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

Medicare's 500 most-billed CPT codes of 2014

In CY2014 Medicare paid $75.6B across these 500 CPT codes. 99213 (Established Patient Office Visit, Level 3) leads every measure: 26.6M beneficiaries and $6.9B 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
$75.6B
Total Medicare allowed dollars
Services
1.2B
Times these codes were billed
Top 25
58.1%
Share of the allowed dollars
Vintage
CY2014
Medicare fee-for-service only

All 500 codes, ranked

Sorted by beneficiaries. 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
1 99213 Established Patient Office Visit, Level 3 26,647,462 100,610,832 $6,888,374,789 $68.47
2 99214 Established Patient Office Visit, Level 4 25,629,234 91,484,453 $9,246,504,507 $101.07
3 36415 Routine Venipuncture (Blood Draw) 18,234,021 56,528,139 $165,638,306 $2.93
5 80053 Comprehensive Metabolic Panel 14,142,955 28,406,713 $309,834,913 $10.91
7 85025 Complete Blood Count with Differential 13,306,608 30,480,535 $312,159,848 $10.24
10 80061 Lipid Panel 12,674,471 19,889,994 $278,328,402 $13.99
11 84443 Thyroid-Stimulating Hormone (TSH) 10,061,971 15,262,041 $341,480,340 $22.37
13 92014 Comprehensive Eye Exam, Established Patient 9,301,322 11,766,901 $1,428,974,745 $121.44
15 99203 New Patient Office Visit, Level 3 8,594,645 10,545,901 $1,071,046,547 $101.56
16 99212 Established Patient Office Visit, Level 2 8,424,328 15,856,104 $642,144,050 $40.50
20 93010 Electrocardiogram (ECG), Interpretation Only 8,105,513 18,820,732 $159,097,188 $8.45
22 93000 Electrocardiogram (ECG), Complete 7,546,448 11,439,970 $190,368,399 $16.64
23 88305 Surgical Pathology Exam, Level IV 7,446,337 19,000,625 $917,720,918 $48.30
14 99204 New Patient Office Visit, Level 4 7,407,648 9,127,224 $1,436,428,998 $157.38
25 83036 Hemoglobin A1c 7,292,000 13,698,411 $176,582,627 $12.89
12 99285 Emergency Department Visit, Level 5 6,438,938 10,819,984 $1,833,355,875 $169.44
26 93306 Transthoracic Echocardiogram, Complete with Doppler 6,150,832 7,212,212 $867,552,835 $120.29
17 99215 Established Patient Office Visit, Level 5 5,528,903 9,313,753 $1,259,027,672 $135.18
4 99232 Subsequent Hospital Care, Level 2 4,957,111 49,055,905 $3,480,864,190 $70.96
8 99223 Initial Hospital Care, Level 3 4,536,837 10,957,673 $2,197,231,726 $200.52
36 81001 Urinalysis, Automated with Microscopy 4,483,485 7,236,856 $30,468,274 $4.21
37 80048 Basic Metabolic Panel 4,460,798 8,210,622 $77,918,439 $9.49
40 82306 Vitamin D, 25-Hydroxy 4,370,748 5,997,461 $233,719,393 $38.97
30 99284 Emergency Department Visit, Level 4 4,079,312 5,844,382 $663,003,740 $113.44
42 81003 Urinalysis, Automated without Microscopy 3,928,215 6,589,171 $19,611,590 $2.98
44 70450 CT Head/Brain, without Contrast 3,738,721 5,511,599 $229,875,341 $41.71
33 92012 Established Patient Eye Exam, Intermediate Level 3,679,218 6,637,339 $566,474,825 $85.35
47 17000 Destruction of Premalignant Skin Lesion, First 3,606,566 5,378,106 $317,052,453 $58.95
24 99222 Initial Hospital Care, Level 2 3,553,177 6,964,931 $946,124,036 $135.84
6 99233 Subsequent Hospital Care, Level 3 3,511,553 22,054,411 $2,266,293,081 $102.76
52 82570 Creatinine, Non-Blood Sample 3,472,242 6,026,713 $41,159,587 $6.83
54 84439 Free Thyroxine (Free T4) 3,234,126 4,741,339 $56,654,479 $11.95
55 87086 Urine Culture, Quantitative 2,987,519 5,104,822 $54,772,546 $10.73
57 82607 Vitamin B12 Level 2,919,681 3,840,043 $77,162,175 $20.09
50 20610 Major Joint Injection or Aspiration 2,914,222 6,268,558 $362,696,480 $57.86
43 99239 Hospital Discharge Day Management, Longer Visit 2,886,994 4,154,545 $435,295,847 $104.78
61 99202 New Patient Office Visit, Level 2 2,850,154 3,018,513 $207,066,785 $68.60
59 11721 Trimming of Six or More Thickened Nails 2,832,853 7,594,674 $330,461,242 $43.51
63 81002 Manual Urinalysis, Dipstick Only 2,746,862 4,351,564 $14,618,738 $3.36
64 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,714,156 9,070,175 $212,483,264 $23.43
65 17003 Destruction of Additional Precancerous Skin Lesions 2,706,636 17,459,537 $161,806,887 $9.27
67 99238 Hospital Discharge Day Management, 30 Minutes or Less 2,667,795 3,702,525 $261,318,471 $70.58
69 99283 Emergency Department Visit, Level 3 2,587,229 3,536,661 $207,865,138 $58.77
34 99205 New Patient Office Visit, Level 5 2,563,263 2,875,531 $562,656,665 $195.67
68 93880 Carotid Duplex Ultrasound, Complete 2,453,935 2,738,471 $283,847,237 $103.65
72 82043 Urine Microalbumin, Quantitative 2,436,556 3,232,174 $22,760,888 $7.04
74 92083 Extended Visual Field Test 2,425,529 2,837,126 $173,431,689 $61.13
76 92250 Retinal Photography with Interpretation 2,405,244 2,906,980 $215,667,452 $74.19
78 92134 Retinal OCT Scan 2,381,312 5,401,525 $238,691,067 $44.19
79 84153 Prostate-Specific Antigen (PSA), Total 2,304,124 3,295,304 $80,642,536 $24.47
82 77080 DEXA Bone Density, Axial 2,279,315 2,368,493 $72,909,511 $30.78
49 99231 Subsequent Hospital Care, Level 1 2,273,211 9,815,024 $375,400,394 $38.25
