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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 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 26,245,383 95,587,884 $9,664,623,402 $101.11
1 99213 Established Patient Office Visit, Level 3 26,695,386 99,688,218 $6,779,754,007 $68.01
4 99232 Subsequent Hospital Care, Level 2 4,956,288 49,161,851 $3,505,050,483 $71.30
6 99233 Subsequent Hospital Care, Level 3 3,539,160 22,192,451 $2,293,379,016 $103.34
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
12 99285 Emergency Department Visit, Level 5 6,638,375 11,282,140 $1,938,104,265 $171.79
14 99204 New Patient Office Visit, Level 4 7,693,413 9,520,304 $1,491,192,505 $156.63
13 92014 Comprehensive Eye Exam, Established Patient 9,359,166 11,855,482 $1,419,477,130 $119.73
17 97110 Therapeutic Exercise, 15 Minutes 2,364,765 49,002,868 $1,313,771,337 $26.81
19 99215 Established Patient Office Visit, Level 5 5,564,547 9,444,221 $1,284,220,808 $135.98
21 99291 Critical Care, First Time Block 1,719,079 5,330,921 $1,190,148,075 $223.25
15 99203 New Patient Office Visit, Level 3 8,866,131 10,924,149 $1,113,718,028 $101.95
22 88305 Surgical Pathology Exam, Level IV 7,527,448 19,010,065 $949,301,315 $49.94
24 99222 Initial Hospital Care, Level 2 3,543,212 6,983,817 $944,136,354 $135.19
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
20 99212 Established Patient Office Visit, Level 2 7,998,586 14,739,739 $597,592,425 $40.54
33 99205 New Patient Office Visit, Level 5 2,570,315 2,883,738 $565,509,468 $196.10
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
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
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
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
52 99231 Subsequent Hospital Care, Level 1 2,174,062 9,111,188 $346,358,359 $38.01
11 84443 Thyroid-Stimulating Hormone (TSH) 9,998,957 15,107,393 $337,079,429 $22.31
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
57 20610 Major Joint Injection or Aspiration 2,772,093 5,652,582 $328,500,592 $58.12
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
62 74177 CT Abdomen and Pelvis, With Contrast 2,117,887 2,791,741 $313,498,634 $112.30
5 80053 Comprehensive Metabolic Panel 14,166,283 28,486,889 $309,622,731 $10.87
7 85025 Complete Blood Count with Differential 13,253,312 29,988,493 $306,211,755 $10.21
66 97530 Therapeutic Activities, Per 15 Minutes 782,795 9,557,463 $299,852,838 $31.37
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
72 67028 Intravitreal Injection of Medication 561,891 2,749,881 $286,772,378 $104.29
46 17000 Destruction of Premalignant Skin Lesion, First 3,705,022 5,496,806 $285,741,663 $51.98
10 80061 Lipid Panel 12,472,246 19,284,142 $270,981,697 $14.05
77 66821 YAG Laser Capsulotomy After Cataract Surgery 514,402 1,315,087 $256,658,988 $195.17
68 92134 Retinal OCT Scan 2,589,374 5,876,096 $255,209,586 $43.43
75 99238 Hospital Discharge Day Management, 30 Minutes or Less 2,532,139 3,472,154 $247,357,086 $71.24
34 82306 Vitamin D, 25-Hydroxy 4,527,562 6,224,235 $241,869,971 $38.86
82 64483 Transforaminal Epidural Injection, Lumbar/Sacral 470,180 1,073,764 $238,542,527 $222.16
85 96413 Chemotherapy Infusion, First Hour 243,762 1,820,625 $237,853,536 $130.64
45 70450 CT Head/Brain, without Contrast 3,796,305 5,631,536 $234,107,392 $41.57
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
76 92250 Retinal Photography with Interpretation 2,478,344 2,970,467 $221,488,877 $74.56
61 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,803,144 9,164,588 $216,653,919 $23.64
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
96 27130 Total Hip Replacement 138,368 230,325 $209,612,705 $910.07
71 99283 Emergency Department Visit, Level 3 2,573,611 3,502,417 $207,411,604 $59.22
63 99202 New Patient Office Visit, Level 2 2,794,404 2,954,934 $203,176,329 $68.76
