419 $27,247,504 $392.51
483 92941 49,666 52,547 $33,366,441 $634.98
400 00567 Anesthesia for On-Pump Coronary Bypass Surgery 49,609 61,420 $41,642,333 $677.99
571 66761 49,338 100,228 $26,532,229 $264.72
350 50590 Extracorporeal Shock Wave Lithotripsy 49,016 69,840 $49,213,021 $704.65
469 91110 Capsule Endoscopy, Esophagus Through Ileum 48,855 50,909 $34,821,380 $683.99
384 52601 TURP - Transurethral Prostate Resection 48,074 50,851 $42,824,760 $842.16
137 36475 Radiofrequency Vein Ablation, First Vein 46,672 81,691 $132,530,182 $1,622.34
318 35301 45,656 64,533 $53,110,395 $823.00
587 52353 44,874 53,776 $25,260,795 $469.74
453 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 44,703 70,650 $36,179,391 $512.09
457 78816 PET/CT Scan, Whole Body 44,108 60,249 $35,981,784 $597.22
189 36478 Laser Vein Ablation, First Vein 42,846 76,501 $102,377,809 $1,338.25
559 52224 42,768 53,186 $27,240,769 $512.18
485 19301 Partial Mastectomy (Lumpectomy) 42,565 51,389 $32,829,956 $638.85
272 90966 Monthly Home Dialysis Management, Adult 42,380 286,839 $65,432,790 $228.12
596 43264 41,440 49,220 $24,368,965 $495.10
563 29823 38,207 60,262 $27,142,327 $450.41
566 31237 Nasal/Sinus Endoscopy with Debridement 37,947 69,615 $26,742,970 $384.16
517 88367 36,589 209,592 $29,312,351 $139.85
532 22840 Posterior Spinal Instrumentation, Non-Segmental 35,565 56,790 $28,287,244 $498.10
568 22845 35,223 54,786 $26,711,428 $487.56
308 23472 Total Shoulder Replacement 35,064 55,448 $54,629,814 $985.24
284 22551 Anterior Cervical Discectomy and Fusion, One Level 34,667 54,403 $59,775,646 $1,098.76
570 36821 34,143 40,707 $26,691,243 $655.69
255 33405 31,776 51,945 $71,943,537 $1,384.99
511 63030 31,373 48,275 $30,373,098 $629.17
508 37221 31,001 36,736 $30,435,398 $828.49
386 67904 Droopy Eyelid Repair, External Levator Approach 30,682 64,150 $42,710,699 $665.79
297 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 30,118 49,633 $56,699,758 $1,142.38
494 37226 29,632 33,399 $31,805,419 $952.29
598 52648 26,088 28,715 $24,363,056 $848.44
293 67042 Vitrectomy with Internal Limiting Membrane Peel 25,327 40,754 $57,408,017 $1,408.65
253 99183 Physician Supervision of Hyperbaric Oxygen Therapy 25,022 595,318 $73,174,306 $122.92
173 37225 Thigh Artery Atherectomy 24,294 28,695 $109,662,359 $3,821.65
525 29848 Endoscopic Carpal Tunnel Release 23,000 41,102 $28,757,471 $699.66
577 44140 20,320 25,832 $26,382,475 $1,021.31
584 23412 20,102 32,661 $25,368,440 $776.72
498 67041 16,315 24,010 $31,118,229 $1,296.05
234 37229 Below-Knee Artery Atherectomy, First Vessel 15,696 19,265 $78,228,733 $4,060.67
455 63685 Spinal Cord Stimulator Generator Implant 15,275 21,248 $36,021,951 $1,695.31
591 67036 Vitrectomy Through the Pars Plana 15,079 24,019 $24,654,293 $1,026.45
561 27487 Total Knee Replacement Revision, Both Components 14,649 23,335 $27,155,106 $1,163.71
501 67108 Retinal Detachment Repair by Vitrectomy 13,850 21,447 $31,027,456 $1,446.70
193 37227 Thigh Artery Stent with Atherectomy 12,552 14,446 $101,481,808 $7,024.91
574 66180 12,474 21,068 $26,473,306 $1,256.56
554 65756 Endothelial Corneal Transplant 11,703 22,219 $27,347,339 $1,230.81
435 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 10,767 13,245 $37,885,899 $2,860.39
575 67113 10,654 17,583 $26,414,834 $1,502.29

Beneficiary counts apply to one code at a time. A patient who received two of these codes is counted under both, so the column cannot be added up into a number of people. Rank is each code's position among all 7,742 CPT codes billed to Medicare in CY2013, so the column skips a number wherever a code we don't yet cover sits.

Which codes bring in the most Medicare money?

Spending concentrates hard. The top 25 codes carry 57.7% of the $74.9B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $8.9B
  2. 2 99213 Established Patient Office Visit, Level 3 $7.0B
  3. 3 99232 Subsequent Hospital Care, Level 2 $3.4B
  4. 4 66984 Cataract Surgery with Lens Implant $2.2B
  5. 5 99223 Initial Hospital Care, Level 3 $2.2B
  6. 6 99233 Subsequent Hospital Care, Level 3 $2.2B
  7. 7 99285 Emergency Department Visit, Level 5 $1.7B
  8. 8 92014 Comprehensive Eye Exam, Established Patient $1.4B
  9. 9 99204 New Patient Office Visit, Level 4 $1.4B
  10. 10 99215 Established Patient Office Visit, Level 5 $1.3B

Why the most common codes aren't the most expensive

Rank the same 500 codes by patients and then by dollars, and the two lists disagree. A cheap service given to millions and a costly one given to thousands can land far apart depending on which question you ask.

Many patients, little money
82248 Direct Bilirubin Blood Test
By beneficiaries
#114
By allowed dollars
#478
Per service
$2.11
Few patients, lots of money
37227 Thigh Artery Stent with Atherectomy
By beneficiaries
#496
By allowed dollars
#116
Per service
$7,024.91

What this data covers — and what it doesn't

These are CY2013 Medicare fee-for-service totals at the national level. Medicare Advantage, Medicaid and commercial volume are excluded, so real-world use of every code here runs higher than the numbers show.

Beneficiary counts belong to a single code. Summing that column would count the same patient once for every code they received, so this page never totals it or calls it a patient count.

The shortlist covers numeric CPT codes. Drug codes and HCPCS Level II are excluded by design — the first are billed per unit, which makes service counts incomparable, and the second already carry CMS-owned descriptions.

How the ranking is built

A code's overall position is its best standing across two measures: unique beneficiaries served and total allowed dollars. Ranking on either one alone buries half the story — beneficiaries favor cheap high-volume tests, dollars favor expensive procedures. Sort the table by a single measure to see each view on its own. The ranking spans all 7,742 CPT codes billed to Medicare in CY2013; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners — by Geography and Service, national rows, CY2013. This is a calendar-year snapshot on its own publication cycle, separate from the quarterly fee schedule that produces the rates on each code page. Full methodology.

Did this answer your question about the most-billed CPT codes?

We're building this out in the open. Tell us what you were actually trying to work out and we'll either answer you directly or build the page that does.

Did this page answer your question?