19 97110 Therapeutic Exercise, 15 Minutes 2,223,755 45,313,118 $1,204,264,123 $26.58
85 85027 Complete Blood Count, Automated, No Differential 2,219,077 3,552,325 $30,135,854 $8.48
62 92004 Comprehensive Eye Exam, New Patient 2,147,801 2,248,967 $320,486,817 $142.50
87 92133 Optic Nerve Imaging (OCT) 2,105,286 2,354,074 $99,626,708 $42.32
27 99308 Subsequent Nursing Facility Visit, Level 2 2,092,059 11,083,446 $726,185,667 $65.52
88 84550 Uric Acid Blood Test 2,091,826 3,386,545 $12,384,704 $3.66
35 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 2,019,390 2,131,595 $559,681,297 $262.56
66 74177 CT Abdomen and Pelvis, With Contrast 1,987,332 2,602,516 $294,243,153 $113.06
93 85610 Prothrombin Time (PT/INR) 1,973,315 16,579,188 $86,697,468 $5.23
96 73030 Shoulder X-ray, Complete 1,820,780 2,532,362 $51,420,703 $20.31
28 99309 Subsequent Nursing Facility Visit, Level 3 1,793,786 8,337,570 $711,577,007 $85.35
92 74176 CT Abdomen and Pelvis, Without Contrast 1,743,347 2,189,494 $211,976,579 $96.82
21 99291 Critical Care, First Time Block 1,717,203 5,289,779 $1,173,830,663 $221.91
100 83540 Serum Iron Level 1,705,288 2,704,173 $22,772,826 $8.42
101 99211 Established Patient Office Visit, Minimal 1,686,739 5,362,915 $101,933,715 $19.01
102 82746 Serum Folate Blood Test 1,671,007 2,148,852 $41,821,314 $19.46
41 97140 Manual Therapy, 15 Minutes 1,624,617 21,165,852 $493,936,369 $23.34
105 73630 Foot X-ray, Complete Series 1,619,448 2,498,136 $54,743,272 $21.91
107 87186 Antibiotic Susceptibility Panel, MIC 1,614,725 2,868,335 $32,574,437 $11.36
108 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,611,099 2,015,590 $44,472,341 $22.06
111 82728 Ferritin Blood Test 1,552,661 2,512,726 $45,512,795 $18.11
112 87088 Urine Culture with Isolate Identification 1,530,434 2,470,097 $25,982,383 $10.52
114 83735 Magnesium Blood Level 1,518,466 2,855,101 $25,220,788 $8.83
115 72170 Basic Pelvis X-Ray 1,482,731 1,900,623 $31,811,345 $16.74
118 73562 Knee X-Ray, Three Views 1,477,280 2,147,353 $55,910,473 $26.04
119 81000 Manual Urinalysis with Microscopy 1,427,475 2,485,315 $10,411,663 $4.19
120 93970 Complete Duplex Ultrasound of Limb Veins 1,413,205 1,723,591 $139,118,201 $80.71
122 73560 Basic Knee X-Ray, One or Two Views 1,409,940 2,086,300 $42,793,297 $20.51
123 80076 Liver Function Blood Panel 1,401,031 2,215,064 $16,486,963 $7.44
38 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,381,397 13,055,577 $511,167,096 $39.15
106 17110 Destruction of Benign Lesions, Up to 14 1,369,581 1,826,143 $182,715,802 $100.06
126 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,364,396 1,728,202 $80,389,230 $46.52
127 71250 CT Scan of the Chest, No Contrast 1,364,130 1,736,506 $125,377,781 $72.20
128 82550 Total Creatine Kinase Blood Test 1,355,378 2,085,707 $9,983,590 $4.79
109 99221 Initial Hospital Care, Level 1 1,351,429 1,819,707 $180,245,051 $99.05
131 83550 Iron Binding Capacity Blood Test 1,344,998 2,102,432 $23,985,554 $11.41
60 43239 Upper GI Endoscopy (EGD) with Biopsy 1,332,523 1,934,930 $324,973,979 $167.95
135 71260 CT Scan of the Chest with Contrast 1,301,703 1,769,585 $128,792,837 $72.78
136 87077 Definitive Identification of Cultured Isolate 1,298,186 2,062,139 $21,270,504 $10.31
137 51798 Post-Void Residual Urine, Ultrasound 1,289,304 2,018,694 $37,793,444 $18.72
139 85652 Erythrocyte Sedimentation Rate, Automated 1,280,564 1,970,394 $7,089,245 $3.60
141 93018 Cardiac Stress Test, Interpretation and Report Only 1,277,965 1,325,154 $18,905,395 $14.27
144 84436 Total Thyroxine (T4) Blood Test 1,264,142 1,709,783 $15,423,771 $9.02
9 66984 Cataract Surgery with Lens Implant 1,256,348 8,003,565 $2,131,404,379 $266.31
148 82565 Creatinine, Blood 1,241,917 1,965,033 $6,210,540 $3.16
151 69210 Impacted Earwax Removal, Instrumentation 1,239,036 1,565,011 $72,336,656 $46.22
103 72148 MRI Lumbar Spine, without Contrast 1,210,386 1,380,237 $185,634,023 $134.49
152 84460 ALT (Alanine Aminotransferase) Blood Test 1,181,092 2,646,841 $11,056,925 $4.18
154 76942 Ultrasound Guidance for Needle Placement 1,171,072 1,966,947 $120,067,250 $61.04
156 76770 Complete Retroperitoneal Ultrasound 1,125,430 1,294,648 $86,125,946 $66.52
158 86140 C-Reactive Protein, Standard 1,122,942 1,943,290 $13,167,965 $6.78
159 93016 Cardiac Stress Test, Supervision Only 1,111,188 1,146,241 $24,527,254 $21.40
163 93015 Cardiovascular Stress Test, Complete 1,098,703 1,133,837 $76,401,052 $67.38
90 00142 Anesthesia for Cataract and Lens Surgery 1,072,284 2,056,972 $218,029,356 $106.00
167 82947 Glucose, Quantitative (Blood) 1,061,731 2,052,178 $7,994,492 $3.90
89 99306 Initial Nursing Facility Visit, High Level 1,039,733 1,346,306 $223,651,652 $166.12
170 92557 Comprehensive Audiometry 1,035,511 1,126,037 $42,156,010 $37.44
132 99307 Subsequent Nursing Facility Visit, Level 1 1,018,590 3,333,689 $143,466,844 $43.04
173 94060 Spirometry, Pre- and Post-Bronchodilator 1,005,040 1,220,346 $56,554,542 $46.34