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
23 93000 Electrocardiogram (ECG), Complete 7,536,418 11,446,174 $193,833,649 $16.93
102 52000 Diagnostic Cystoscopy 744,721 981,649 $186,347,040 $189.83
107 99221 Initial Hospital Care, Level 1 1,349,471 1,812,479 $179,873,400 $99.24
25 83036 Hemoglobin A1c 7,489,194 13,930,742 $179,163,449 $12.86
109 72148 MRI Lumbar Spine, without Contrast 1,255,960 1,432,489 $177,615,502 $123.99
111 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 277,676 468,237 $175,148,036 $374.06
78 92083 Extended Visual Field Test 2,458,015 2,871,117 $173,994,682 $60.60
114 70553 MRI Brain, With and Without Contrast 837,406 1,016,640 $171,001,544 $168.20
117 98940 Chiropractic Spinal Manipulation, One to Two Regions 843,796 6,226,895 $169,194,446 $27.17
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
18 93010 Electrocardiogram (ECG), Interpretation Only 8,190,422 18,926,170 $159,575,230 $8.43
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
3 36415 Routine Venipuncture (Blood Draw) 17,695,169 52,238,888 $153,053,113 $2.93
128 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 15,464 18,320 $151,625,735 $8,276.51
130 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 166,168 171,357 $151,263,305 $882.74
121 93970 Complete Duplex Ultrasound of Limb Veins 1,412,019 1,714,652 $146,345,615 $85.35
134 36475 Radiofrequency Vein Ablation, First Vein 58,064 103,704 $145,572,821 $1,403.73
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
118 71250 CT Scan of the Chest, No Contrast 1,498,889 1,907,128 $136,459,570 $71.55
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
148 99307 Subsequent Nursing Facility Visit, Level 1 962,277 3,049,285 $130,070,529 $42.66
150 90832 Individual Psychotherapy, 30 Minutes 377,962 2,231,217 $128,669,506 $57.67
152 95811 Sleep Study with CPAP or BiPAP Titration 348,727 406,712 $128,153,974 $315.10
129 71260 CT Scan of the Chest with Contrast 1,323,134 1,808,126 $127,843,973 $70.71
156 64635 Lower Back Facet Nerve Ablation, First Joint 143,254 283,558 $123,379,046 $435.11
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
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
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
172 78492 Cardiac PET Perfusion Imaging, Rest and Stress 106,366 115,747 $108,923,961 $941.05
174 70551 Brain MRI Without Contrast 952,602 1,058,309 $108,035,407 $102.08
176 74178 CT Abdomen and Pelvis, Before and After Contrast 529,126 613,013 $107,310,216 $175.05
178 01402 Anesthesia for Knee Replacement Surgery 283,190 425,652 $106,353,907 $249.86
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
83 92133 Optic Nerve Imaging (OCT) 2,196,602 2,463,188 $102,149,903 $41.47
187 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 547,256 647,549 $101,431,597 $156.64
135 88342 Immunohistochemistry Stain, First Antibody 1,294,010 1,922,774 $100,900,473 $52.48
189 00670 Anesthesia for Major Spine and Spinal Cord Surgery 157,691 233,558 $100,895,403 $431.99
192 95810 Attended Overnight Sleep Study in a Lab 301,758 336,953 $99,332,394 $294.80
175 92136 Eye Measurement for Cataract Lens Power 1,028,351 1,711,415 $99,141,026 $57.93
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
199 63047 Lumbar Laminectomy for Spinal Decompression 101,403 161,682 $95,246,775 $589.10
64 17003 Destruction of Additional Precancerous Skin Lesions 2,776,873 17,582,820 $94,205,740 $5.36
202 36478 Laser Vein Ablation, First Vein 42,099 80,349 $91,694,204 $1,141.20
115 99211 Established Patient Office Visit, Minimal 1,523,035 4,853,351 $91,679,156 $18.89
205 71275 CT Angiogram of the Chest 838,647 949,664 $91,019,268 $95.84
211 96365 Initial IV Infusion, Up to One Hour 282,379 1,257,011 $86,312,059 $68.66
124 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,387,030 1,762,080 $86,289,877 $48.97
