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

Medicare's 500 most-billed CPT codes of 2016

In CY2016 Medicare paid $78.1B across these 500 CPT codes. 99214 (Established Patient Office Visit, Level 4) leads every measure: 26.4M beneficiaries and $10.0B allowed. Below the top few the rankings split apart. The codes that reach the most patients are rarely the ones that move the most money.

Allowed
$78.1B
Total Medicare allowed dollars
Services
1.2B
Times these codes were billed
Top 25
58.0%
Share of the allowed dollars
Vintage
CY2016
Medicare fee-for-service only

All 500 codes, ranked

Sorted by services. 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 99214 Established Patient Office Visit, Level 4 26,427,226 99,907,807 $10,001,554,051 $100.11
2 99213 Established Patient Office Visit, Level 3 26,367,160 99,725,114 $6,766,071,321 $67.85
17 97110 Therapeutic Exercise, 15 Minutes 2,530,486 53,067,010 $1,415,207,638 $26.67
3 36415 Routine Venipuncture (Blood Draw) 17,744,642 51,485,177 $150,857,951 $2.93
4 99232 Subsequent Hospital Care, Level 2 4,918,652 48,607,777 $3,430,989,705 $70.59
8 85025 Complete Blood Count with Differential 13,354,408 30,135,201 $307,889,483 $10.22
5 80053 Comprehensive Metabolic Panel 14,379,545 29,001,293 $315,472,215 $10.88
33 97140 Manual Therapy, 15 Minutes 1,883,851 25,196,507 $582,999,813 $23.14
6 99233 Subsequent Hospital Care, Level 3 3,559,991 22,498,697 $2,306,007,709 $102.50
22 88305 Surgical Pathology Exam, Level IV 7,751,548 19,703,918 $1,000,764,932 $50.79
9 80061 Lipid Panel 12,654,677 19,499,905 $275,842,942 $14.15
16 93010 Electrocardiogram (ECG), Interpretation Only 8,506,983 19,344,927 $162,623,669 $8.41
61 17003 Destruction of Additional Precancerous Skin Lesions 2,889,771 18,353,119 $97,760,169 $5.33
11 84443 Thyroid-Stimulating Hormone (TSH) 10,060,813 15,213,532 $339,779,388 $22.33
21 83036 Hemoglobin A1c 7,813,177 14,475,924 $186,308,069 $12.87
26 99212 Established Patient Office Visit, Level 2 7,638,672 13,874,699 $552,521,509 $39.82
107 85610 Prothrombin Time (PT/INR) 1,658,247 13,391,674 $69,876,663 $5.22
41 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,394,645 13,249,867 $512,432,113 $38.67
13 92014 Comprehensive Eye Exam, Established Patient 9,534,836 12,134,991 $1,452,887,348 $119.73
23 93000 Electrocardiogram (ECG), Complete 7,695,030 11,751,138 $198,113,406 $16.86
12 99285 Emergency Department Visit, Level 5 6,804,846 11,657,719 $1,993,725,000 $171.02
54 97112 Neuromuscular Re-education Therapy 996,975 11,284,927 $338,915,013 $30.03
15 99203 New Patient Office Visit, Level 3 9,061,583 11,271,207 $1,137,706,730 $100.94
28 99308 Subsequent Nursing Facility Visit, Level 2 2,021,498 10,862,912 $707,749,079 $65.15
51 97530 Therapeutic Activities, Per 15 Minutes 878,536 10,860,755 $339,555,645 $31.26
10 99223 Initial Hospital Care, Level 3 4,454,285 10,761,215 $2,140,286,301 $198.89
265 95004 Skin Prick Allergy Testing 192,505 10,654,616 $70,758,836 $6.64
14 99204 New Patient Office Visit, Level 4 7,979,437 9,984,532 $1,554,191,439 $155.66
19 99215 Established Patient Office Visit, Level 5 5,701,797 9,795,589 $1,315,621,843 $134.31
60 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,895,494 9,439,135 $221,771,902 $23.49
7 66984 Cataract Surgery with Lens Implant 1,285,564 8,905,534 $2,188,407,141 $245.74