176 92136 Eye Measurement for Cataract Lens Power 987,305 1,649,503 $95,275,844 $57.76
178 76700 Abdominal Ultrasound, Complete 964,609 1,094,400 $86,079,315 $78.65
179 82248 Direct Bilirubin Blood Test 951,884 1,462,512 $3,103,034 $2.12
56 45380 Colonoscopy with Biopsy 948,137 1,352,198 $338,056,189 $250.00
185 88312 Special Stain for Microorganisms 946,973 1,620,882 $91,485,642 $56.44
187 73564 Complete Knee X-Ray, Four or More Views 940,103 1,262,972 $35,932,495 $28.45
190 84450 AST (Aspartate Aminotransferase) Blood Test 938,289 1,476,653 $3,660,976 $2.48
191 84100 Phosphorus (Inorganic Phosphate) Blood Test 919,067 1,760,994 $5,283,701 $3.00
194 94010 Spirometry 917,577 1,263,773 $37,995,578 $30.07
195 11720 Nail Trimming/Debridement, Up to 5 915,285 2,214,385 $70,207,666 $31.71
197 94729 Gas Diffusing Capacity Test (DLCO) 905,538 994,492 $34,007,799 $34.20
199 76705 Limited Abdominal Ultrasound 902,706 1,036,463 $41,714,323 $40.25
181 70551 Brain MRI Without Contrast 900,853 1,000,141 $106,142,307 $106.13
201 88304 Surgical Pathology Exam, Level III 898,882 1,081,078 $19,491,627 $18.03
205 73610 Full Ankle X-Ray Series 859,260 1,279,081 $25,208,343 $19.71
113 98940 Chiropractic Spinal Manipulation, One to Two Regions 854,800 6,414,976 $174,589,825 $27.22
209 72110 Lower Back (Lumbar) Spine X-ray, Full Series 848,695 939,615 $28,070,417 $29.87
210 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 836,984 950,155 $50,904,592 $53.58
117 70553 MRI Brain, With and Without Contrast 832,284 1,006,482 $174,044,027 $172.92
171 11056 Paring of Corns or Calluses, 2-4 Lesions 812,001 1,985,352 $113,544,859 $57.19
147 99305 Initial Nursing Facility Visit, Moderate Level 805,699 1,010,581 $132,205,003 $130.82
217 88313 Special Stain for Tissue Elements and Pigments 803,016 1,785,062 $63,475,240 $35.56
180 90791 Psychiatric Diagnostic Evaluation 799,244 898,980 $109,025,062 $121.28
80 97112 Neuromuscular Re-education Therapy 793,133 8,495,534 $254,450,921 $29.95
222 83615 Lactate Dehydrogenase (LDH) Blood Test 785,991 1,773,965 $6,723,699 $3.79
223 83721 Direct LDL Cholesterol Measurement 784,825 1,173,799 $14,770,498 $12.58
225 85651 Erythrocyte Sedimentation Rate, Manual 783,964 1,278,542 $6,018,137 $4.71
227 73130 Full Hand X-Ray Series 778,592 1,079,101 $20,851,778 $19.32
228 84403 Total Testosterone Blood Test 775,703 1,147,592 $39,141,763 $34.11
208 71275 CT Angiogram of the Chest 774,304 872,562 $91,524,255 $104.89
233 92020 Gonioscopy, Exam of the Eye's Drainage Angle 767,700 873,823 $24,515,307 $28.06
235 84481 Free Triiodothyronine (T3) Blood Test 767,432 1,104,673 $23,991,091 $21.72
240 84520 Urea Nitrogen (BUN) 757,222 1,133,448 $2,239,017 $1.98
104 52000 Diagnostic Cystoscopy 756,184 994,381 $184,702,049 $185.75
51 45385 Colonoscopy with Lesion Removal (Snare) 738,389 1,074,588 $359,251,556 $334.32
243 82962 Blood Sugar Check with Handheld Glucose Meter 733,762 2,128,747 $6,508,163 $3.06
245 88112 Non-Gynecologic Enhanced Cytology 723,807 1,148,504 $45,196,906 $39.35
73 97530 Therapeutic Activities, Per 15 Minutes 708,539 8,347,410 $262,430,951 $31.44
249 86038 Antinuclear Antibody Screen 700,696 805,188 $12,940,793 $16.07
250 76536 Ultrasound of Neck and Head Soft Tissues 697,367 813,461 $60,816,467 $74.76
253 84165 Serum Protein Electrophoresis (SPEP) 677,326 1,013,839 $16,496,308 $16.27
255 73110 Full Wrist X-Ray Series 671,843 1,010,091 $22,059,749 $21.84
257 84479 Thyroid Hormone Uptake Test 658,959 894,140 $7,535,744 $8.43
259 92567 Eardrum Movement Test (Tympanometry) 652,309 740,726 $10,580,190 $14.28
45 90834 Psychotherapy, 45 Minutes 648,584 5,706,282 $433,550,935 $75.98
263 84480 Total Triiodothyronine (T3) Blood Test 641,371 896,515 $16,765,072 $18.70
264 76775 Limited Retroperitoneal Ultrasound 637,838 719,306 $31,406,559 $43.66
267 87070 Bacterial Culture, Other Source 631,613 803,163 $9,208,231 $11.46
269 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 621,168 960,404 $42,610,868 $44.37
270 82270 — 592,670 623,332 $2,536,005 $4.07
272 84311 — 579,360 1,555,683 $14,434,216 $9.28
274 93922 Limited Arterial Circulation Study, Arms or Legs 578,619 705,087 $41,531,668 $58.90
224 88307 Surgical Pathology Exam, Level V 574,890 923,480 $81,910,482 $88.70
189 73721 MRI of Leg Joint, No Contrast 572,628 705,541 $103,213,972 $146.29
279 77003 — 571,608 965,438 $47,330,592 $49.02
188 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 552,101 653,854 $103,534,529 $158.35
168 74178 CT Abdomen and Pelvis, Before and After Contrast 550,798 645,743 $117,576,237 $182.08
284 94726 Lung Volume Testing by Body Plethysmography 539,660 586,230 $19,390,890 $33.08
110 45378 Diagnostic Colonoscopy 535,047 680,916 $175,302,992 $257.45
71 67028 Intravitreal Injection of Medication 534,398 2,625,448 $274,516,748 $104.56
289 88311 Decalcification of Tissue for Sectioning 533,388 645,397 $8,348,116 $12.93
246 95886 Complete Needle EMG of One Limb 530,878 913,752 $75,871,265 $83.03
