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Medicare's 500 most-billed CPT codes of 2015

In CY2015 Medicare paid $76.5B across these 500 CPT codes. 99213 (Established Patient Office Visit, Level 3) leads every measure: 26.7M beneficiaries and $6.8B 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
$76.5B
Total Medicare allowed dollars
Services
1.2B
Times these codes were billed
Top 25
58.2%
Share of the allowed dollars
Vintage
CY2015
Medicare fee-for-service only

All 500 codes, ranked

Sorted by overall rank. 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 26,695,386 99,688,218 $6,779,754,007 $68.01
2 99214 Established Patient Office Visit, Level 4 26,245,383 95,587,884 $9,664,623,402 $101.11
3 36415 Routine Venipuncture (Blood Draw) 17,695,169 52,238,888 $153,053,113 $2.93
4 99232 Subsequent Hospital Care, Level 2 4,956,288 49,161,851 $3,505,050,483 $71.30
5 80053 Comprehensive Metabolic Panel 14,166,283 28,486,889 $309,622,731 $10.87
6 99233 Subsequent Hospital Care, Level 3 3,539,160 22,192,451 $2,293,379,016 $103.34
7 85025 Complete Blood Count with Differential 13,253,312 29,988,493 $306,211,755 $10.21
8 99223 Initial Hospital Care, Level 3 4,498,958 10,834,238 $2,173,109,941 $200.58
9 66984 Cataract Surgery with Lens Implant 1,256,710 8,407,213 $2,096,937,067 $249.42
10 80061 Lipid Panel 12,472,246 19,284,142 $270,981,697 $14.05
11 84443 Thyroid-Stimulating Hormone (TSH) 9,998,957 15,107,393 $337,079,429 $22.31
12 99285 Emergency Department Visit, Level 5 6,638,375 11,282,140 $1,938,104,265 $171.79
13 92014 Comprehensive Eye Exam, Established Patient 9,359,166 11,855,482 $1,419,477,130 $119.73
14 99204 New Patient Office Visit, Level 4 7,693,413 9,520,304 $1,491,192,505 $156.63
15 99203 New Patient Office Visit, Level 3 8,866,131 10,924,149 $1,113,718,028 $101.95
17 97110 Therapeutic Exercise, 15 Minutes 2,364,765 49,002,868 $1,313,771,337 $26.81
18 93010 Electrocardiogram (ECG), Interpretation Only 8,190,422 18,926,170 $159,575,230 $8.43
19 99215 Established Patient Office Visit, Level 5 5,564,547 9,444,221 $1,284,220,808 $135.98
20 99212 Established Patient Office Visit, Level 2 7,998,586 14,739,739 $597,592,425 $40.54
21 99291 Critical Care, First Time Block 1,719,079 5,330,921 $1,190,148,075 $223.25
22 88305 Surgical Pathology Exam, Level IV 7,527,448 19,010,065 $949,301,315 $49.94
23 93000 Electrocardiogram (ECG), Complete 7,536,418 11,446,174 $193,833,649 $16.93
24 99222 Initial Hospital Care, Level 2 3,543,212 6,983,817 $944,136,354 $135.19
25 83036 Hemoglobin A1c 7,489,194 13,930,742 $179,163,449 $12.86
26 93306 Transthoracic Echocardiogram, Complete with Doppler 6,183,439 7,247,580 $857,037,718 $118.25
27 99309 Subsequent Nursing Facility Visit, Level 3 1,820,645 8,671,235 $739,152,253 $85.24
28 99308 Subsequent Nursing Facility Visit, Level 2 2,059,766 11,041,977 $718,435,411 $65.06
30 99284 Emergency Department Visit, Level 4 4,111,641 5,875,904 $670,408,280 $114.09
31 90960 Monthly Dialysis Management, Adult, Four or More Visits 304,529 2,240,591 $626,158,454 $279.46
33 99205 New Patient Office Visit, Level 5 2,570,315 2,883,738 $565,509,468 $196.10
34 82306 Vitamin D, 25-Hydroxy 4,527,562 6,224,235 $241,869,971 $38.86
35 92012 Established Patient Eye Exam, Intermediate Level 3,680,821 6,617,157 $556,931,571 $84.16
36 97140 Manual Therapy, 15 Minutes 1,741,551 23,110,235 $537,554,089 $23.26
37 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 1,957,160 2,059,963 $534,825,362 $259.63
38 81001 Urinalysis, Automated with Microscopy 4,487,874 7,210,111 $30,289,603 $4.20
39 80048 Basic Metabolic Panel 4,337,343 7,907,969 $75,108,399 $9.50
40 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,397,183 13,251,083 $515,736,193 $38.92
41 90837 Psychotherapy, 60 Minutes 468,512 4,563,845 $493,209,247 $108.07
42 81003 Urinalysis, Automated without Microscopy 4,003,890 6,674,158 $19,868,315 $2.98
43 99239 Hospital Discharge Day Management, Longer Visit 3,038,297 4,408,661 $464,711,985 $105.41
44 27447 Total Knee Replacement 261,216 439,180 $401,582,531 $914.39
45 70450 CT Head/Brain, without Contrast 3,796,305 5,631,536 $234,107,392 $41.57
46 17000 Destruction of Premalignant Skin Lesion, First 3,705,022 5,496,806 $285,741,663 $51.98
47 90834 Psychotherapy, 45 Minutes 624,981 5,407,062 $400,600,390 $74.09
48 45385 Colonoscopy with Lesion Removal (Snare) 779,484 1,134,550 $388,136,903 $342.11
49 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 511,917 678,849 $360,666,388 $531.29
50 45380 Colonoscopy with Biopsy 978,405 1,397,267 $355,381,652 $254.34
51 84439 Free Thyroxine (Free T4) 3,309,759 4,857,066 $57,889,350 $11.92
52 99231 Subsequent Hospital Care, Level 1 2,174,062 9,111,188 $346,358,359 $38.01
53 82570 Creatinine, Non-Blood Sample 3,303,886 5,563,091 $37,858,994 $6.81
54 43239 Upper GI Endoscopy (EGD) with Biopsy 1,323,311 1,916,946 $335,214,244 $174.87
55 78815 PET/CT Scan, Skull Base to Mid-Thigh 419,455 592,448 $329,510,748 $556.19
56 87086 Urine Culture, Quantitative 3,016,591 5,146,472 $55,095,174 $10.71