27 99309 Subsequent Nursing Facility Visit, Level 3 1,828,599 8,822,813 $747,594,508 $84.73
62 99231 Subsequent Hospital Care, Level 1 2,084,165 8,554,030 $326,108,067 $38.12
40 80048 Basic Metabolic Panel 4,283,928 7,755,161 $73,879,194 $9.53
25 93306 Transthoracic Echocardiogram, Complete with Doppler 6,354,158 7,422,692 $873,615,145 $117.70
66 11721 Trimming of Six or More Thickened Nails 2,730,042 7,360,840 $316,896,416 $43.05
37 81001 Urinalysis, Automated with Microscopy 4,537,808 7,278,995 $30,655,475 $4.21
218 95165 Preparation of Allergy Immunotherapy Extracts 199,401 7,180,910 $86,392,293 $12.03
24 99222 Initial Hospital Care, Level 2 3,519,349 6,941,935 $931,463,590 $134.18
34 92012 Established Patient Eye Exam, Intermediate Level 3,729,257 6,746,780 $565,832,223 $83.87
35 82306 Vitamin D, 25-Hydroxy 4,696,808 6,447,499 $250,615,437 $38.87
65 92134 Retinal OCT Scan 2,812,024 6,409,497 $277,790,025 $43.34
120 98940 Chiropractic Spinal Manipulation, One to Two Regions 848,413 6,357,600 $173,172,100 $27.24
42 81003 Urinalysis, Automated without Microscopy 3,883,318 6,275,682 $18,682,631 $2.98
30 99284 Emergency Department Visit, Level 4 4,140,479 5,894,029 $669,751,244 $113.63
55 20610 Major Joint Injection or Aspiration 2,857,890 5,846,725 $338,855,885 $57.96
45 70450 CT Head/Brain, without Contrast 3,880,535 5,775,702 $240,624,115 $41.66
46 17000 Destruction of Premalignant Skin Lesion, First 3,852,136 5,718,790 $296,658,057 $51.87
20 99291 Critical Care, First Time Block 1,767,609 5,471,151 $1,213,351,444 $221.77
47 90834 Psychotherapy, 45 Minutes 628,056 5,370,250 $396,256,907 $73.79
53 87086 Urine Culture, Quantitative 3,070,464 5,236,646 $56,113,657 $10.72
38 90837 Psychotherapy, 60 Minutes 512,990 5,154,175 $555,955,101 $107.87
50 84439 Free Thyroxine (Free T4) 3,419,244 5,039,579 $60,118,819 $11.93
43 99239 Hospital Discharge Day Management, Longer Visit 3,145,148 4,596,060 $480,657,964 $104.58
58 82570 Creatinine, Non-Blood Sample 3,033,720 4,591,986 $31,306,229 $6.82
122 99211 Established Patient Office Visit, Minimal 1,414,697 4,364,147 $81,989,008 $18.79
72 81002 Manual Urinalysis, Dipstick Only 2,586,403 4,029,856 $13,536,325 $3.36
56 82607 Vitamin B12 Level 3,034,098 3,985,901 $80,009,303 $20.07
70 82043 Urine Microalbumin, Quantitative 2,667,073 3,535,302 $24,636,722 $6.97
85 85027 Complete Blood Count, Automated, No Differential 2,274,207 3,532,602 $29,944,791 $8.48
76 99283 Emergency Department Visit, Level 3 2,511,108 3,398,384 $200,707,871 $59.06
90 84550 Uric Acid Blood Test 2,006,297 3,288,595 $12,131,136 $3.69
78 99238 Hospital Discharge Day Management, 30 Minutes or Less 2,403,940 3,267,550 $229,320,064 $70.18
87 84153 Prostate-Specific Antigen (PSA), Total 2,261,258 3,220,556 $78,730,982 $24.45
105 83735 Magnesium Blood Level 1,693,250 3,157,292 $27,877,155 $8.83
71 92250 Retinal Photography with Interpretation 2,612,943 3,111,330 $231,114,049 $74.28
59 74177 CT Abdomen and Pelvis, With Contrast 2,259,727 2,989,844 $334,302,869 $111.81
69 67028 Intravitreal Injection of Medication 599,550 2,970,122 $312,391,086 $105.18
75 92083 Extended Visual Field Test 2,520,722 2,949,015 $177,751,062 $60.27
164 99307 Subsequent Nursing Facility Visit, Level 1 931,547 2,909,569 $123,973,655 $42.61