248 72141 Neck MRI, No Contrast Dye 529,818 594,360 $74,958,865 $126.12
294 72040 Neck (Cervical) Spine X-ray, Limited Views 526,277 654,657 $14,484,831 $22.13
174 17004 Destruction of Fifteen or More Precancerous Skin Lesions 518,395 778,317 $112,239,715 $144.21
298 86431 Rheumatoid Factor, Quantitative 516,811 593,744 $4,491,060 $7.56
77 66821 YAG Laser Capsulotomy After Cataract Surgery 510,229 1,265,642 $257,624,879 $203.55
302 36620 Arterial Line Placement, Percutaneous 504,260 559,883 $28,964,522 $51.73
130 93458 Left Heart Catheterization with Coronary Angiography 503,230 526,957 $147,601,670 $280.10
304 80069 Renal Function Panel 502,392 1,009,417 $10,304,055 $10.21
307 84156 Total Protein Measurement, Urine 502,176 828,382 $4,037,468 $4.87
309 73620 Foot X-ray, Two Views 499,304 750,723 $17,159,966 $22.86
310 74022 — 497,034 623,602 $10,659,068 $17.09
312 86803 Hepatitis C Antibody Test 487,016 568,494 $10,758,075 $18.92
129 99310 Subsequent Nursing Facility Visit, Level 4 482,473 1,217,520 $153,248,541 $125.87
314 11055 Paring of a Single Corn or Callus 482,106 917,128 $41,812,950 $45.59
58 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 479,169 637,206 $333,005,567 $522.60
317 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 478,614 850,235 $2,743,468 $3.23
318 93923 Complete Arterial Circulation Study, Arms or Legs 477,278 572,637 $49,611,411 $86.64
278 31575 Flexible Laryngoscopy, Diagnostic 475,243 628,557 $66,657,192 $106.05
321 20550 Tendon Sheath, Ligament, or Fascia Injection 474,848 773,985 $40,239,335 $51.99
258 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 472,410 541,871 $73,526,319 $135.69
162 92235 Fluorescein Angiography of the Retina 469,621 1,104,919 $123,347,372 $111.63
324 82310 Total Calcium Blood Test 468,055 652,840 $1,891,419 $2.90
86 64483 Transforaminal Epidural Injection, Lumbar/Sacral 461,276 1,049,696 $233,979,431 $222.90
326 76937 Ultrasound Guidance for Vascular Access 458,413 583,470 $9,420,601 $16.15
327 11719 — 457,048 1,223,974 $12,489,574 $10.20
330 76856 Complete Pelvic Ultrasound, Non-Pregnancy 455,918 537,082 $42,855,573 $79.79
332 97035 — 451,341 2,941,698 $30,529,133 $10.38
333 84155 Total Protein, Blood 450,182 609,394 $1,648,983 $2.71
337 86141 High-Sensitivity C-Reactive Protein 448,860 586,217 $10,125,328 $17.27
338 82044 — 446,277 582,092 $3,072,682 $5.28
340 70486 CT Scan of Sinuses and Facial Bones 444,309 486,174 $40,735,383 $83.79
341 84132 Potassium Blood Level 433,026 663,647 $2,147,988 $3.24
342 83704 — 431,994 599,350 $24,925,303 $41.59
344 93325 Color Flow Mapping with Heart Ultrasound 431,134 487,984 $4,318,661 $8.85
46 90837 Psychotherapy, 60 Minutes 422,515 3,930,208 $432,570,314 $110.06
349 94640 Inhalation Treatment for Airway Obstruction 418,741 623,884 $10,682,998 $17.12
351 51741 Complex Urine Flow Study 416,820 556,833 $6,861,935 $12.32
157 11042 Debridement, Subcutaneous Tissue 416,542 1,540,181 $125,197,487 $81.29
355 76514 Corneal Thickness Measurement by Ultrasound 413,922 440,455 $6,214,617 $14.11
356 76830 Transvaginal Pelvic Ultrasound 413,073 475,731 $40,509,892 $85.15
53 78815 PET/CT Scan, Skull Base to Mid-Thigh 412,351 591,231 $345,165,395 $583.81
299 36556 Non-Tunneled Central Line Placement, Age 5 and Over 406,235 486,746 $59,552,748 $122.35
361 82150 Amylase Blood Test 405,285 522,714 $4,508,459 $8.63
262 73221 Arm Joint MRI, No Contrast Dye 405,240 495,075 $71,972,957 $145.38
364 85730 Partial Thromboplastin Time (PTT) Blood Test 404,944 597,291 $4,763,924 $7.98
365 82274 Fecal Immunochemical Test for Blood 402,185 437,171 $9,047,629 $20.70
369 93005 Electrocardiogram, Tracing Only 396,330 463,757 $3,586,329 $7.73
370 72050 Neck (Cervical) Spine X-ray, Extended Views 391,058 426,671 $12,396,259 $29.05
358 10060 Incision and Drainage of Abscess, Simple 390,878 454,879 $49,084,648 $107.91
373 83690 Lipase Blood Test 390,273 492,926 $4,444,363 $9.02
138 90832 Individual Psychotherapy, 30 Minutes 386,818 2,301,062 $135,973,201 $59.09
378 73590 Lower Leg X-Ray 384,866 511,531 $7,000,728 $13.69
380 82040 Blood Albumin Test 380,347 596,690 $1,206,244 $2.02
381 87880 Rapid Strep A Antigen Test 379,358 422,085 $6,384,055 $15.13
383 93224 — 379,299 407,443 $34,024,898 $83.51
384 86334 Serum Immunofixation Electrophoresis 377,510 577,697 $14,828,786 $25.67
386 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 374,209 413,646 $25,526,357 $61.71
388 84075 Total Alkaline Phosphatase Blood Test 370,009 549,060 $923,816 $1.68
392 93227 — 361,720 397,328 $10,366,786 $26.09
239 90833 Shorter Psychotherapy Session Added to a Medical Visit 355,718 1,280,402 $78,076,613 $60.98
396 87804 Rapid Influenza Antigen Test 353,490 626,382 $9,599,755 $15.33
292 97597 Selective Wound Debridement, Smaller Area 353,042 1,085,789 $61,270,793 $56.43
196 31231 Diagnostic Nasal Endoscopy 352,660 511,235 $101,837,970 $199.20
399 80051 — 351,854 530,313 $2,306,136 $4.35
401 99282 — 351,517 410,386 $16,229,318 $39.55