57 20610 Major Joint Injection or Aspiration 2,772,093 5,652,582 $328,500,592 $58.12
58 82607 Vitamin B12 Level 2,985,954 3,928,683 $78,744,372 $20.04
59 11721 Trimming of Six or More Thickened Nails 2,811,676 7,490,699 $323,651,161 $43.21
60 92004 Comprehensive Eye Exam, New Patient 2,179,449 2,282,725 $322,332,846 $141.21
61 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,803,144 9,164,588 $216,653,919 $23.64
62 74177 CT Abdomen and Pelvis, With Contrast 2,117,887 2,791,741 $313,498,634 $112.30
63 99202 New Patient Office Visit, Level 2 2,794,404 2,954,934 $203,176,329 $68.76
64 17003 Destruction of Additional Precancerous Skin Lesions 2,776,873 17,582,820 $94,205,740 $5.36
65 81002 Manual Urinalysis, Dipstick Only 2,649,367 4,182,570 $14,050,033 $3.36
66 97530 Therapeutic Activities, Per 15 Minutes 782,795 9,557,463 $299,852,838 $31.37
68 92134 Retinal OCT Scan 2,589,374 5,876,096 $255,209,586 $43.43
69 93880 Carotid Duplex Ultrasound, Complete 2,346,704 2,611,097 $297,251,549 $113.84
70 97112 Neuromuscular Re-education Therapy 888,218 9,837,949 $293,199,912 $29.80
71 99283 Emergency Department Visit, Level 3 2,573,611 3,502,417 $207,411,604 $59.22
72 67028 Intravitreal Injection of Medication 561,891 2,749,881 $286,772,378 $104.29
73 82043 Urine Microalbumin, Quantitative 2,547,759 3,379,039 $23,653,526 $7.00
75 99238 Hospital Discharge Day Management, 30 Minutes or Less 2,532,139 3,472,154 $247,357,086 $71.24
76 92250 Retinal Photography with Interpretation 2,478,344 2,970,467 $221,488,877 $74.56
77 66821 YAG Laser Capsulotomy After Cataract Surgery 514,402 1,315,087 $256,658,988 $195.17
78 92083 Extended Visual Field Test 2,458,015 2,871,117 $173,994,682 $60.60
80 84153 Prostate-Specific Antigen (PSA), Total 2,272,098 3,241,641 $79,148,634 $24.42
81 85027 Complete Blood Count, Automated, No Differential 2,258,538 3,603,550 $30,503,167 $8.46
82 64483 Transforaminal Epidural Injection, Lumbar/Sacral 470,180 1,073,764 $238,542,527 $222.16
83 92133 Optic Nerve Imaging (OCT) 2,196,602 2,463,188 $102,149,903 $41.47
84 77080 DEXA Bone Density, Axial 2,186,217 2,268,619 $58,192,429 $25.65
85 96413 Chemotherapy Infusion, First Hour 243,762 1,820,625 $237,853,536 $130.64
86 66982 Complex Cataract Surgery with Lens Implant 157,344 572,308 $225,724,746 $394.41
88 99306 Initial Nursing Facility Visit, High Level 1,052,930 1,367,844 $225,090,951 $164.56
90 84550 Uric Acid Blood Test 2,036,941 3,323,051 $12,121,362 $3.65
91 00142 Anesthesia for Cataract and Lens Surgery 1,070,118 2,072,620 $215,733,977 $104.09
93 74176 CT Abdomen and Pelvis, Without Contrast 1,796,067 2,261,958 $215,546,964 $95.29
95 73030 Shoulder X-ray, Complete 1,875,785 2,613,008 $48,737,144 $18.65
96 27130 Total Hip Replacement 138,368 230,325 $209,612,705 $910.07
97 85610 Prothrombin Time (PT/INR) 1,804,591 15,034,179 $78,316,086 $5.21
98 17110 Destruction of Benign Lesions, Up to 14 1,479,856 1,966,126 $200,065,593 $101.76
99 77427 Radiation Treatment Management, Per Five Sessions 244,667 1,080,824 $197,604,959 $182.83
100 83540 Serum Iron Level 1,712,707 2,721,600 $22,895,069 $8.41
101 82746 Serum Folate Blood Test 1,689,055 2,176,240 $42,250,972 $19.41
102 52000 Diagnostic Cystoscopy 744,721 981,649 $186,347,040 $189.83
103 73630 Foot X-ray, Complete Series 1,686,286 2,614,416 $52,298,682 $20.00
105 87186 Antibiotic Susceptibility Panel, MIC 1,625,238 2,863,374 $32,414,725 $11.32
106 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,622,089 2,023,264 $42,688,734 $21.10
107 99221 Initial Hospital Care, Level 1 1,349,471 1,812,479 $179,873,400 $99.24
108 83735 Magnesium Blood Level 1,608,709 2,996,825 $26,381,264 $8.80
109 72148 MRI Lumbar Spine, without Contrast 1,255,960 1,432,489 $177,615,502 $123.99
110 82728 Ferritin Blood Test 1,565,604 2,536,822 $45,829,059 $18.07
111 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 277,676 468,237 $175,148,036 $374.06
112 73562 Knee X-Ray, Three Views 1,547,268 2,244,660 $52,721,726 $23.49
113 87088 Urine Culture with Isolate Identification 1,524,968 2,441,928 $25,832,081 $10.58
114 70553 MRI Brain, With and Without Contrast 837,406 1,016,640 $171,001,544 $168.20
115 99211 Established Patient Office Visit, Minimal 1,523,035 4,853,351 $91,679,156 $18.89
116 72170 Basic Pelvis X-Ray 1,501,749 1,929,966 $30,387,302 $15.74
117 98940 Chiropractic Spinal Manipulation, One to Two Regions 843,796 6,226,895 $169,194,446 $27.17
118 71250 CT Scan of the Chest, No Contrast 1,498,889 1,907,128 $136,459,570 $71.55
119 90961 Monthly Dialysis Management, Adult, Two or Three Visits 231,635 708,939 $166,179,848 $234.41
120 45378 Diagnostic Colonoscopy 499,232 630,923 $165,210,463 $261.86
121 93970 Complete Duplex Ultrasound of Limb Veins 1,412,019 1,714,652 $146,345,615 $85.35
123 73560 Basic Knee X-Ray, One or Two Views 1,389,695 2,051,442 $39,392,025 $19.20
124 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,387,030 1,762,080 $86,289,877 $48.97
125 99310 Subsequent Nursing Facility Visit, Level 4 501,521 1,257,408 $157,709,621 $125.42