36 99205 New Patient Office Visit, Level 5 2,580,902 2,904,289 $564,987,429 $194.54
113 87186 Antibiotic Susceptibility Panel, MIC 1,633,776 2,884,291 $32,694,157 $11.34
67 99202 New Patient Office Visit, Level 2 2,711,869 2,867,969 $195,971,257 $68.33
100 83540 Serum Iron Level 1,768,829 2,828,075 $23,950,097 $8.47
102 73630 Foot X-ray, Complete Series 1,753,544 2,734,292 $54,360,431 $19.88
92 73502 Hip X-Ray, Two or Three Views 1,965,820 2,715,223 $60,880,745 $22.42
97 73030 Shoulder X-ray, Complete 1,942,540 2,711,753 $50,010,373 $18.44
115 82728 Ferritin Blood Test 1,631,377 2,661,932 $48,150,411 $18.09
338 97035 — 404,656 2,651,586 $27,267,196 $10.28
80 92133 Optic Nerve Imaging (OCT) 2,300,774 2,588,682 $106,784,546 $41.25
74 93880 Carotid Duplex Ultrasound, Complete 2,291,792 2,543,930 $280,727,338 $110.35
210 99490 Chronic Care Management, First 20 Minutes 564,648 2,442,837 $94,886,273 $38.84
118 87088 Urine Culture with Isolate Identification 1,510,034 2,396,184 $25,362,195 $10.58
110 73562 Knee X-Ray, Three Views 1,641,629 2,388,834 $57,589,756 $24.11
82 77080 DEXA Bone Density, Axial 2,293,973 2,383,700 $59,596,678 $25.00
88 74176 CT Abdomen and Pelvis, Without Contrast 1,860,858 2,350,583 $223,246,888 $94.98
155 90832 Individual Psychotherapy, 30 Minutes 389,275 2,307,085 $131,942,618 $57.19
63 92004 Comprehensive Eye Exam, New Patient 2,192,311 2,297,828 $324,803,489 $141.35
31 90960 Monthly Dialysis Management, Adult, Four or More Visits 306,343 2,261,851 $633,478,968 $280.07
126 83550 Iron Binding Capacity Blood Test 1,406,510 2,217,331 $25,273,476 $11.40
104 82746 Serum Folate Blood Test 1,701,750 2,195,684 $42,724,880 $19.46
95 17110 Destruction of Benign Lesions, Up to 14 1,606,107 2,140,586 $217,304,027 $101.52
98 00142 Anesthesia for Cataract and Lens Surgery 1,094,037 2,137,683 $214,987,059 $100.57
207 11720 Nail Trimming/Debridement, Up to 5 879,012 2,131,774 $66,617,349 $31.25
130 51798 Post-Void Residual Urine, Ultrasound 1,361,628 2,111,659 $40,009,777 $18.95
134 87077 Definitive Identification of Cultured Isolate 1,327,478 2,104,816 $21,546,775 $10.24
147 86140 C-Reactive Protein, Standard 1,204,071 2,086,153 $14,135,700 $6.78
114 71250 CT Scan of the Chest, No Contrast 1,633,416 2,078,933 $145,581,461 $70.03
109 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,643,595 2,052,519 $42,806,439 $20.86
39 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 1,954,456 2,048,786 $527,941,061 $257.68
128 73560 Basic Knee X-Ray, One or Two Views 1,388,547 2,039,426 $39,548,071 $19.39
138 85652 Erythrocyte Sedimentation Rate, Automated 1,291,659 2,027,256 $7,273,456 $3.59
94 77063 Screening 3D Breast Tomosynthesis, Both Breasts 1,955,089 2,019,708 $77,007,107 $38.13
176 11056 Paring of Corns or Calluses, 2-4 Lesions 805,999 2,011,687 $114,126,990 $56.73
381 97116 Gait Training Therapy 228,516 2,010,525 $44,142,447 $21.96
52 43239 Upper GI Endoscopy (EGD) with Biopsy 1,368,321 1,989,360 $339,456,631 $170.64
133 88342 Immunohistochemistry Stain, First Antibody 1,349,450 1,985,208 $115,573,985 $58.22
159 81000 Manual Urinalysis with Microscopy 1,139,200 1,967,358 $8,257,109 $4.20
150 80076 Liver Function Blood Panel 1,196,029 1,913,339 $14,140,443 $7.39
231 82962 Blood Sugar Check with Handheld Glucose Meter 731,164 1,909,726 $5,811,766 $3.04