402 85018 — 350,380 663,293 $2,083,627 $3.14
283 43235 Upper GI Endoscopy, Diagnostic 347,511 435,255 $63,536,750 $145.98
404 20605 Intermediate Joint Injection or Aspiration 345,644 496,175 $22,130,367 $44.60
406 77001 — 344,666 437,745 $9,910,400 $22.64
153 95811 Sleep Study with CPAP or BiPAP Titration 343,906 402,428 $125,760,047 $312.50
382 11730 — 340,030 481,905 $45,173,487 $93.74
161 00790 Anesthesia for Upper Abdominal Surgery 332,564 488,573 $123,952,444 $253.70
413 83090 Homocysteine Blood Test 327,891 422,838 $9,524,379 $22.52
414 94727 Lung Volume Testing by Gas Dilution or Washout 326,348 355,483 $11,628,132 $32.71
416 99304 Initial Nursing Facility Visit, Level 1 322,612 367,039 $33,824,111 $92.15
417 93320 Full Doppler Flow Measurement with Heart Ultrasound 322,044 349,805 $10,008,775 $28.61
418 84478 — 321,858 462,717 $1,433,524 $3.10
420 93042 — 312,608 542,419 $3,917,991 $7.22
422 99316 Nursing Facility Discharge Visit, Longer Session 312,544 341,396 $33,387,127 $97.80
424 90471 Immunization Administration, First 306,392 335,296 $7,511,218 $22.40
426 74230 Swallowing Study with Video X-ray 306,246 364,971 $10,755,186 $29.47
32 90960 Monthly Dialysis Management, Adult, Four or More Visits 303,327 2,244,302 $628,507,067 $280.05
428 88331 — 300,236 537,790 $36,802,054 $68.43
432 82247 Total Bilirubin Blood Test 298,192 540,086 $894,939 $1.66
203 95810 Attended Overnight Sleep Study in a Lab 297,739 332,849 $97,761,716 $293.71
435 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 297,670 340,835 $6,839,445 $20.07
150 64493 Lower Back Facet Joint Injection, First Level 293,734 635,650 $129,062,967 $203.04
437 73080 Full Elbow X-Ray Series 290,676 355,385 $6,026,647 $16.96
439 82378 — 290,335 628,611 $15,888,035 $25.27
443 73565 — 284,196 329,515 $10,005,796 $30.37
445 94762 — 284,146 317,135 $8,261,146 $26.05
446 70544 — 282,636 300,240 $30,177,427 $100.51
220 77300 Basic Radiation Dose Calculation 282,191 1,816,667 $84,378,031 $46.45
449 92285 External Photography of the Eye and Lids 280,654 340,636 $6,148,021 $18.05
219 96365 Initial IV Infusion, Up to One Hour 280,119 1,261,502 $85,229,760 $67.56
452 73140 Finger X-Ray 279,925 370,136 $8,057,863 $21.77
454 83525 Total Insulin Blood Test 278,899 387,540 $5,873,827 $15.16
319 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 276,090 322,338 $55,800,974 $173.11
184 01402 Anesthesia for Knee Replacement Surgery 275,215 414,890 $104,677,926 $252.30
140 99349 Home Visit, Established Patient, Level 3 274,938 1,104,256 $135,507,353 $122.71
459 87205 — 274,794 356,375 $1,957,070 $5.49
374 99495 Transitional Care Management, Moderate Complexity 273,782 301,617 $46,269,020 $153.40
461 73060 Upper Arm Bone X-Ray 273,612 372,985 $5,508,667 $14.77
463 78306 — 271,434 306,675 $21,661,667 $70.63
466 76519 — 268,131 421,652 $23,968,083 $56.84
468 20600 Arthrocentesis, Small Joint 266,911 408,465 $17,075,883 $41.81
339 00400 Anesthesia for Skin Surgery on Limbs and Trunk 265,980 426,647 $51,440,350 $120.57
471 83861 — 265,786 673,696 $14,832,873 $22.02
121 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 265,343 455,226 $167,332,353 $367.58
473 85045 Automated Reticulocyte Count 262,835 360,949 $1,922,485 $5.33
477 84154 Free PSA Blood Test 262,174 329,075 $8,062,655 $24.50
472 95816 EEG, Awake and Drowsy 261,831 287,437 $35,334,685 $122.93
479 71101 Rib X-ray, One Side, with Chest View 261,736 284,637 $5,420,521 $19.04
480 99315 — 261,382 284,366 $19,800,247 $69.63
305 93351 Stress Echocardiogram, Complete with Supervision 260,162 265,672 $57,483,875 $216.37
482 83516 — 259,033 526,286 $7,612,668 $14.46
485 88173 Fine Needle Aspiration Interpretation 258,602 353,963 $30,497,745 $86.16
486 83698 — 258,438 344,488 $15,622,405 $45.35
448 64494 Lower Back Facet Joint Injection, Second Level 258,087 409,019 $37,216,062 $90.99
48 27447 Total Knee Replacement 253,608 423,191 $388,462,923 $917.94
491 83695 Lipoprotein(a) Blood Test 252,127 329,475 $5,700,419 $17.30
493 86376 Thyroid Microsomal Antibody 251,970 299,766 $5,770,806 $19.25
387 77263 Complex Radiation Therapy Treatment Planning 251,483 272,544 $44,289,819 $162.51
83 96413 Chemotherapy Infusion, First Hour 251,047 1,893,416 $242,096,924 $127.86
231 77290 Complex Radiation Therapy Simulation 250,877 342,167 $79,459,979 $232.23
496 92550 — 250,533 271,180 $5,820,897 $21.47
98 77427 Radiation Treatment Management, Per Five Sessions 248,804 1,106,590 $202,207,436 $182.73
499 31500 — 248,794 286,510 $32,033,146 $111.80
331 72158 Low-Back MRI, Before and After Contrast 248,101 284,044 $52,776,038 $185.80
503 87340 Hepatitis B Surface Antigen Test 247,036 268,564 $3,638,837 $13.55
505 86592 — 246,946 280,548 $1,590,310 $5.67
347 99292 Critical Care, Additional Time 246,890 467,368 $51,223,274 $109.60
507 99406 Smoking Cessation Counseling, Intermediate 246,752 370,606 $4,841,459 $13.06
510 82465 — 245,002 348,318 $965,183 $2.77
516 84402 Free Testosterone Blood Test 241,427 324,929 $10,955,659 $33.72