126 37225 Thigh Artery Atherectomy Retired after Q4 2025 28,480 33,847 $156,805,841 $4,632.78
127 83550 Iron Binding Capacity Blood Test 1,348,072 2,110,285 $24,030,633 $11.39
128 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 15,464 18,320 $151,625,735 $8,276.51
129 71260 CT Scan of the Chest with Contrast 1,323,134 1,808,126 $127,843,973 $70.71
130 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 166,168 171,357 $151,263,305 $882.74
131 51798 Post-Void Residual Urine, Ultrasound 1,323,097 2,062,225 $38,487,049 $18.66
133 87077 Definitive Identification of Cultured Isolate 1,316,827 2,079,077 $21,350,421 $10.27
134 36475 Radiofrequency Vein Ablation, First Vein 58,064 103,704 $145,572,821 $1,403.73
135 88342 Immunohistochemistry Stain, First Antibody 1,294,010 1,922,774 $100,900,473 $52.48
137 93458 Left Heart Catheterization with Coronary Angiography 497,112 519,590 $144,011,447 $277.16
138 64493 Lower Back Facet Joint Injection, First Level 313,861 687,014 $139,248,887 $202.69
139 85652 Erythrocyte Sedimentation Rate, Automated 1,275,531 1,976,329 $7,089,837 $3.59
140 80076 Liver Function Blood Panel 1,270,252 2,013,151 $14,915,832 $7.41
141 93018 Cardiac Stress Test, Interpretation and Report Only 1,266,105 1,310,186 $18,643,990 $14.23
142 99305 Initial Nursing Facility Visit, Moderate Level 831,985 1,051,069 $135,271,756 $128.70
143 92928 Coronary Stent Placement, Single Major Vessel 196,164 238,214 $134,578,937 $564.95
144 99349 Home Visit, Established Patient, Level 3 276,157 1,091,351 $133,204,273 $122.05
145 11042 Debridement, Subcutaneous Tissue 429,593 1,634,265 $131,181,849 $80.27
146 81000 Manual Urinalysis with Microscopy 1,255,738 2,168,828 $9,079,017 $4.19
147 82550 Total Creatine Kinase Blood Test 1,254,876 1,929,932 $9,249,244 $4.79
148 99307 Subsequent Nursing Facility Visit, Level 1 962,277 3,049,285 $130,070,529 $42.66
149 69210 Impacted Earwax Removal, Instrumentation 1,215,377 1,539,273 $70,747,818 $45.96
150 90832 Individual Psychotherapy, 30 Minutes 377,962 2,231,217 $128,669,506 $57.67
151 84436 Total Thyroxine (T4) Blood Test 1,184,690 1,593,230 $14,328,899 $8.99
152 95811 Sleep Study with CPAP or BiPAP Titration 348,727 406,712 $128,153,974 $315.10
153 86140 C-Reactive Protein, Standard 1,160,394 2,014,899 $13,616,894 $6.76
155 82565 Creatinine, Blood 1,158,101 1,820,064 $5,867,966 $3.22
156 64635 Lower Back Facet Nerve Ablation, First Joint 143,254 283,558 $123,379,046 $435.11
157 76770 Complete Retroperitoneal Ultrasound 1,151,363 1,327,547 $78,348,948 $59.02
158 00790 Anesthesia for Upper Abdominal Surgery 327,599 481,137 $121,272,299 $252.05
160 17004 Destruction of Fifteen or More Precancerous Skin Lesions 556,125 832,318 $120,875,326 $145.23
161 33533 Coronary Bypass Using a Single Arterial Graft 64,853 105,032 $119,653,189 $1,139.21
162 93016 Cardiac Stress Test, Supervision Only 1,097,596 1,130,949 $24,502,230 $21.67
164 77063 Screening 3D Breast Tomosynthesis, Both Breasts 1,086,617 1,119,587 $42,901,312 $38.32
165 37229 Below-Knee Artery Atherectomy, First Vessel Retired after Q4 2025 20,148 25,372 $117,406,188 $4,627.39
166 29827 Arthroscopic Rotator Cuff Repair 62,429 114,259 $117,060,216 $1,024.52
167 92235 Fluorescein Angiography of the Retina 452,131 1,057,116 $116,634,570 $110.33
168 92557 Comprehensive Audiometry 1,057,583 1,149,454 $42,442,268 $36.92
169 77301 IMRT Treatment Planning 101,065 111,940 $115,026,811 $1,027.58
170 11056 Paring of Corns or Calluses, 2-4 Lesions 811,686 1,968,639 $113,609,662 $57.71
171 93015 Cardiovascular Stress Test, Complete 1,051,002 1,083,797 $73,885,564 $68.17
172 78492 Cardiac PET Perfusion Imaging, Rest and Stress 106,366 115,747 $108,923,961 $941.05
173 84460 ALT (Alanine Aminotransferase) Blood Test 1,050,713 2,260,998 $9,344,747 $4.13
174 70551 Brain MRI Without Contrast 952,602 1,058,309 $108,035,407 $102.08
175 92136 Eye Measurement for Cataract Lens Power 1,028,351 1,711,415 $99,141,026 $57.93
176 74178 CT Abdomen and Pelvis, Before and After Contrast 529,126 613,013 $107,310,216 $175.05
177 94060 Spirometry, Pre- and Post-Bronchodilator 1,017,011 1,220,549 $56,345,411 $46.16
178 01402 Anesthesia for Knee Replacement Surgery 283,190 425,652 $106,353,907 $249.86
179 73564 Complete Knee X-Ray, Four or More Views 1,004,806 1,353,136 $35,922,447 $26.55
180 31231 Diagnostic Nasal Endoscopy 364,386 528,296 $106,072,623 $200.78
181 88185 Flow Cytometry, Additional Marker, Technical Work 76,175 1,803,813 $106,023,842 $58.78
182 90791 Psychiatric Diagnostic Evaluation 791,830 885,765 $104,479,355 $117.95
183 27245 Hip Fracture Repair with Intramedullary Nail 79,733 102,062 $102,686,007 $1,006.11
184 76700 Abdominal Ultrasound, Complete 948,248 1,080,246 $76,545,991 $70.86
185 94729 Gas Diffusing Capacity Test (DLCO) 948,192 1,036,553 $35,547,626 $34.29
186 82947 Glucose, Quantitative (Blood) 934,120 1,825,679 $7,186,267 $3.94
187 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 547,256 647,549 $101,431,597 $156.64