111 99221 Initial Hospital Care, Level 1 1,382,953 1,869,689 $184,049,570 $98.44
84 96413 Chemotherapy Infusion, First Hour 246,502 1,861,460 $243,283,097 $130.69
132 71260 CT Scan of the Chest with Contrast 1,356,211 1,855,976 $130,776,207 $70.46
214 88185 Flow Cytometry, Additional Marker, Technical Work 79,363 1,854,264 $88,691,530 $47.83
154 82550 Total Creatine Kinase Blood Test 1,188,364 1,823,592 $8,807,410 $4.83
119 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,420,771 1,814,262 $89,937,587 $49.57
229 83615 Lactate Dehydrogenase (LDH) Blood Test 753,773 1,810,482 $7,301,647 $4.03
156 82565 Creatinine, Blood 1,139,581 1,792,809 $5,865,952 $3.27
168 92136 Eye Measurement for Cataract Lens Power 1,077,256 1,791,828 $103,915,064 $57.99
183 84460 ALT (Alanine Aminotransferase) Blood Test 948,129 1,784,255 $6,549,446 $3.67
203 82947 Glucose, Quantitative (Blood) 888,158 1,746,627 $6,843,419 $3.92
300 97113 Aquatic Therapy with Exercise 71,207 1,745,374 $57,784,314 $33.11
197 84100 Phosphorus (Inorganic Phosphate) Blood Test 905,809 1,742,754 $5,387,534 $3.09
145 11042 Debridement, Subcutaneous Tissue 449,139 1,740,408 $137,172,599 $78.82
124 93970 Complete Duplex Ultrasound of Limb Veins 1,408,738 1,703,423 $143,707,710 $84.36
346 96367 — 166,538 1,664,423 $49,769,483 $29.90
198 88312 Special Stain for Microorganisms 902,353 1,612,790 $100,479,978 $62.30
233 88313 Special Stain for Tissue Elements and Pigments 728,742 1,610,760 $58,473,056 $36.30
146 69210 Impacted Earwax Removal, Instrumentation 1,209,173 1,548,850 $70,373,400 $45.44
161 84436 Total Thyroxine (T4) Blood Test 1,118,873 1,506,555 $13,553,073 $9.00
112 72148 MRI Lumbar Spine, without Contrast 1,296,231 1,486,152 $181,530,954 $122.15
64 45380 Colonoscopy with Biopsy 1,025,603 1,468,721 $320,327,798 $218.10
170 73564 Complete Knee X-Ray, Four or More Views 1,073,148 1,446,589 $37,843,574 $26.16
505 96375 — 178,097 1,437,968 $31,186,018 $21.69
152 76770 Complete Retroperitoneal Ultrasound 1,191,969 1,380,186 $82,136,816 $59.51
89 99306 Initial Nursing Facility Visit, High Level 1,046,627 1,366,123 $222,829,775 $163.11
77 66821 YAG Laser Capsulotomy After Cataract Surgery 526,291 1,352,346 $264,983,235 $195.94
206 82248 Direct Bilirubin Blood Test 880,335 1,351,936 $2,881,721 $2.13
200 73610 Full Ankle X-Ray Series 894,033 1,329,031 $24,261,307 $18.25
286 77300 Basic Radiation Dose Calculation 228,877 1,327,654 $60,979,797 $45.93
142 93018 Cardiac Stress Test, Interpretation and Report Only 1,283,865 1,325,479 $18,801,192 $14.18
228 90833 Shorter Psychotherapy Session Added to a Medical Visit 367,124 1,317,442 $80,218,839 $60.89
131 99310 Subsequent Nursing Facility Visit, Level 4 523,414 1,285,897 $159,917,505 $124.36
491 86235 Extractable Nuclear Antigen Antibody 236,692 1,282,870 $29,605,404 $23.08
188 94010 Spirometry 935,231 1,279,016 $37,959,397 $29.68
209 84481 Free Triiodothyronine (T3) Blood Test 877,049 1,274,287 $27,635,911 $21.69
216 96365 Initial IV Infusion, Up to One Hour 285,818 1,274,019 $86,615,136 $67.99
426 97535 Self-Care and Home Management Training 289,921 1,247,475 $37,193,653 $29.82
49 45385 Colonoscopy with Lesion Removal (Snare) 838,890 1,222,606 $379,488,435 $310.39
175 94060 Spirometry, Pre- and Post-Bronchodilator 1,025,098 1,221,060 $55,601,759 $45.54