213 88307 Surgical Pathology Exam, Level V 574,968 933,626 $84,816,906 $90.85
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
218 95165 Preparation of Allergy Immunotherapy Extracts 194,599 6,900,190 $83,127,749 $12.05
80 84153 Prostate-Specific Antigen (PSA), Total 2,272,098 3,241,641 $79,148,634 $24.42
223 99350 Home Visit, Established Patient, Level 4 141,829 486,139 $79,086,366 $162.68
58 82607 Vitamin B12 Level 2,985,954 3,928,683 $78,744,372 $20.04
225 90833 Shorter Psychotherapy Session Added to a Medical Visit 356,321 1,289,709 $78,530,723 $60.89
157 76770 Complete Retroperitoneal Ultrasound 1,151,363 1,327,547 $78,348,948 $59.02
97 85610 Prothrombin Time (PT/INR) 1,804,591 15,034,179 $78,316,086 $5.21
228 47562 Laparoscopic Cholecystectomy 109,490 133,552 $78,204,425 $585.57
232 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 487,745 558,044 $76,625,441 $137.31
184 76700 Abdominal Ultrasound, Complete 948,248 1,080,246 $76,545,991 $70.86
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
238 27236 Surgical Repair of Femoral Neck Fracture 60,645 82,537 $75,731,093 $917.54
39 80048 Basic Metabolic Panel 4,337,343 7,907,969 $75,108,399 $9.50
241 64721 Carpal Tunnel Release 101,354 158,361 $74,529,033 $470.63
244 99496 Transitional Care Management, High Complexity 300,471 339,903 $74,215,331 $218.34
248 90966 Monthly Home Dialysis Management, Adult 46,892 322,182 $74,040,921 $229.81
171 93015 Cardiovascular Stress Test, Complete 1,051,002 1,083,797 $73,885,564 $68.17
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
257 37241 — 11,563 18,674 $72,238,188 $3,868.38
259 20611 Major Joint Injection or Aspiration with Ultrasound 346,559 779,859 $71,829,306 $92.11
149 69210 Impacted Earwax Removal, Instrumentation 1,215,377 1,539,273 $70,747,818 $45.96
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
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
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
200 11720 Nail Trimming/Debridement, Up to 5 886,973 2,116,651 $66,918,846 $31.62
271 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 33,462 54,725 $65,669,739 $1,200.00
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
224 88313 Special Stain for Tissue Elements and Pigments 770,990 1,706,777 $62,802,869 $36.80
279 43235 Upper GI Endoscopy, Diagnostic 335,942 419,510 $62,745,270 $149.57
282 99183 Physician Supervision of Hyperbaric Oxygen Therapy 24,747 579,609 $62,736,954 $108.24
286 98942 Chiropractic Spinal Manipulation, Five Regions 148,746 1,198,737 $61,382,970 $51.21
229 76536 Ultrasound of Neck and Head Soft Tissues 733,455 854,515 $60,596,147 $70.91
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
292 99495 Transitional Care Management, Moderate Complexity 346,303 383,283 $59,089,501 $154.17
84 77080 DEXA Bone Density, Axial 2,186,217 2,268,619 $58,192,429 $25.65
296 74183 MRI Abdomen, Before and After Contrast 212,417 256,681 $57,908,176 $225.60
51 84439 Free Thyroxine (Free T4) 3,309,759 4,857,066 $57,889,350 $11.92
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
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
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
177 94060 Spirometry, Pre- and Post-Bronchodilator 1,017,011 1,220,549 $56,345,411 $46.16
198 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 903,135 1,031,166 $56,266,442 $54.57
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
56 87086 Urine Culture, Quantitative 3,016,591 5,146,472 $55,095,174 $10.71
320 97113 Aquatic Therapy with Exercise 69,064 1,641,372 $54,585,724 $33.26
203 76942 Ultrasound Guidance for Needle Placement 880,225 1,178,188 $54,337,873 $46.12
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
329 50590 Extracorporeal Shock Wave Lithotripsy 50,160 71,393 $53,404,236 $748.03
112 73562 Knee X-Ray, Three Views 1,547,268 2,244,660 $52,721,726 $23.49