189 00670 Anesthesia for Major Spine and Spinal Cord Surgery 157,691 233,558 $100,895,403 $431.99
190 94010 Spirometry 927,236 1,268,486 $38,185,383 $30.10
191 76705 Limited Abdominal Ultrasound 925,055 1,066,018 $39,993,061 $37.52
192 95810 Attended Overnight Sleep Study in a Lab 301,758 336,953 $99,332,394 $294.80
193 84100 Phosphorus (Inorganic Phosphate) Blood Test 914,410 1,753,900 $5,304,714 $3.02
194 73721 MRI of Leg Joint, No Contrast 588,937 726,144 $98,663,799 $135.87
195 88312 Special Stain for Microorganisms 911,895 1,602,200 $96,776,760 $60.40
196 82248 Direct Bilirubin Blood Test 906,448 1,398,309 $2,938,156 $2.10
198 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 903,135 1,031,166 $56,266,442 $54.57
199 63047 Lumbar Laminectomy for Spinal Decompression 101,403 161,682 $95,246,775 $589.10
200 11720 Nail Trimming/Debridement, Up to 5 886,973 2,116,651 $66,918,846 $31.62
201 88304 Surgical Pathology Exam, Level III 882,255 1,061,509 $20,286,458 $19.11
202 36478 Laser Vein Ablation, First Vein 42,099 80,349 $91,694,204 $1,141.20
203 76942 Ultrasound Guidance for Needle Placement 880,225 1,178,188 $54,337,873 $46.12
205 71275 CT Angiogram of the Chest 838,647 949,664 $91,019,268 $95.84
206 73610 Full Ankle X-Ray Series 875,120 1,304,203 $24,272,788 $18.61
207 72110 Lower Back (Lumbar) Spine X-ray, Full Series 844,283 935,945 $27,561,612 $29.45
211 96365 Initial IV Infusion, Up to One Hour 282,379 1,257,011 $86,312,059 $68.66
213 88307 Surgical Pathology Exam, Level V 574,968 933,626 $84,816,906 $90.85
214 84450 AST (Aspartate Aminotransferase) Blood Test 826,751 1,292,952 $3,173,025 $2.45
215 90935 Hemodialysis Session with One Physician Evaluation 210,468 1,165,007 $83,834,065 $71.96
216 63685 Spinal Cord Stimulator Generator Implant 15,949 23,039 $83,368,586 $3,618.59
217 84481 Free Triiodothyronine (T3) Blood Test 822,247 1,186,101 $25,674,291 $21.65
218 95165 Preparation of Allergy Immunotherapy Extracts 194,599 6,900,190 $83,127,749 $12.05
219 73130 Full Hand X-Ray Series 810,332 1,129,764 $20,215,498 $17.89
223 99350 Home Visit, Established Patient, Level 4 141,829 486,139 $79,086,366 $162.68
224 88313 Special Stain for Tissue Elements and Pigments 770,990 1,706,777 $62,802,869 $36.80
225 90833 Shorter Psychotherapy Session Added to a Medical Visit 356,321 1,289,709 $78,530,723 $60.89
226 83615 Lactate Dehydrogenase (LDH) Blood Test 770,183 1,811,580 $7,124,370 $3.93
227 92020 Gonioscopy, Exam of the Eye's Drainage Angle 767,486 874,301 $23,464,813 $26.84
228 47562 Laparoscopic Cholecystectomy 109,490 133,552 $78,204,425 $585.57
229 76536 Ultrasound of Neck and Head Soft Tissues 733,455 854,515 $60,596,147 $70.91
231 85651 Erythrocyte Sedimentation Rate, Manual 730,332 1,189,037 $5,572,174 $4.69
232 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 487,745 558,044 $76,625,441 $137.31
233 83721 Direct LDL Cholesterol Measurement 728,876 1,086,041 $13,645,577 $12.56
234 82962 Blood Sugar Check with Handheld Glucose Meter 726,152 2,014,776 $6,129,585 $3.04
235 95886 Complete Needle EMG of One Limb 533,554 916,495 $75,958,163 $82.88
236 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 223,367 263,060 $75,803,091 $288.16
237 84403 Total Testosterone Blood Test 708,890 1,059,851 $36,077,597 $34.04
238 27236 Surgical Repair of Femoral Neck Fracture 60,645 82,537 $75,731,093 $917.54
239 88112 Non-Gynecologic Enhanced Cytology 700,851 1,091,343 $43,756,802 $40.09
240 73110 Full Wrist X-Ray Series 687,774 1,033,583 $21,296,791 $20.60
241 64721 Carpal Tunnel Release 101,354 158,361 $74,529,033 $470.63
242 86038 Antinuclear Antibody Screen 687,305 787,913 $12,633,856 $16.03
243 92567 Eardrum Movement Test (Tympanometry) 681,711 772,160 $10,992,668 $14.24
244 99496 Transitional Care Management, High Complexity 300,471 339,903 $74,215,331 $218.34
245 84165 Serum Protein Electrophoresis (SPEP) 676,755 1,035,021 $16,670,500 $16.11
247 84520 Urea Nitrogen (BUN) 676,517 1,005,506 $2,015,284 $2.00
248 90966 Monthly Home Dialysis Management, Adult 46,892 322,182 $74,040,921 $229.81
250 87070 Bacterial Culture, Other Source 625,848 792,147 $9,070,656 $11.45
252 72141 Neck MRI, No Contrast Dye 552,744 619,421 $73,369,317 $118.45
253 67228 — 50,974 78,490 $73,245,717 $933.19
254 84479 Thyroid Hormone Uptake Test 624,200 843,337 $7,087,423 $8.40
256 76775 Limited Retroperitoneal Ultrasound 612,451 697,849 $27,353,510 $39.20
257 37241 — 11,563 18,674 $72,238,188 $3,868.38
258 84480 Total Triiodothyronine (T3) Blood Test 610,465 849,087 $15,830,030 $18.64
259 20611 Major Joint Injection or Aspiration with Ultrasound 346,559 779,859 $71,829,306 $92.11
260 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 607,387 925,874 $41,290,647 $44.60
261 73221 Arm Joint MRI, No Contrast Dye 416,400 508,172 $69,218,531 $136.21
262 77290 Complex Radiation Therapy Simulation 229,453 307,048 $69,124,990 $225.13
263 93922 Limited Arterial Circulation Study, Arms or Legs 578,185 705,006 $41,473,400 $58.83
264 76642 Limited Breast Ultrasound 576,125 722,398 $37,211,380 $51.51