190 76942 Ultrasound Guidance for Needle Placement 917,840 1,208,046 $54,918,469 $45.46
226 84450 AST (Aspartate Aminotransferase) Blood Test 768,727 1,201,180 $2,914,430 $2.43
211 73130 Full Hand X-Ray Series 851,492 1,197,381 $21,546,217 $17.99
166 92557 Comprehensive Audiometry 1,086,500 1,180,329 $43,804,609 $37.11
222 90935 Hemodialysis Session with One Physician Evaluation 209,583 1,144,747 $82,318,503 $71.91
163 93016 Cardiac Stress Test, Supervision Only 1,110,848 1,142,824 $24,667,976 $21.59
148 99349 Home Visit, Established Patient, Level 3 283,658 1,131,377 $136,775,497 $120.89
174 70551 Brain MRI Without Contrast 1,013,497 1,128,272 $114,416,939 $101.41
243 85651 Erythrocyte Sedimentation Rate, Manual 690,838 1,121,465 $5,269,149 $4.70
181 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 978,991 1,120,714 $60,933,841 $54.37
86 64483 Transforaminal Epidural Injection, Lumbar/Sacral 490,096 1,114,081 $236,465,967 $212.25
182 76705 Limited Abdominal Ultrasound 961,448 1,113,270 $41,258,955 $37.06
242 84165 Serum Protein Electrophoresis (SPEP) 703,232 1,102,076 $17,632,073 $16.00
99 77427 Radiation Treatment Management, Per Five Sessions 248,634 1,097,789 $200,864,324 $182.97
240 88112 Non-Gynecologic Enhanced Cytology 706,660 1,090,814 $47,248,596 $43.31
235 84403 Total Testosterone Blood Test 719,539 1,082,165 $36,865,151 $34.07
185 76700 Abdominal Ultrasound, Complete 946,901 1,081,118 $76,793,432 $71.03
144 99305 Initial Nursing Facility Visit, Moderate Level 850,678 1,079,564 $137,564,940 $127.43
172 93015 Cardiovascular Stress Test, Complete 1,046,439 1,079,201 $73,497,173 $68.10
179 94729 Gas Diffusing Capacity Test (DLCO) 987,055 1,077,476 $36,488,613 $33.86
237 73110 Full Wrist X-Ray Series 709,497 1,072,224 $21,905,531 $20.43
204 88304 Surgical Pathology Exam, Level III 882,959 1,061,553 $20,659,516 $19.46
347 11719 — 397,160 1,058,917 $10,729,650 $10.13
173 92235 Fluorescein Angiography of the Retina 450,494 1,041,621 $114,829,021 $110.24
116 70553 MRI Brain, With and Without Contrast 853,641 1,038,337 $175,858,464 $169.37
194 71275 CT Angiogram of the Chest 910,717 1,033,421 $98,299,223 $95.12
287 80069 Renal Function Panel 517,841 1,028,361 $10,502,923 $10.21
331 97597 Selective Wound Debridement, Smaller Area 331,502 1,015,681 $52,596,171 $51.78
246 83721 Direct LDL Cholesterol Measurement 682,954 1,010,837 $12,694,044 $12.56
339 98942 Chiropractic Spinal Manipulation, Five Regions 128,496 1,001,515 $50,843,877 $50.77
103 52000 Diagnostic Cystoscopy 753,857 995,484 $187,578,373 $188.43
213 88307 Surgical Pathology Exam, Level V 588,429 970,297 $89,600,537 $92.34
248 84520 Urea Nitrogen (BUN) 649,403 965,281 $1,925,342 $1.99
562 96415 — 133,218 963,969 $26,610,506 $27.61
253 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 620,805 944,058 $42,175,135 $44.67
241 95886 Complete Needle EMG of One Limb 545,024 934,799 $77,563,057 $82.97
217 72110 Lower Back (Lumbar) Spine X-ray, Full Series 838,574 933,589 $27,669,558 $29.64
275 84156 Total Protein Measurement, Urine 547,687 928,877 $4,527,852 $4.87
223 76536 Ultrasound of Neck and Head Soft Tissues 786,368 913,749 $64,306,336 $70.38
184 90791 Psychiatric Diagnostic Evaluation 807,445 903,706 $106,524,298 $117.87