520 93312 Transesophageal Heart Ultrasound, Complete Service 239,817 276,317 $28,941,926 $104.74
441 95819 EEG Recording Both Awake and Asleep 233,359 256,659 $37,974,192 $147.96
523 97535 Self-Care and Home Management Training 232,949 1,005,741 $29,884,839 $29.71
524 85014 — 231,571 425,672 $1,340,165 $3.15
311 99496 Transitional Care Management, High Complexity 230,809 259,548 $56,736,903 $218.60
526 84295 — 230,652 366,094 $683,181 $1.87
528 86200 Cyclic Citrullinated Peptide Antibody 230,566 255,294 $4,395,900 $17.22
529 88175 — 229,844 243,181 $8,257,072 $33.95
530 71100 — 229,251 256,781 $4,605,157 $17.93
125 90961 Monthly Dialysis Management, Adult, Two or Three Visits 229,102 699,989 $164,585,203 $235.13
538 77002 Fluoroscopic Guidance for Needle Placement 224,500 390,186 $27,925,745 $71.57
539 20552 Trigger Point Injection, One or Two Muscles 222,687 348,454 $16,345,149 $46.91
515 64484 — 221,933 407,998 $30,959,097 $75.88
543 92002 — 219,246 221,508 $17,332,003 $78.25
352 99348 Home Visit, Established Patient, Level 2 217,267 592,229 $49,693,110 $83.91
544 73100 — 215,953 353,110 $7,939,885 $22.49
545 83718 — 215,738 325,671 $3,547,171 $10.89
548 86235 Extractable Nuclear Antigen Antibody 215,163 1,084,738 $25,165,453 $23.20
549 70498 CT Angiogram of the Neck 213,952 227,285 $22,558,115 $99.25
213 90935 Hemodialysis Session with One Physician Evaluation 213,491 1,205,364 $86,954,883 $72.14
455 00910 Anesthesia for Transurethral Bladder Procedures 210,759 362,023 $36,808,373 $101.67
268 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 209,091 246,704 $71,253,662 $288.82
306 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 207,523 231,607 $57,069,075 $246.40
560 73700 CT Scan of Leg or Foot, No Contrast 207,154 233,222 $15,235,209 $65.32
561 78582 — 204,008 218,213 $12,020,595 $55.09
438 97116 Gait Training Therapy 203,144 1,734,811 $38,338,473 $22.10
565 73600 — 202,743 278,480 $5,337,153 $19.17
567 72072 — 202,156 218,002 $3,555,628 $16.31
569 86225 Double-Stranded DNA Antibody 200,829 247,265 $4,508,605 $18.23
571 70491 CT Scan of Neck Soft Tissue with Contrast 199,677 245,483 $21,788,467 $88.76
572 88108 — 198,666 278,439 $9,639,700 $34.62
575 73090 — 198,489 239,680 $3,166,015 $13.21
577 88300 — 196,545 221,335 $1,127,164 $5.09
579 82610 — 195,431 315,764 $5,710,797 $18.09
581 73120 — 194,605 293,403 $5,727,547 $19.52
582 86800 Thyroglobulin Antibody 194,519 248,860 $5,215,928 $20.96
584 83520 Quantitative Immunoassay, Substance Not Otherwise Specified 193,486 683,573 $11,779,937 $17.23
391 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 193,374 301,848 $43,793,914 $145.09
467 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 193,333 245,124 $35,690,046 $145.60
149 92928 Coronary Stent Placement, Single Major Vessel 193,170 233,082 $131,330,434 $563.45
328 74183 MRI Abdomen, Before and After Contrast 192,750 232,725 $53,618,093 $230.39
591 76857 — 192,303 248,076 $10,754,581 $43.35
593 85007 — 190,579 397,201 $1,800,877 $4.53
483 96375 — 190,546 1,578,907 $33,803,740 $21.41
229 95165 Preparation of Allergy Immunotherapy Extracts 189,345 6,573,509 $79,567,547 $12.10
281 00840 Anesthesia for Lower Abdominal Surgery 185,867 269,272 $64,634,888 $240.04
597 93308 Limited or Follow-Up Heart Ultrasound 185,594 222,157 $8,702,033 $39.17
599 70496 CT Angiogram of the Head 185,334 198,580 $19,494,264 $98.17
600 73070 — 185,320 247,681 $4,266,188 $17.22
602 93926 — 185,281 243,682 $17,190,919 $70.55
431 27096 Sacroiliac Joint Injection with Imaging Guidance 184,895 278,864 $38,926,910 $139.59
604 76882 Limited Ultrasound of an Arm or Leg 184,598 254,602 $7,632,058 $29.98
605 76872 — 184,274 212,119 $16,339,970 $77.03
607 72146 Mid-Back MRI, No Contrast Dye 184,086 206,156 $23,122,662 $112.16
371 77280 Simple Radiation Therapy Simulation 183,751 327,114 $46,489,161 $142.12
610 74220 — 182,389 195,677 $6,490,636 $33.17
457 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 182,370 210,381 $36,765,441 $174.76
282 95004 Skin Prick Allergy Testing 180,799 10,087,610 $63,569,790 $6.30
557 01810 — 178,923 271,148 $27,861,852 $102.76
334 96367 — 175,033 1,799,811 $52,700,920 $29.28
447 95911 Nerve Conduction Studies, 9-10 Studies 171,387 179,543 $37,498,764 $208.86
277 98942 Chiropractic Spinal Manipulation, Five Regions 165,959 1,310,751 $66,660,102 $50.86
559 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 165,297 194,520 $27,775,566 $142.79
601 11057 — 164,242 386,192 $24,783,915 $64.18
407 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 162,557 253,290 $42,164,112 $166.47
410 11750 — 161,910 213,753 $41,621,649 $194.72
562 95910 Nerve Conduction Studies, 7-8 Studies 161,432 165,935 $27,524,096 $165.87
84 66982 Complex Cataract Surgery with Lens Implant 159,570 547,857 $234,760,147 $428.51
474 99236 — 155,052 164,738 $35,160,859 $213.44
366 68761 Punctal Plug Insertion for Dry Eye 153,326 344,758 $47,080,034 $136.56