265 77300 Basic Radiation Dose Calculation 247,019 1,540,061 $69,042,889 $44.83
267 23472 Total Shoulder Replacement 43,250 69,082 $68,341,673 $989.28
268 94726 Lung Volume Testing by Body Plethysmography 570,106 615,052 $20,092,928 $32.67
269 22551 Anterior Cervical Discectomy and Fusion, One Level 36,929 58,641 $68,280,784 $1,164.39
270 31575 Flexible Laryngoscopy, Diagnostic 481,707 632,507 $67,764,800 $107.14
271 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 33,462 54,725 $65,669,739 $1,200.00
272 72040 Neck (Cervical) Spine X-ray, Limited Views 537,788 668,698 $13,605,740 $20.35
274 33405 — 28,451 45,889 $64,595,856 $1,407.65
276 00840 Anesthesia for Lower Abdominal Surgery 187,003 270,488 $64,516,634 $238.52
277 95004 Skin Prick Allergy Testing 184,681 10,058,621 $63,092,831 $6.27
278 88311 Decalcification of Tissue for Sectioning 527,035 647,220 $8,644,951 $13.36
279 43235 Upper GI Endoscopy, Diagnostic 335,942 419,510 $62,745,270 $149.57
281 84156 Total Protein Measurement, Urine 522,874 874,325 $4,252,978 $4.86
282 99183 Physician Supervision of Hyperbaric Oxygen Therapy 24,747 579,609 $62,736,954 $108.24
284 86431 Rheumatoid Factor, Quantitative 519,374 592,707 $4,471,127 $7.54
285 82270 — 517,882 519,623 $2,222,337 $4.28
286 98942 Chiropractic Spinal Manipulation, Five Regions 148,746 1,198,737 $61,382,970 $51.21
287 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 215,845 240,451 $60,117,434 $250.02
289 84999 — 163,574 396,662 $59,173,774 $149.18
290 29881 Knee Arthroscopy with Meniscectomy 63,627 92,755 $59,134,465 $637.53
291 80069 Renal Function Panel 508,899 1,009,111 $10,307,811 $10.21
292 99495 Transitional Care Management, Moderate Complexity 346,303 383,283 $59,089,501 $154.17
293 36620 Arterial Line Placement, Percutaneous 504,130 558,734 $28,893,212 $51.71
296 74183 MRI Abdomen, Before and After Contrast 212,417 256,681 $57,908,176 $225.60
298 36556 Non-Tunneled Central Line Placement, Age 5 and Over 397,386 474,791 $57,838,424 $121.82
299 01214 Anesthesia for Hip Replacement Surgery 146,142 213,370 $57,341,061 $268.74
300 20550 Tendon Sheath, Ligament, or Fascia Injection 486,983 790,654 $41,639,971 $52.67
301 73620 Foot X-ray, Two Views 484,405 721,450 $15,111,014 $20.95
302 97597 Selective Wound Debridement, Smaller Area 342,680 1,039,579 $56,805,021 $54.64
303 33208 Dual-Chamber Pacemaker Insertion 103,879 105,259 $56,769,812 $539.33
304 76937 Ultrasound Guidance for Vascular Access 482,791 618,273 $9,787,506 $15.83
306 11055 Paring of a Single Corn or Callus 479,450 901,979 $41,493,589 $46.00
307 96401 Chemotherapy Injection Under the Skin or into Muscle 154,496 766,820 $56,734,774 $73.99
308 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 54,369 64,550 $56,512,423 $875.48
310 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 466,758 828,852 $2,719,764 $3.28
311 86803 Hepatitis C Antibody Test 463,199 550,379 $10,356,240 $18.82
312 70486 CT Scan of Sinuses and Facial Bones 462,846 505,449 $30,361,145 $60.07
314 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 126,845 135,054 $55,656,857 $412.11
315 65855 Laser Trabeculoplasty for Glaucoma 104,895 184,763 $55,099,093 $298.21
316 84311 — 451,215 1,107,302 $10,229,083 $9.24
317 94640 Inhalation Treatment for Airway Obstruction 449,726 659,405 $11,443,917 $17.35
318 74022 — 447,935 556,083 $9,356,389 $16.83
319 93923 Complete Arterial Circulation Study, Arms or Legs 445,197 528,685 $45,491,071 $86.05
320 97113 Aquatic Therapy with Exercise 69,064 1,641,372 $54,585,724 $33.26
321 76856 Complete Pelvic Ultrasound, Non-Pregnancy 445,101 525,158 $37,729,230 $71.84
322 82044 — 442,081 574,773 $2,997,575 $5.22
323 87880 Rapid Strep A Antigen Test 434,615 484,750 $7,299,930 $15.06
324 93351 Stress Echocardiogram, Complete with Supervision 254,376 259,441 $53,967,659 $208.02
325 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 79,692 100,833 $53,671,520 $532.28
326 93325 Color Flow Mapping with Heart Ultrasound 433,513 491,030 $4,267,199 $8.69
328 76514 Corneal Thickness Measurement by Ultrasound 430,616 459,598 $6,466,455 $14.07
329 50590 Extracorporeal Shock Wave Lithotripsy 50,160 71,393 $53,404,236 $748.03
330 11719 — 428,960 1,120,216 $11,467,101 $10.24
331 35301 — 41,655 58,691 $52,500,516 $894.52
332 97035 — 424,891 2,790,443 $28,833,297 $10.33
334 99292 Critical Care, Additional Time 247,709 474,816 $52,224,606 $109.99
335 11043 Wound Debridement Down to Muscle or Fascia 102,451 286,166 $51,394,988 $179.60
336 33249 Implantable Defibrillator System Placement 49,608 50,239 $51,005,461 $1,015.26
337 86141 High-Sensitivity C-Reactive Protein 415,457 547,284 $9,429,331 $17.23
338 82310 Total Calcium Blood Test 415,281 582,200 $1,799,593 $3.09
339 96367 — 169,398 1,722,264 $50,959,577 $29.59
341 76830 Transvaginal Pelvic Ultrasound 414,589 477,038 $39,788,306 $83.41
342 00400 Anesthesia for Skin Surgery on Limbs and Trunk 260,574 416,608 $50,109,436 $120.28
343 84155 Total Protein, Blood 410,895 559,306 $1,593,339 $2.85
346 72158 Low-Back MRI, Before and After Contrast 246,537 282,200 $49,755,078 $176.31