302 11055 Paring of a Single Corn or Callus 467,813 902,009 $40,686,621 $45.11
224 92020 Gonioscopy, Exam of the Eye's Drainage Angle 779,037 886,347 $23,639,855 $26.67
227 72170 Basic Pelvis X-Ray 760,381 876,780 $13,943,893 $15.90
160 17004 Destruction of Fifteen or More Precancerous Skin Lesions 577,332 869,936 $125,988,841 $144.83
383 83861 — 342,607 866,445 $19,046,425 $21.98
230 20611 Major Joint Injection or Aspiration with Ultrasound 381,964 859,317 $78,657,373 $91.53
264 84480 Total Triiodothyronine (T3) Blood Test 590,840 822,059 $15,313,406 $18.63
293 20550 Tendon Sheath, Ligament, or Fascia Injection 500,431 812,326 $42,161,390 $51.90
258 84479 Thyroid Hormone Uptake Test 597,176 806,019 $6,778,528 $8.41
239 92567 Eardrum Movement Test (Tympanometry) 707,694 799,518 $11,337,926 $14.18
244 86038 Antinuclear Antibody Screen 687,711 788,843 $12,663,053 $16.05
299 96401 Chemotherapy Injection Under the Skin or into Muscle 167,639 784,868 $57,803,967 $73.65
256 87070 Bacterial Culture, Other Source 615,903 775,988 $8,909,866 $11.48
325 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 430,729 761,992 $2,625,102 $3.45
191 73721 MRI of Leg Joint, No Contrast 612,572 761,734 $103,515,670 $135.89
48 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 551,033 733,116 $392,123,720 $534.87
266 76642 Limited Breast Ultrasound 586,090 727,814 $36,773,196 $50.53
127 64493 Lower Back Facet Joint Injection, First Level 335,341 727,633 $163,979,372 $225.36
121 90961 Monthly Dialysis Management, Adult, Two or Three Visits 234,174 722,518 $169,122,392 $234.07
301 73620 Foot X-ray, Two Views 470,483 697,265 $14,498,159 $20.79
269 93922 Limited Arterial Circulation Study, Arms or Legs 573,380 694,036 $40,475,437 $58.32
273 72040 Neck (Cervical) Spine X-ray, Limited Views 554,987 691,779 $13,934,097 $20.14
278 88311 Decalcification of Tissue for Sectioning 534,676 675,263 $9,397,005 $13.92
262 76775 Limited Retroperitoneal Ultrasound 592,573 669,724 $26,351,394 $39.35
290 76937 Ultrasound Guidance for Vascular Access 512,842 661,689 $10,376,823 $15.68
335 86334 Serum Immunofixation Electrophoresis 413,658 660,896 $16,656,253 $25.20
398 83516 — 321,666 648,263 $9,491,525 $14.64
236 72141 Neck MRI, No Contrast Dye 573,862 645,709 $78,336,991 $121.32
268 31575 Flexible Laryngoscopy, Diagnostic 493,113 645,167 $68,676,814 $106.45
220 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 545,639 643,397 $86,253,712 $134.06
260 94726 Lung Volume Testing by Body Plethysmography 595,766 641,836 $20,709,166 $32.27
313 94640 Inhalation Treatment for Airway Obstruction 449,069 638,081 $11,033,199 $17.29
57 78815 PET/CT Scan, Skull Base to Mid-Thigh 438,003 622,311 $336,528,766 $540.77
271 99497 Advance Care Planning Discussion 573,060 619,506 $50,430,802 $81.40
187 74178 CT Abdomen and Pelvis, Before and After Contrast 520,330 602,939 $105,353,624 $174.73
282 86431 Rheumatoid Factor, Quantitative 523,471 598,573 $4,522,477 $7.56
443 82378 — 272,692 596,398 $15,054,193 $25.24
136 45378 Diagnostic Colonoscopy 472,039 594,898 $145,457,006 $244.51
394 87804 Rapid Influenza Antigen Test 328,774 593,681 $8,961,132 $15.09
93 66982 Complex Cataract Surgery with Lens Implant 153,206 590,854 $220,381,238 $372.99
356 84132 Potassium Blood Level 389,252 590,724 $1,876,284 $3.18