331 35301 — 41,655 58,691 $52,500,516 $894.52
103 73630 Foot X-ray, Complete Series 1,686,286 2,614,416 $52,298,682 $20.00
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
339 96367 — 169,398 1,722,264 $50,959,577 $29.59
342 00400 Anesthesia for Skin Surgery on Limbs and Trunk 260,574 416,608 $50,109,436 $120.28
346 72158 Low-Back MRI, Before and After Contrast 246,537 282,200 $49,755,078 $176.31
348 67042 Vitrectomy with Internal Limiting Membrane Peel 25,407 41,751 $49,649,108 $1,189.17
350 29880 Knee Arthroscopy, Meniscectomy Both Compartments 49,288 73,438 $49,203,393 $670.00
95 73030 Shoulder X-ray, Complete 1,875,785 2,613,008 $48,737,144 $18.65
352 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 133,921 158,223 $48,240,301 $304.89
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
358 10060 Incision and Drainage of Abscess, Simple 372,497 431,136 $46,983,199 $108.98
362 49505 Inguinal Hernia Repair, Age 5 or Older 63,347 79,381 $46,394,498 $584.45
364 64490 Neck or Mid-Back Facet Joint Injection, First Level 97,364 216,522 $46,271,837 $213.71
367 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 113,531 576,577 $46,197,720 $80.12
369 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 274,192 321,539 $46,142,940 $143.51
110 82728 Ferritin Blood Test 1,565,604 2,536,822 $45,829,059 $18.07
319 93923 Complete Arterial Circulation Study, Arms or Legs 445,197 528,685 $45,491,071 $86.05
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
378 77280 Simple Radiation Therapy Simulation 186,611 319,467 $43,970,382 $137.64
380 52601 TURP - Transurethral Prostate Resection 46,961 49,653 $43,871,218 $883.56
239 88112 Non-Gynecologic Enhanced Cytology 700,851 1,091,343 $43,756,802 $40.09
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
164 77063 Screening 3D Breast Tomosynthesis, Both Breasts 1,086,617 1,119,587 $42,901,312 $38.32
387 11730 — 324,263 458,499 $42,800,608 $93.35
106 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,622,089 2,023,264 $42,688,734 $21.10
168 92557 Comprehensive Audiometry 1,057,583 1,149,454 $42,442,268 $36.92
101 82746 Serum Folate Blood Test 1,689,055 2,176,240 $42,250,972 $19.41
391 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 10,671 13,281 $42,113,978 $3,170.99
393 77295 3D Conformal Radiotherapy Planning 129,227 149,578 $41,999,388 $280.79
300 20550 Tendon Sheath, Ligament, or Fascia Injection 486,983 790,654 $41,639,971 $52.67
306 11055 Paring of a Single Corn or Callus 479,450 901,979 $41,493,589 $46.00
263 93922 Limited Arterial Circulation Study, Arms or Legs 578,185 705,006 $41,473,400 $58.83
397 97116 Gait Training Therapy 214,954 1,879,690 $41,458,449 $22.06
260 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 607,387 925,874 $41,290,647 $44.60
398 11750 — 160,810 211,958 $41,232,717 $194.53
400 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 160,459 250,243 $41,220,684 $164.72
402 26055 Trigger Finger Release (Tendon Sheath Incision) 65,018 123,871 $41,151,764 $332.21
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
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
191 76705 Limited Abdominal Ultrasound 925,055 1,066,018 $39,993,061 $37.52
341 76830 Transvaginal Pelvic Ultrasound 414,589 477,038 $39,788,306 $83.41
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
423 64636 Lower Back Facet Nerve Ablation, Additional Joint 130,330 339,883 $39,473,616 $116.14
123 73560 Basic Knee X-Ray, One or Two Views 1,389,695 2,051,442 $39,392,025 $19.20
426 01844 — 93,230 177,135 $38,597,798 $217.90
131 51798 Post-Void Residual Urine, Ultrasound 1,323,097 2,062,225 $38,487,049 $18.66
428 28285 Hammertoe Correction 48,259 106,978 $38,416,360 $359.11
190 94010 Spirometry 927,236 1,268,486 $38,185,383 $30.10
431 36558 — 108,633 127,251 $38,148,979 $299.79
433 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 203,427 258,568 $37,927,488 $146.68