347 82274 Fecal Immunochemical Test for Blood 405,146 437,568 $9,045,336 $20.67
348 67042 Vitrectomy with Internal Limiting Membrane Peel 25,407 41,751 $49,649,108 $1,189.17
349 84132 Potassium Blood Level 401,533 611,377 $1,969,810 $3.22
350 29880 Knee Arthroscopy, Meniscectomy Both Compartments 49,288 73,438 $49,203,393 $670.00
351 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 398,057 439,599 $26,398,221 $60.05
352 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 133,921 158,223 $48,240,301 $304.89
353 51741 Complex Urine Flow Study 395,299 525,485 $6,630,969 $12.62
354 00562 — 50,880 62,258 $48,134,095 $773.14
356 68761 Punctal Plug Insertion for Dry Eye 156,492 356,895 $47,130,962 $132.06
357 87804 Rapid Influenza Antigen Test 392,799 706,019 $10,744,014 $15.22
358 10060 Incision and Drainage of Abscess, Simple 372,497 431,136 $46,983,199 $108.98
359 83690 Lipase Blood Test 392,469 491,927 $4,425,306 $9.00
360 72050 Neck (Cervical) Spine X-ray, Extended Views 390,781 428,444 $11,519,835 $26.89
362 49505 Inguinal Hernia Repair, Age 5 or Older 63,347 79,381 $46,394,498 $584.45
363 73590 Lower Leg X-Ray 390,449 517,290 $6,763,835 $13.08
364 64490 Neck or Mid-Back Facet Joint Injection, First Level 97,364 216,522 $46,271,837 $213.71
365 82150 Amylase Blood Test 390,127 501,961 $4,319,091 $8.60
366 86334 Serum Immunofixation Electrophoresis 386,541 601,841 $15,266,755 $25.37
367 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 113,531 576,577 $46,197,720 $80.12
368 85730 Partial Thromboplastin Time (PTT) Blood Test 379,256 556,220 $4,425,642 $7.96
369 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 274,192 321,539 $46,142,940 $143.51
370 93005 Electrocardiogram, Tracing Only 372,896 434,203 $3,487,583 $8.03
371 77263 Complex Radiation Therapy Treatment Planning 254,510 275,875 $44,591,529 $161.64
374 77338 Multi-Leaf Collimator Design for IMRT 101,341 133,210 $44,436,352 $333.58
375 45384 — 124,786 169,145 $44,420,767 $262.62
376 00567 Anesthesia for On-Pump Coronary Bypass Surgery 51,755 64,148 $44,309,069 $690.73
377 83704 — 362,992 501,760 $20,703,655 $41.26
378 77280 Simple Radiation Therapy Simulation 186,611 319,467 $43,970,382 $137.64
379 93227 — 356,709 391,658 $10,316,494 $26.34
380 52601 TURP - Transurethral Prostate Resection 46,961 49,653 $43,871,218 $883.56
381 93224 — 356,661 382,416 $32,167,180 $84.12
382 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 194,528 304,358 $43,710,665 $143.62
384 99348 Home Visit, Established Patient, Level 2 197,068 524,284 $43,165,873 $82.33
385 67904 Droopy Eyelid Repair, External Levator Approach 28,974 60,769 $42,937,526 $706.57
387 11730 — 324,263 458,499 $42,800,608 $93.35
388 82040 Blood Albumin Test 346,159 547,948 $1,120,701 $2.05
389 99316 Nursing Facility Discharge Visit, Longer Session 342,997 375,719 $36,761,679 $97.84
390 77001 — 342,957 433,300 $9,468,332 $21.85
391 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 10,671 13,281 $42,113,978 $3,170.99
392 99282 — 342,802 399,769 $15,748,873 $39.39
393 77295 3D Conformal Radiotherapy Planning 129,227 149,578 $41,999,388 $280.79
394 94727 Lung Volume Testing by Gas Dilution or Washout 334,211 360,874 $11,903,900 $32.99
395 83861 — 331,261 841,167 $18,471,755 $21.96
396 85018 — 329,584 613,400 $1,926,781 $3.14
397 97116 Gait Training Therapy 214,954 1,879,690 $41,458,449 $22.06
398 11750 — 160,810 211,958 $41,232,717 $194.53
399 90471 Immunization Administration, First 326,940 352,824 $7,957,118 $22.55
400 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 160,459 250,243 $41,220,684 $164.72
401 20605 Intermediate Joint Injection or Aspiration 326,249 463,865 $20,612,604 $44.44
402 26055 Trigger Finger Release (Tendon Sheath Incision) 65,018 123,871 $41,151,764 $332.21
403 84075 Total Alkaline Phosphatase Blood Test 324,752 484,859 $816,095 $1.68
404 78816 PET/CT Scan, Whole Body 47,794 63,199 $41,118,487 $650.62
405 27096 Sacroiliac Joint Injection with Imaging Guidance 198,153 297,044 $40,797,682 $137.35
406 99304 Initial Nursing Facility Visit, Level 1 319,885 365,438 $33,151,016 $90.72
408 83090 Homocysteine Blood Test 316,788 409,854 $9,206,387 $22.46
410 93320 Full Doppler Flow Measurement with Heart Ultrasound 316,064 342,456 $9,674,136 $28.25
411 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 48,487 76,624 $40,555,223 $529.28
413 99490 Chronic Care Management, First 20 Minutes 291,992 996,115 $40,001,795 $40.16
415 73080 Full Elbow X-Ray Series 304,387 372,019 $6,033,637 $16.22
417 22514 Lumbar Vertebral Augmentation (Kyphoplasty) 23,114 25,307 $39,661,812 $1,567.23
418 64494 Lower Back Facet Joint Injection, Second Level 276,373 438,133 $39,651,582 $90.50
420 55700 Prostate Needle Biopsy Retired after Q4 2025 134,557 154,806 $39,547,889 $255.47
421 77523 Proton Beam Radiation Treatment, Intermediate Delivery 1,595 39,587 $39,525,407 $998.44
422 83516 — 298,583 599,558 $8,664,926 $14.45
423 64636 Lower Back Facet Nerve Ablation, Additional Joint 130,330 339,883 $39,473,616 $116.14