404 85018 — 317,293 586,399 $1,841,073 $3.14
345 82310 Total Calcium Blood Test 400,511 573,196 $1,775,301 $3.10
330 86141 High-Sensitivity C-Reactive Protein 423,403 569,913 $9,827,417 $17.24
291 36620 Arterial Line Placement, Percutaneous 512,355 568,092 $29,287,470 $51.55
319 82044 — 434,029 565,424 $2,959,518 $5.23
372 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 113,403 564,190 $45,077,173 $79.90
178 31231 Diagnostic Nasal Endoscopy 385,799 559,453 $111,703,739 $199.67
251 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 486,505 557,263 $75,281,970 $135.09
369 99348 Home Visit, Established Patient, Level 2 205,523 556,929 $45,355,488 $81.44
358 73552 Thigh Bone X-Ray 381,749 548,874 $8,240,678 $15.01
340 84155 Total Protein, Blood 404,304 545,055 $1,575,407 $2.89
380 82040 Blood Albumin Test 344,141 537,950 $1,103,960 $2.05
298 87880 Rapid Strep A Antigen Test 474,256 530,425 $7,980,235 $15.04
343 73590 Lower Leg X-Ray 400,826 529,603 $7,011,131 $13.24
368 85730 Partial Thromboplastin Time (PTT) Blood Test 367,710 527,803 $4,205,729 $7.97
135 93458 Left Heart Catheterization with Coronary Angiography 501,766 525,366 $145,500,472 $276.95
263 73221 Arm Joint MRI, No Contrast Dye 429,489 524,861 $71,005,763 $135.28
297 70486 CT Scan of Sinuses and Facial Bones 480,612 523,805 $30,993,023 $59.17
429 88331 — 288,294 523,669 $36,863,360 $70.39
311 93325 Color Flow Mapping with Heart Ultrasound 454,207 519,425 $4,063,769 $7.82
321 93923 Complete Arterial Circulation Study, Arms or Legs 432,083 517,487 $44,524,235 $86.04
316 76856 Complete Pelvic Ultrasound, Non-Pregnancy 439,880 516,650 $37,327,957 $72.25
314 99292 Critical Care, Additional Time 257,254 508,868 $55,889,172 $109.83
441 77002 Fluoroscopic Guidance for Needle Placement 274,283 503,176 $34,433,303 $68.43
362 51741 Complex Urine Flow Study 381,024 499,578 $6,278,847 $12.57
350 83690 Lipase Blood Test 395,672 495,110 $4,454,922 $9.00
108 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 294,739 494,869 $185,443,474 $374.73
342 74022 — 402,949 494,186 $8,514,231 $17.23
254 99495 Transitional Care Management, Moderate Complexity 438,996 490,851 $74,794,206 $152.38
361 82150 Amylase Blood Test 381,128 489,623 $4,218,713 $8.62
309 76514 Corneal Thickness Measurement by Ultrasound 457,675 488,479 $6,861,154 $14.05
328 76830 Transvaginal Pelvic Ultrasound 424,026 488,243 $40,610,835 $83.18
315 86803 Hepatitis C Antibody Test 445,318 486,576 $9,131,259 $18.77
337 99183 Physician Supervision of Hyperbaric Oxygen Therapy 22,349 486,003 $51,742,288 $106.46
171 00790 Anesthesia for Upper Abdominal Surgery 325,954 480,569 $117,841,253 $245.21
408 76641 Complete Breast Ultrasound 308,554 475,845 $40,962,395 $86.08
44 27447 Total Knee Replacement 280,557 475,766 $430,252,504 $904.34
327 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 428,315 473,006 $27,710,882 $58.58
303 36556 Non-Tunneled Central Line Placement, Age 5 and Over 395,522 472,784 $57,289,399 $121.17
405 84075 Total Alkaline Phosphatase Blood Test 316,710 471,652 $804,336 $1.71
395 20605 Intermediate Joint Injection or Aspiration 328,112 464,856 $20,713,725 $44.56
307 82270 — 461,884 462,928 $1,980,785 $4.28
252 99350 Home Visit, Established Patient, Level 4 144,708 461,614 $75,063,911 $162.61