436 95819 EEG Recording Both Awake and Asleep 223,131 243,784 $37,870,242 $155.34
53 82570 Creatinine, Non-Blood Sample 3,303,886 5,563,091 $37,858,994 $6.81
438 29824 — 40,659 72,988 $37,780,664 $517.63
321 76856 Complete Pelvic Ultrasound, Non-Pregnancy 445,101 525,158 $37,729,230 $71.84
437 76641 Complete Breast Ultrasound 284,411 428,478 $37,692,030 $87.97
441 01230 Anesthesia for Upper Thigh Bone Surgery 122,086 172,116 $37,520,035 $217.99
430 88331 — 291,652 527,739 $37,509,562 $71.08
443 95816 EEG, Awake and Drowsy 263,813 290,921 $37,255,844 $128.06
264 76642 Limited Breast Ultrasound 576,125 722,398 $37,211,380 $51.51
444 95911 Nerve Conduction Studies, 9-10 Studies 164,226 170,932 $36,980,695 $216.35
389 99316 Nursing Facility Discharge Visit, Longer Session 342,997 375,719 $36,761,679 $97.84
447 01992 — 144,534 308,471 $36,638,438 $118.77
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
454 67210 — 48,743 74,346 $36,231,107 $487.33
237 84403 Total Testosterone Blood Test 708,890 1,059,851 $36,077,597 $34.04
457 00630 — 92,713 135,561 $36,041,136 $265.87
459 47563 — 46,820 56,851 $35,937,998 $632.14
179 73564 Complete Knee X-Ray, Four or More Views 1,004,806 1,353,136 $35,922,447 $26.55
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
185 94729 Gas Diffusing Capacity Test (DLCO) 948,192 1,036,553 $35,547,626 $34.29
466 19083 Breast Needle Biopsy with Ultrasound Guidance 104,697 108,310 $35,207,619 $325.06
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
472 93312 Transesophageal Heart Ultrasound, Complete Service 245,868 282,497 $34,236,834 $121.19
461 97535 Self-Care and Home Management Training 264,620 1,144,128 $33,966,726 $29.69
474 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 28,600 29,861 $33,809,561 $1,132.23
476 93459 — 104,591 111,372 $33,746,668 $303.01
478 01630 — 118,942 167,932 $33,677,798 $200.54
406 99304 Initial Nursing Facility Visit, Level 1 319,885 365,438 $33,151,016 $90.72
479 43248 — 92,949 151,049 $33,077,444 $218.98
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
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
105 87186 Antibiotic Susceptibility Panel, MIC 1,625,238 2,863,374 $32,414,725 $11.32
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
381 93224 — 356,661 382,416 $32,167,180 $84.12
495 96375 — 180,650 1,467,388 $31,866,149 $21.72
470 88173 Fine Needle Aspiration Interpretation 260,881 360,759 $31,672,977 $87.80
497 37226 — Retired after Q4 2025 26,549 29,532 $31,516,425 $1,067.20
499 63048 — 76,798 210,783 $31,289,453 $148.44
489 31500 — 245,135 281,300 $31,274,247 $111.18
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
506 10061 — 141,020 165,690 $30,855,333 $186.22
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
81 85027 Complete Blood Count, Automated, No Differential 2,258,538 3,603,550 $30,503,167 $8.46
116 72170 Basic Pelvis X-Ray 1,501,749 1,929,966 $30,387,302 $15.74
512 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 181,363 212,625 $30,375,535 $142.86
312 70486 CT Scan of Sinuses and Facial Bones 462,846 505,449 $30,361,145 $60.07
38 81001 Urinalysis, Automated with Microscopy 4,487,874 7,210,111 $30,289,603 $4.20
515 01922 Anesthesia for Imaging or Radiation Therapy 115,695 174,459 $29,722,319 $170.37
484 77002 Fluoroscopic Guidance for Needle Placement 247,657 443,251 $29,673,604 $66.95
524 20680 — 50,265 70,107 $29,233,298 $416.98
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
293 36620 Arterial Line Placement, Percutaneous 504,130 558,734 $28,893,212 $51.71
529 22845 — 36,932 57,523 $28,888,681 $502.21
332 97035 — 424,891 2,790,443 $28,833,297 $10.33
532 65756 Endothelial Corneal Transplant 11,874 23,103 $28,591,916 $1,237.58
535 95910 Nerve Conduction Studies, 7-8 Studies 158,456 162,815 $28,533,456 $175.25
537 96417 — 83,720 467,559 $28,528,085 $61.01
455 70544 — 269,894 286,786 $28,346,478 $98.84