424 74230 Swallowing Study with Video X-ray 298,201 354,507 $10,905,419 $30.76
425 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 294,529 338,064 $6,428,251 $19.01
426 01844 — 93,230 177,135 $38,597,798 $217.90
428 28285 Hammertoe Correction 48,259 106,978 $38,416,360 $359.11
429 92285 External Photography of the Eye and Lids 291,768 355,611 $6,425,654 $18.07
430 88331 — 291,652 527,739 $37,509,562 $71.08
431 36558 — 108,633 127,251 $38,148,979 $299.79
432 93042 — 289,721 517,364 $3,724,107 $7.20
433 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 203,427 258,568 $37,927,488 $146.68
434 80051 — 287,131 434,765 $1,935,240 $4.45
435 73140 Finger X-Ray 285,656 377,817 $7,609,310 $20.14
436 95819 EEG Recording Both Awake and Asleep 223,131 243,784 $37,870,242 $155.34
437 76641 Complete Breast Ultrasound 284,411 428,478 $37,692,030 $87.97
438 29824 — 40,659 72,988 $37,780,664 $517.63
439 84154 Free PSA Blood Test 283,828 353,622 $8,643,979 $24.44
440 84478 — 283,292 412,842 $1,321,603 $3.20
441 01230 Anesthesia for Upper Thigh Bone Surgery 122,086 172,116 $37,520,035 $217.99
442 82378 — 278,793 606,644 $15,293,819 $25.21
443 95816 EEG, Awake and Drowsy 263,813 290,921 $37,255,844 $128.06
444 95911 Nerve Conduction Studies, 9-10 Studies 164,226 170,932 $36,980,695 $216.35
445 86376 Thyroid Microsomal Antibody 275,704 329,229 $6,320,597 $19.20
447 01992 — 144,534 308,471 $36,638,438 $118.77
448 71101 Rib X-ray, One Side, with Chest View 274,130 297,990 $5,339,162 $17.92
449 73060 Upper Arm Bone X-Ray 273,862 370,331 $5,172,519 $13.97
450 90962 — 86,791 203,759 $36,551,614 $179.39
451 00910 Anesthesia for Transurethral Bladder Procedures 211,682 363,683 $36,521,998 $100.42
452 73565 — 273,021 313,506 $8,546,810 $27.26
454 67210 — 48,743 74,346 $36,231,107 $487.33
455 70544 — 269,894 286,786 $28,346,478 $98.84
456 94762 — 269,432 300,259 $8,276,945 $27.57
457 00630 — 92,713 135,561 $36,041,136 $265.87
458 87205 — 269,360 347,883 $1,902,142 $5.47
459 47563 — 46,820 56,851 $35,937,998 $632.14
460 77003 — 268,763 380,835 $17,831,247 $46.82
461 97535 Self-Care and Home Management Training 264,620 1,144,128 $33,966,726 $29.69
462 78306 — 263,843 300,770 $21,628,987 $71.91
463 93460 — 90,293 91,518 $35,661,225 $389.66
464 22513 Thoracic Vertebral Augmentation (Kyphoplasty) 20,451 23,066 $35,612,361 $1,543.93
465 82247 Total Bilirubin Blood Test 263,799 468,814 $794,133 $1.69
466 19083 Breast Needle Biopsy with Ultrasound Guidance 104,697 108,310 $35,207,619 $325.06
467 99315 — 261,593 283,593 $19,550,256 $68.94
468 19301 Partial Mastectomy (Lumpectomy) 46,090 55,400 $35,038,560 $632.46
469 00320 — 110,159 170,280 $34,978,004 $205.41
470 88173 Fine Needle Aspiration Interpretation 260,881 360,759 $31,672,977 $87.80
471 87340 Hepatitis B Surface Antigen Test 260,764 282,867 $3,819,210 $13.50
472 93312 Transesophageal Heart Ultrasound, Complete Service 245,868 282,497 $34,236,834 $121.19
473 85045 Automated Reticulocyte Count 259,601 358,142 $1,904,258 $5.32
474 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 28,600 29,861 $33,809,561 $1,132.23
475 20600 Arthrocentesis, Small Joint 258,428 395,923 $16,434,127 $41.51
476 93459 — 104,591 111,372 $33,746,668 $303.01
477 87624 High-Risk HPV DNA Test 256,049 263,162 $11,676,334 $44.37
478 01630 — 118,942 167,932 $33,677,798 $200.54
479 43248 — 92,949 151,049 $33,077,444 $218.98
481 86200 Cyclic Citrullinated Peptide Antibody 250,293 277,664 $4,771,700 $17.19
482 67108 Retinal Detachment Repair by Vitrectomy 14,520 22,901 $33,019,269 $1,441.83
483 37221 — Retired after Q4 2025 29,624 34,031 $32,751,915 $962.41
484 77002 Fluoroscopic Guidance for Needle Placement 247,657 443,251 $29,673,604 $66.95
485 99236 — 145,360 153,214 $32,673,407 $213.25
486 22840 Posterior Spinal Instrumentation, Non-Segmental 39,564 63,039 $32,600,092 $517.14
487 63030 — 30,258 47,601 $32,440,557 $681.51
488 70498 CT Angiogram of the Neck 246,414 262,603 $22,337,999 $85.06
489 31500 — 245,135 281,300 $31,274,247 $111.18
490 91110 Capsule Endoscopy, Esophagus Through Ileum 48,862 50,906 $32,399,775 $636.46
491 92941 — 46,255 48,531 $32,319,532 $665.96
492 92550 — 244,601 264,209 $5,647,975 $21.38
494 86592 — 243,962 277,437 $1,569,914 $5.66
495 96375 — 180,650 1,467,388 $31,866,149 $21.72
496 83525 Total Insulin Blood Test 241,592 336,212 $5,081,749 $15.11
497 37226 — Retired after Q4 2025 26,549 29,532 $31,516,425 $1,067.20
498 88175 — 241,249 252,805 $8,597,913 $34.01
499 63048 — 76,798 210,783 $31,289,453 $148.44
500 76519 — 237,144 372,893 $21,009,139 $56.34
503 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 36,563 71,288 $31,061,920 $435.72
504 43249 Upper Endoscopy with Esophageal Balloon Dilation 87,333 128,025 $30,927,442 $241.57
505 82465 — 228,371 329,644 $971,472 $2.95
506 10061 — 141,020 165,690 $30,855,333 $186.22
507 20552 Trigger Point Injection, One or Two Muscles 226,414 355,102 $16,598,501 $46.74
508 29848 Endoscopic Carpal Tunnel Release 25,001 44,392 $30,809,814 $694.04
509 64484 — 226,310 409,690 $30,630,839 $74.77