204 00670 Anesthesia for Major Spine and Spinal Cord Surgery 151,315 223,896 $97,721,375 $436.46
504 10061 — 147,067 172,677 $31,949,035 $185.02
556 96415 — 143,610 1,030,588 $27,873,583 $27.05
160 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 142,265 146,521 $124,852,677 $852.11
450 01992 — 141,364 312,302 $37,185,550 $119.07
519 64450 — 140,304 655,534 $30,732,565 $46.88
564 01400 — 139,537 195,581 $27,303,970 $139.60
325 01214 Anesthesia for Hip Replacement Surgery 138,344 201,410 $54,759,508 $271.88
345 96401 Chemotherapy Injection Under the Skin or into Muscle 135,507 708,289 $51,368,049 $72.52
237 99350 Home Visit, Established Patient, Level 4 135,134 478,076 $78,665,199 $164.55
363 45384 — 134,657 184,211 $47,499,029 $257.85
99 27130 Total Hip Replacement 130,563 215,289 $196,514,498 $912.79
481 55700 Prostate Needle Biopsy 128,710 147,914 $33,940,922 $229.46
412 77295 3D Conformal Radiotherapy Planning 127,092 147,128 $41,573,134 $282.56
315 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 126,159 134,663 $55,910,142 $415.19
177 64635 Lower Back Facet Nerve Ablation, First Joint 125,907 246,687 $110,706,807 $448.77
444 01230 Anesthesia for Upper Thigh Bone Surgery 122,180 171,739 $37,835,672 $220.31
393 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 121,682 143,666 $43,559,270 $303.20
478 01630 — 119,566 168,576 $34,355,772 $203.80
588 88360 Manual Scoring of Tumor Immunostain 117,254 343,276 $25,573,158 $74.50
458 64636 Lower Back Facet Nerve Ablation, Additional Joint 115,027 302,642 $36,340,576 $120.08
375 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 114,762 569,757 $45,981,760 $80.70
470 00320 — 111,123 171,531 $35,406,676 $206.42
241 47562 Laparoscopic Cholecystectomy 110,339 134,876 $77,641,859 $575.65
436 36558 — 108,797 128,192 $38,341,684 $299.10
469 93459 — 108,429 115,669 $35,477,689 $306.72
308 33208 Dual-Chamber Pacemaker Insertion 105,688 107,006 $56,783,336 $530.66
313 65855 Laser Trabeculoplasty for Glaucoma 103,999 182,812 $56,135,065 $307.06
566 01922 Anesthesia for Imaging or Radiation Therapy 103,845 155,899 $27,143,349 $174.11
252 64721 Carpal Tunnel Release 101,295 157,443 $73,997,645 $470.00
211 63047 Lumbar Laminectomy for Spinal Decompression 101,144 160,523 $89,502,720 $557.57
475 19083 Breast Needle Biopsy with Ultrasound Guidance 100,938 104,404 $35,038,327 $335.60
186 78492 Cardiac PET Perfusion Imaging, Rest and Stress 100,045 107,555 $104,188,540 $968.70
606 52332 Cystoscopy with Ureteral Stent Placement 98,003 138,169 $24,386,571 $176.50
518 95913 — 97,881 106,307 $30,779,330 $289.53
400 77338 Multi-Leaf Collimator Design for IMRT 95,539 126,720 $42,822,240 $337.93
175 77301 IMRT Treatment Planning 95,098 105,324 $112,156,177 $1,064.87
379 11043 Wound Debridement Down to Muscle or Fascia 94,891 251,913 $45,481,205 $180.54
453 00630 — 94,004 137,856 $36,991,421 $268.33
429 01844 — 92,907 179,644 $39,042,301 $217.33
506 43248 — 92,490 151,381 $31,761,795 $209.81
460 93460 — 91,308 92,628 $36,308,184 $391.98
398 64490 Neck or Mid-Back Facet Joint Injection, First Level 90,916 200,271 $43,251,395 $215.96
536 96417 — 88,187 491,566 $29,511,341 $60.04
462 90962 — 85,318 199,524 $36,279,926 $181.83
540 43249 Upper Endoscopy with Esophageal Balloon Dilation 85,151 125,377 $29,396,484 $234.46
603 51729 — 78,951 85,888 $24,710,137 $287.70
580 52281 — 78,452 98,954 $26,498,303 $267.78
198 27245 Hip Fracture Repair with Intramedullary Nail 78,224 99,375 $100,099,216 $1,007.29
511 63048 — 77,078 213,812 $31,359,996 $146.67
192 88185 Flow Cytometry, Additional Marker, Technical Work 76,548 1,854,689 $102,898,162 $55.48
360 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 72,444 92,573 $48,476,572 $523.66
497 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 71,570 107,652 $32,158,423 $298.73
608 13101 Complex Wound Repair of the Trunk (Mid-Length) 69,809 79,919 $24,348,183 $304.66
583 90853 Group Psychotherapy 68,233 1,106,381 $26,026,751 $23.52
362 49505 Inguinal Hernia Repair, Age 5 or Older 67,315 83,930 $48,260,813 $575.01
343 97113 Aquatic Therapy with Exercise 65,939 1,541,837 $51,385,893 $33.33
389 88368 — 65,209 299,132 $44,084,867 $147.38
297 29881 Knee Arthroscopy with Meniscectomy 64,351 93,741 $59,669,411 $636.53
166 33533 Coronary Bypass Using a Single Arterial Graft 64,325 104,627 $118,965,566 $1,137.04
423 26055 Trigger Finger Release (Tendon Sheath Incision) 62,466 118,961 $39,833,173 $334.84
242 27236 Surgical Repair of Femoral Neck Fracture 61,719 83,463 $76,925,935 $921.68
172 29827 Arthroscopic Rotator Cuff Repair 60,357 108,862 $112,835,135 $1,036.50
403 67210 — 55,634 84,528 $42,695,839 $505.11
215 84999 — 55,350 62,161 $86,725,536 $1,395.18
316 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 53,416 63,584 $55,856,146 $878.46
232 67228 — 53,396 82,027 $79,376,075 $967.68
348 00562 — 53,071 64,547 $50,979,002 $789.80
133 36475 Radiofrequency Vein Ablation, First Vein 51,789 91,908 $140,921,645 $1,533.29