539 67113 — 11,123 18,636 $28,148,224 $1,510.42
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
207 72110 Lower Back (Lumbar) Spine X-ray, Full Series 844,283 935,945 $27,561,612 $29.45
550 25609 Open Repair of Complex Distal Radius Fracture 15,151 21,946 $27,516,895 $1,253.85
553 95913 — 91,160 97,802 $27,419,804 $280.36
256 76775 Limited Retroperitoneal Ultrasound 612,451 697,849 $27,353,510 $39.20
555 37228 — Retired after Q4 2025 24,204 27,900 $27,235,923 $976.20
557 67041 — 15,277 22,800 $27,158,157 $1,191.15
510 86235 Extractable Nuclear Antigen Antibody 225,810 1,169,676 $27,005,781 $23.09
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
351 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 398,057 439,599 $26,398,221 $60.05
108 83735 Magnesium Blood Level 1,608,709 2,996,825 $26,381,264 $8.80
566 77373 Stereotactic Body Radiation Therapy Delivery 4,164 20,127 $26,359,743 $1,309.67
568 13101 Complex Wound Repair of the Trunk (Mid-Length) 74,762 85,331 $26,326,968 $308.53
571 96415 — 135,839 957,731 $26,190,767 $27.35
573 88360 Manual Scoring of Tumor Immunostain 131,975 355,579 $26,071,371 $73.32
113 87088 Urine Culture with Isolate Identification 1,524,968 2,441,928 $25,832,081 $10.58
217 84481 Free Triiodothyronine (T3) Blood Test 822,247 1,186,101 $25,674,291 $21.65
578 66180 — 12,256 21,298 $25,473,526 $1,196.05
581 93653 — 29,148 29,906 $25,466,231 $851.54
582 64495 — 171,269 276,981 $25,442,546 $91.86
162 93016 Cardiac Stress Test, Supervision Only 1,097,596 1,130,949 $24,502,230 $21.67
206 73610 Full Ankle X-Ray Series 875,120 1,304,203 $24,272,788 $18.61
127 83550 Iron Binding Capacity Blood Test 1,348,072 2,110,285 $24,030,633 $11.39
73 82043 Urine Microalbumin, Quantitative 2,547,759 3,379,039 $23,653,526 $7.00
227 92020 Gonioscopy, Exam of the Eye's Drainage Angle 767,486 874,301 $23,464,813 $26.84
100 83540 Serum Iron Level 1,712,707 2,721,600 $22,895,069 $8.41
514 70496 CT Angiogram of the Head 221,243 237,884 $22,759,524 $95.67
569 72146 Mid-Back MRI, No Contrast Dye 190,963 213,703 $22,477,329 $105.18
488 70498 CT Angiogram of the Neck 246,414 262,603 $22,337,999 $85.06
543 70491 CT Scan of Neck Soft Tissue with Contrast 206,531 253,653 $22,108,788 $87.16
462 78306 — 263,843 300,770 $21,628,987 $71.91
133 87077 Definitive Identification of Cultured Isolate 1,316,827 2,079,077 $21,350,421 $10.27
240 73110 Full Wrist X-Ray Series 687,774 1,033,583 $21,296,791 $20.60
500 76519 — 237,144 372,893 $21,009,139 $56.34
377 83704 — 362,992 501,760 $20,703,655 $41.26
401 20605 Intermediate Joint Injection or Aspiration 326,249 463,865 $20,612,604 $44.44
201 88304 Surgical Pathology Exam, Level III 882,255 1,061,509 $20,286,458 $19.11
219 73130 Full Hand X-Ray Series 810,332 1,129,764 $20,215,498 $17.89
268 94726 Lung Volume Testing by Body Plethysmography 570,106 615,052 $20,092,928 $32.67
42 81003 Urinalysis, Automated without Microscopy 4,003,890 6,674,158 $19,868,315 $2.98
467 99315 — 261,593 283,593 $19,550,256 $68.94
570 93926 — 190,794 250,050 $18,970,701 $75.87
141 93018 Cardiac Stress Test, Interpretation and Report Only 1,266,105 1,310,186 $18,643,990 $14.23
395 83861 — 331,261 841,167 $18,471,755 $21.96
460 77003 — 268,763 380,835 $17,831,247 $46.82
513 92002 — 222,277 224,597 $17,333,086 $77.17
245 84165 Serum Protein Electrophoresis (SPEP) 676,755 1,035,021 $16,670,500 $16.11
507 20552 Trigger Point Injection, One or Two Muscles 226,414 355,102 $16,598,501 $46.74
475 20600 Arthrocentesis, Small Joint 258,428 395,923 $16,434,127 $41.51
577 76872 — 186,393 214,003 $16,330,218 $76.31
516 73700 CT Scan of Leg or Foot, No Contrast 220,465 248,995 $15,893,813 $63.83
258 84480 Total Triiodothyronine (T3) Blood Test 610,465 849,087 $15,830,030 $18.64
392 99282 — 342,802 399,769 $15,748,873 $39.39
442 82378 — 278,793 606,644 $15,293,819 $25.21