510 86235 Extractable Nuclear Antigen Antibody 225,810 1,169,676 $27,005,781 $23.09
512 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 181,363 212,625 $30,375,535 $142.86
513 92002 — 222,277 224,597 $17,333,086 $77.17
514 70496 CT Angiogram of the Head 221,243 237,884 $22,759,524 $95.67
515 01922 Anesthesia for Imaging or Radiation Therapy 115,695 174,459 $29,722,319 $170.37
516 73700 CT Scan of Leg or Foot, No Contrast 220,465 248,995 $15,893,813 $63.83
517 84295 — 218,886 345,600 $645,892 $1.87
519 99406 Smoking Cessation Counseling, Intermediate 218,622 325,258 $4,335,785 $13.33
523 71100 — 218,437 244,896 $4,128,697 $16.86
524 20680 — 50,265 70,107 $29,233,298 $416.98
525 84402 Free Testosterone Blood Test 216,914 292,922 $9,856,707 $33.65
527 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 60,631 90,580 $29,091,786 $321.17
528 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 173,995 204,440 $29,021,062 $141.95
529 22845 — 36,932 57,523 $28,888,681 $502.21
530 93308 Limited or Follow-Up Heart Ultrasound 212,043 254,944 $9,952,500 $39.04
532 65756 Endothelial Corneal Transplant 11,874 23,103 $28,591,916 $1,237.58
533 73100 — 210,397 339,784 $6,972,736 $20.52
534 83718 — 209,852 318,655 $3,469,886 $10.89
535 95910 Nerve Conduction Studies, 7-8 Studies 158,456 162,815 $28,533,456 $175.25
536 83921 — 209,760 519,809 $11,383,505 $21.90
537 96417 — 83,720 467,559 $28,528,085 $61.01
538 85014 — 208,005 380,290 $1,196,936 $3.15
539 67113 — 11,123 18,636 $28,148,224 $1,510.42
540 86225 Double-Stranded DNA Antibody 207,757 254,769 $4,634,190 $18.19
542 86800 Thyroglobulin Antibody 207,555 265,223 $5,546,396 $20.91
543 70491 CT Scan of Neck Soft Tissue with Contrast 206,531 253,653 $22,108,788 $87.16
545 01810 — 180,729 273,234 $27,792,228 $101.72
547 72197 Pelvis MRI, Before and After Contrast 103,928 118,407 $27,785,383 $234.66
548 73090 — 204,437 246,320 $3,032,931 $12.31
549 85007 — 204,042 420,130 $1,884,911 $4.49
550 25609 Open Repair of Complex Distal Radius Fracture 15,151 21,946 $27,516,895 $1,253.85
552 73600 — 202,550 275,327 $4,938,047 $17.94
553 95913 — 91,160 97,802 $27,419,804 $280.36
554 88108 — 201,603 289,495 $10,849,504 $37.48
555 37228 — Retired after Q4 2025 24,204 27,900 $27,235,923 $976.20
556 72072 — 201,495 216,952 $3,358,719 $15.48
557 67041 — 15,277 22,800 $27,158,157 $1,191.15
558 83698 — 200,617 262,088 $11,857,836 $45.24
559 78582 — 200,061 213,413 $11,858,326 $55.57
560 01400 — 138,460 194,499 $26,807,651 $137.83
561 27487 Total Knee Replacement Revision, Both Components 14,236 22,667 $26,670,470 $1,176.62
562 55866 — 14,954 20,322 $26,652,648 $1,311.52
564 88300 — 194,157 218,753 $1,126,621 $5.15
565 73120 — 193,884 294,417 $5,340,099 $18.14
566 77373 Stereotactic Body Radiation Therapy Delivery 4,164 20,127 $26,359,743 $1,309.67
567 86706 — 192,521 206,083 $2,929,691 $14.22
568 13101 Complex Wound Repair of the Trunk (Mid-Length) 74,762 85,331 $26,326,968 $308.53
569 72146 Mid-Back MRI, No Contrast Dye 190,963 213,703 $22,477,329 $105.18
570 93926 — 190,794 250,050 $18,970,701 $75.87
571 96415 — 135,839 957,731 $26,190,767 $27.35
572 76882 Limited Ultrasound of an Arm or Leg 188,633 251,361 $7,455,790 $29.66
573 88360 Manual Scoring of Tumor Immunostain 131,975 355,579 $26,071,371 $73.32
574 73070 — 187,244 249,026 $4,115,309 $16.53
577 76872 — 186,393 214,003 $16,330,218 $76.31
578 66180 — 12,256 21,298 $25,473,526 $1,196.05
579 76857 — 184,881 232,317 $8,983,727 $38.67
580 74220 — 184,860 198,280 $6,431,000 $32.43
581 93653 — 29,148 29,906 $25,466,231 $851.54
582 64495 — 171,269 276,981 $25,442,546 $91.86

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 7,751 CPT codes billed to Medicare in CY2015, 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 58.2% of the $76.5B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $9.7B
  2. 2 99213 Established Patient Office Visit, Level 3 $6.8B
  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 $1.9B
  8. 8 99204 New Patient Office Visit, Level 4 $1.5B
  9. 9 92014 Comprehensive Eye Exam, Established Patient $1.4B
  10. 10 97110 Therapeutic Exercise, 15 Minutes $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
#123
By allowed dollars
#479
Per service
$2.10
Few patients, lots of money
37227 Thigh Artery Stent with Atherectomy
By beneficiaries
#488
By allowed dollars
#83
Per service
$8,276.51

What this data covers — and what it doesn't

These are CY2015 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.

7 codes on this list have since left the fee schedule. CMS billed them heavily in CY2015 and then deleted them, so their links point at the last quarter that priced them rather than at a page that no longer exists.

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 7,751 CPT codes billed to Medicare in CY2015; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners — by Geography and Service, national rows, CY2015. 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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