350 29880 Knee Arthroscopy, Meniscectomy Both Compartments 50,552 75,189 $50,032,653 $665.43
421 28285 Hammertoe Correction 50,415 111,934 $39,892,355 $356.39
484 91110 Capsule Endoscopy, Esophagus Through Ileum 50,361 52,483 $33,622,425 $640.63
336 50590 Extracorporeal Shock Wave Lithotripsy 50,237 71,581 $52,387,448 $731.86
547 20680 — 50,207 69,653 $28,836,533 $414.00
405 00567 Anesthesia for On-Pump Coronary Bypass Surgery 49,396 60,864 $42,575,528 $699.52
359 33249 Implantable Defibrillator System Placement 49,177 49,696 $48,490,502 $975.74
451 47563 — 48,844 59,224 $37,059,379 $625.75
585 66761 — 48,279 99,507 $25,805,690 $259.34
487 92941 — 48,210 50,801 $33,435,487 $658.17
397 52601 TURP - Transurethral Prostate Resection 46,932 49,759 $43,275,379 $869.70
434 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 46,558 73,467 $38,384,408 $522.47
415 78816 PET/CT Scan, Whole Body 45,283 60,298 $41,274,199 $684.50
265 90966 Monthly Home Dialysis Management, Adult 45,171 309,378 $71,697,718 $231.75
492 19301 Partial Mastectomy (Lumpectomy) 44,104 52,896 $32,991,269 $623.70
542 88367 — 44,042 238,504 $28,966,075 $121.45
320 35301 — 44,004 62,218 $55,722,399 $895.60
200 36478 Laser Vein Ablation, First Vein 42,240 78,130 $99,265,873 $1,270.52
587 52224 — 41,720 51,386 $25,705,402 $500.24
442 29824 — 40,691 72,150 $37,848,090 $524.58
293 23472 Total Shoulder Replacement 38,700 61,208 $61,000,949 $996.62
513 22840 Posterior Spinal Instrumentation, Non-Segmental 38,307 61,337 $31,201,707 $508.69
553 22845 — 36,326 56,373 $28,037,207 $497.35
288 22551 Anterior Cervical Discectomy and Fusion, One Level 35,356 55,631 $61,829,243 $1,111.42
286 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 32,355 53,265 $62,179,430 $1,167.36
594 36821 — 32,166 38,367 $25,217,462 $657.27
563 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 31,956 60,920 $27,349,858 $448.95
521 63030 — 31,196 48,073 $30,666,519 $637.92
501 37221 — 30,992 36,002 $31,981,829 $888.33
273 33405 — 30,087 48,620 $69,028,917 $1,419.76
502 37226 — 30,014 33,888 $31,974,478 $943.53
395 67904 Droopy Eyelid Repair, External Levator Approach 29,499 61,665 $43,485,261 $705.19
143 37225 Thigh Artery Atherectomy 25,895 30,926 $132,725,096 $4,291.70
301 67042 Vitrectomy with Internal Limiting Membrane Peel 25,372 41,672 $59,527,364 $1,428.47
251 99183 Physician Supervision of Hyperbaric Oxygen Therapy 25,231 602,481 $74,946,906 $124.40
592 37228 — 23,947 27,758 $25,334,519 $912.69
558 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 23,720 25,048 $27,822,801 $1,110.78
537 29848 Endoscopic Carpal Tunnel Release 23,671 42,005 $29,409,118 $700.13
609 44140 — 18,524 23,429 $24,283,320 $1,036.46
206 37229 Below-Knee Artery Atherectomy, First Vessel 18,246 22,544 $97,526,740 $4,326.06
527 67041 — 15,403 22,900 $30,171,629 $1,317.54
596 67036 Vitrectomy Through the Pars Plana 15,055 24,190 $25,181,526 $1,040.99
145 37227 Thigh Artery Stent with Atherectomy 14,793 17,512 $132,408,976 $7,561.04
390 63685 Spinal Cord Stimulator Generator Implant 14,770 20,678 $43,901,834 $2,123.12
574 27487 Total Knee Replacement Revision, Both Components 14,367 22,810 $26,827,548 $1,176.13
495 67108 Retinal Detachment Repair by Vitrectomy 13,971 22,161 $32,209,493 $1,453.43
576 66180 — 12,466 21,841 $26,741,777 $1,224.38
551 65756 Endothelial Corneal Transplant 11,537 22,416 $28,086,851 $1,252.98
376 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 11,164 14,047 $45,575,919 $3,244.53
570 67113 — 10,582 17,553 $27,016,275 $1,539.13
290 37241 — 10,340 16,476 $61,277,495 $3,719.20
586 33430 — 8,496 13,676 $25,733,321 $1,881.64
500 77523 Proton Beam Radiation Treatment, Intermediate Delivery 1,291 32,898 $32,007,699 $972.94

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 7,775 CPT codes billed to Medicare in CY2014, 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 58.1% of the $75.6B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $9.2B
  2. 2 99213 Established Patient Office Visit, Level 3 $6.9B
  3. 3 99232 Subsequent Hospital Care, Level 2 $3.5B
  4. 4 99233 Subsequent Hospital Care, Level 3 $2.3B
  5. 5 99223 Initial Hospital Care, Level 3 $2.2B
  6. 6 66984 Cataract Surgery with Lens Implant $2.1B
  7. 7 99285 Emergency Department Visit, Level 5 $1.8B
  8. 8 99204 New Patient Office Visit, Level 4 $1.4B
  9. 9 92014 Comprehensive Eye Exam, Established Patient $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
#479
Per service
$2.12
Few patients, lots of money
37227 Thigh Artery Stent with Atherectomy
By beneficiaries
#490
By allowed dollars
#90
Per service
$7,561.04

What this data covers — and what it doesn't

These are CY2014 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 7,775 CPT codes billed to Medicare in CY2014; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners — by Geography and Service, national rows, CY2014. 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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