366 86334 Serum Immunofixation Electrophoresis 386,541 601,841 $15,266,755 $25.37
301 73620 Foot X-ray, Two Views 484,405 721,450 $15,111,014 $20.95
140 80076 Liver Function Blood Panel 1,270,252 2,013,151 $14,915,832 $7.41
151 84436 Total Thyroxine (T4) Blood Test 1,184,690 1,593,230 $14,328,899 $8.99
65 81002 Manual Urinalysis, Dipstick Only 2,649,367 4,182,570 $14,050,033 $3.36
233 83721 Direct LDL Cholesterol Measurement 728,876 1,086,041 $13,645,577 $12.56
153 86140 C-Reactive Protein, Standard 1,160,394 2,014,899 $13,616,894 $6.76
272 72040 Neck (Cervical) Spine X-ray, Limited Views 537,788 668,698 $13,605,740 $20.35
242 86038 Antinuclear Antibody Screen 687,305 787,913 $12,633,856 $16.03
90 84550 Uric Acid Blood Test 2,036,941 3,323,051 $12,121,362 $3.65
394 94727 Lung Volume Testing by Gas Dilution or Washout 334,211 360,874 $11,903,900 $32.99
559 78582 — 200,061 213,413 $11,858,326 $55.57
558 83698 — 200,617 262,088 $11,857,836 $45.24
477 87624 High-Risk HPV DNA Test 256,049 263,162 $11,676,334 $44.37
360 72050 Neck (Cervical) Spine X-ray, Extended Views 390,781 428,444 $11,519,835 $26.89
330 11719 — 428,960 1,120,216 $11,467,101 $10.24
317 94640 Inhalation Treatment for Airway Obstruction 449,726 659,405 $11,443,917 $17.35
536 83921 — 209,760 519,809 $11,383,505 $21.90
243 92567 Eardrum Movement Test (Tympanometry) 681,711 772,160 $10,992,668 $14.24
424 74230 Swallowing Study with Video X-ray 298,201 354,507 $10,905,419 $30.76
554 88108 — 201,603 289,495 $10,849,504 $37.48
357 87804 Rapid Influenza Antigen Test 392,799 706,019 $10,744,014 $15.22
311 86803 Hepatitis C Antibody Test 463,199 550,379 $10,356,240 $18.82
379 93227 — 356,709 391,658 $10,316,494 $26.34
291 80069 Renal Function Panel 508,899 1,009,111 $10,307,811 $10.21
316 84311 — 451,215 1,107,302 $10,229,083 $9.24
530 93308 Limited or Follow-Up Heart Ultrasound 212,043 254,944 $9,952,500 $39.04
525 84402 Free Testosterone Blood Test 216,914 292,922 $9,856,707 $33.65
304 76937 Ultrasound Guidance for Vascular Access 482,791 618,273 $9,787,506 $15.83
410 93320 Full Doppler Flow Measurement with Heart Ultrasound 316,064 342,456 $9,674,136 $28.25
390 77001 — 342,957 433,300 $9,468,332 $21.85
337 86141 High-Sensitivity C-Reactive Protein 415,457 547,284 $9,429,331 $17.23
318 74022 — 447,935 556,083 $9,356,389 $16.83
173 84460 ALT (Alanine Aminotransferase) Blood Test 1,050,713 2,260,998 $9,344,747 $4.13
147 82550 Total Creatine Kinase Blood Test 1,254,876 1,929,932 $9,249,244 $4.79
408 83090 Homocysteine Blood Test 316,788 409,854 $9,206,387 $22.46
146 81000 Manual Urinalysis with Microscopy 1,255,738 2,168,828 $9,079,017 $4.19
250 87070 Bacterial Culture, Other Source 625,848 792,147 $9,070,656 $11.45
347 82274 Fecal Immunochemical Test for Blood 405,146 437,568 $9,045,336 $20.67
579 76857 — 184,881 232,317 $8,983,727 $38.67
422 83516 — 298,583 599,558 $8,664,926 $14.45
278 88311 Decalcification of Tissue for Sectioning 527,035 647,220 $8,644,951 $13.36
439 84154 Free PSA Blood Test 283,828 353,622 $8,643,979 $24.44
498 88175 — 241,249 252,805 $8,597,913 $34.01
452 73565 — 273,021 313,506 $8,546,810 $27.26
456 94762 — 269,432 300,259 $8,276,945 $27.57
399 90471 Immunization Administration, First 326,940 352,824 $7,957,118 $22.55
435 73140 Finger X-Ray 285,656 377,817 $7,609,310 $20.14
572 76882 Limited Ultrasound of an Arm or Leg 188,633 251,361 $7,455,790 $29.66
323 87880 Rapid Strep A Antigen Test 434,615 484,750 $7,299,930 $15.06
186 82947 Glucose, Quantitative (Blood) 934,120 1,825,679 $7,186,267 $3.94
226 83615 Lactate Dehydrogenase (LDH) Blood Test 770,183 1,811,580 $7,124,370 $3.93
139 85652 Erythrocyte Sedimentation Rate, Automated 1,275,531 1,976,329 $7,089,837 $3.59
254 84479 Thyroid Hormone Uptake Test 624,200 843,337 $7,087,423 $8.40
533 73100 — 210,397 339,784 $6,972,736 $20.52
363 73590 Lower Leg X-Ray 390,449 517,290 $6,763,835 $13.08
