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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 allowed dollars. Every code links to its full rate breakdown.

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

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.

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