353 51741 Complex Urine Flow Study 395,299 525,485 $6,630,969 $12.62
328 76514 Corneal Thickness Measurement by Ultrasound 430,616 459,598 $6,466,455 $14.07
580 74220 — 184,860 198,280 $6,431,000 $32.43
425 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 294,529 338,064 $6,428,251 $19.01
429 92285 External Photography of the Eye and Lids 291,768 355,611 $6,425,654 $18.07
445 86376 Thyroid Microsomal Antibody 275,704 329,229 $6,320,597 $19.20
234 82962 Blood Sugar Check with Handheld Glucose Meter 726,152 2,014,776 $6,129,585 $3.04
415 73080 Full Elbow X-Ray Series 304,387 372,019 $6,033,637 $16.22
155 82565 Creatinine, Blood 1,158,101 1,820,064 $5,867,966 $3.22
492 92550 — 244,601 264,209 $5,647,975 $21.38
231 85651 Erythrocyte Sedimentation Rate, Manual 730,332 1,189,037 $5,572,174 $4.69
542 86800 Thyroglobulin Antibody 207,555 265,223 $5,546,396 $20.91
565 73120 — 193,884 294,417 $5,340,099 $18.14
448 71101 Rib X-ray, One Side, with Chest View 274,130 297,990 $5,339,162 $17.92
193 84100 Phosphorus (Inorganic Phosphate) Blood Test 914,410 1,753,900 $5,304,714 $3.02
449 73060 Upper Arm Bone X-Ray 273,862 370,331 $5,172,519 $13.97
496 83525 Total Insulin Blood Test 241,592 336,212 $5,081,749 $15.11
552 73600 — 202,550 275,327 $4,938,047 $17.94
481 86200 Cyclic Citrullinated Peptide Antibody 250,293 277,664 $4,771,700 $17.19
540 86225 Double-Stranded DNA Antibody 207,757 254,769 $4,634,190 $18.19
284 86431 Rheumatoid Factor, Quantitative 519,374 592,707 $4,471,127 $7.54
368 85730 Partial Thromboplastin Time (PTT) Blood Test 379,256 556,220 $4,425,642 $7.96
359 83690 Lipase Blood Test 392,469 491,927 $4,425,306 $9.00
519 99406 Smoking Cessation Counseling, Intermediate 218,622 325,258 $4,335,785 $13.33
365 82150 Amylase Blood Test 390,127 501,961 $4,319,091 $8.60
326 93325 Color Flow Mapping with Heart Ultrasound 433,513 491,030 $4,267,199 $8.69
281 84156 Total Protein Measurement, Urine 522,874 874,325 $4,252,978 $4.86
523 71100 — 218,437 244,896 $4,128,697 $16.86
574 73070 — 187,244 249,026 $4,115,309 $16.53
471 87340 Hepatitis B Surface Antigen Test 260,764 282,867 $3,819,210 $13.50
432 93042 — 289,721 517,364 $3,724,107 $7.20
370 93005 Electrocardiogram, Tracing Only 372,896 434,203 $3,487,583 $8.03
534 83718 — 209,852 318,655 $3,469,886 $10.89
556 72072 — 201,495 216,952 $3,358,719 $15.48
214 84450 AST (Aspartate Aminotransferase) Blood Test 826,751 1,292,952 $3,173,025 $2.45
548 73090 — 204,437 246,320 $3,032,931 $12.31
322 82044 — 442,081 574,773 $2,997,575 $5.22
196 82248 Direct Bilirubin Blood Test 906,448 1,398,309 $2,938,156 $2.10
567 86706 — 192,521 206,083 $2,929,691 $14.22
310 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 466,758 828,852 $2,719,764 $3.28
285 82270 — 517,882 519,623 $2,222,337 $4.28
247 84520 Urea Nitrogen (BUN) 676,517 1,005,506 $2,015,284 $2.00
349 84132 Potassium Blood Level 401,533 611,377 $1,969,810 $3.22
434 80051 — 287,131 434,765 $1,935,240 $4.45
396 85018 — 329,584 613,400 $1,926,781 $3.14
473 85045 Automated Reticulocyte Count 259,601 358,142 $1,904,258 $5.32
458 87205 — 269,360 347,883 $1,902,142 $5.47
549 85007 — 204,042 420,130 $1,884,911 $4.49
338 82310 Total Calcium Blood Test 415,281 582,200 $1,799,593 $3.09
343 84155 Total Protein, Blood 410,895 559,306 $1,593,339 $2.85
494 86592 — 243,962 277,437 $1,569,914 $5.66
440 84478 — 283,292 412,842 $1,321,603 $3.20
538 85014 — 208,005 380,290 $1,196,936 $3.15
564 88300 — 194,157 218,753 $1,126,621 $5.15
388 82040 Blood Albumin Test 346,159 547,948 $1,120,701 $2.05
505 82465 — 228,371 329,644 $971,472 $2.95
403 84075 Total Alkaline Phosphatase Blood Test 324,752 484,859 $816,095 $1.68
465 82247 Total Bilirubin Blood Test 263,799 468,814 $794,133 $1.69
517 84295 — 218,886 345,600 $645,892 $1.87

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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