403 64494 Lower Back Facet Joint Injection, Second Level 297,020 459,777 $41,295,984 $89.82
201 99496 Transitional Care Management, High Complexity 400,072 458,559 $99,674,480 $217.36
180 01402 Anesthesia for Knee Replacement Surgery 303,627 458,359 $110,862,811 $241.87
333 82274 Fecal Immunochemical Test for Blood 418,266 450,110 $9,323,174 $20.71
406 11730 — 315,029 443,865 $41,128,961 $92.66
496 93042 — 234,258 442,996 $3,162,659 $7.14
473 82247 Total Bilirubin Blood Test 253,951 437,384 $718,765 $1.64
365 93005 Electrocardiogram, Tracing Only 377,408 436,342 $3,494,781 $8.01
566 96417 — 78,210 433,809 $26,404,477 $60.87
353 72050 Neck (Cervical) Spine X-ray, Extended Views 390,491 430,300 $11,673,197 $27.13
385 77001 — 341,512 430,254 $9,611,471 $22.34
364 10060 Incision and Drainage of Abscess, Simple 365,603 423,006 $45,782,762 $108.23
280 43235 Upper GI Endoscopy, Diagnostic 338,014 422,398 $61,709,479 $146.09
388 73501 — 340,911 419,328 $7,286,224 $17.38
157 95811 Sleep Study with CPAP or BiPAP Titration 355,979 414,521 $130,242,571 $314.20
495 64484 — 234,550 413,509 $30,790,943 $74.46
351 00400 Anesthesia for Skin Surgery on Limbs and Trunk 256,513 410,814 $48,253,941 $117.46
541 88360 Manual Scoring of Tumor Immunostain 153,860 408,135 $28,124,012 $68.91
454 20600 Arthrocentesis, Small Joint 264,737 403,507 $16,630,034 $41.21
373 99316 Nursing Facility Discharge Visit, Longer Session 364,248 400,535 $39,092,922 $97.60
375 93227 — 363,287 396,154 $10,245,229 $25.86
461 80051 — 261,756 395,384 $1,752,715 $4.43
400 73080 Full Elbow X-Ray Series 320,727 393,798 $6,250,038 $15.87
419 73140 Finger X-Ray 295,829 392,847 $7,958,579 $20.26
392 99282 — 335,247 391,028 $15,431,714 $39.46
382 64636 Lower Back Facet Nerve Ablation, Additional Joint 148,837 385,130 $44,135,839 $114.60
424 83090 Homocysteine Blood Test 292,784 378,676 $8,517,810 $22.49
414 84154 Free PSA Blood Test 304,584 377,602 $9,243,666 $24.48
448 88173 Fine Needle Aspiration Interpretation 268,949 376,799 $33,757,533 $89.59
437 73060 Upper Arm Bone X-Ray 278,261 376,088 $5,283,425 $14.05
451 00910 Anesthesia for Transurethral Bladder Procedures 218,240 375,911 $36,496,212 $97.09
411 92285 External Photography of the Eye and Lids 306,651 374,776 $6,757,774 $18.03
439 83704 — 275,399 374,033 $15,427,422 $41.25
397 99304 Initial Nursing Facility Visit, Level 1 323,716 371,981 $33,566,496 $90.24
498 20552 Trigger Point Injection, One or Two Muscles 232,279 371,529 $17,318,425 $46.61
379 94727 Lung Volume Testing by Gas Dilution or Washout 344,295 370,641 $12,131,073 $32.73
450 85045 Automated Reticulocyte Count 266,556 369,015 $1,965,047 $5.33
348 68761 Punctal Plug Insertion for Dry Eye 165,116 368,571 $49,738,635 $134.95
384 93224 — 342,382 366,993 $30,569,254 $83.30
410 74230 Swallowing Study with Video X-ray 308,420 365,107 $11,304,302 $30.96
416 86376 Thyroid Microsomal Antibody 300,326 361,000 $6,937,518 $19.22
550 85014 — 194,941 353,853 $1,113,678 $3.15
504 84295 — 224,470 350,996 $649,457 $1.85
402 93320 Full Doppler Flow Measurement with Heart Ultrasound 318,598 345,794 $9,506,451 $27.49
452 87205 — 266,113 343,357 $1,878,577 $5.47
284 11043 Wound Debridement Down to Muscle or Fascia 112,670 340,293 $61,001,959 $179.26
199 95810 Attended Overnight Sleep Study in a Lab 305,325 339,887 $99,791,865 $293.60
423 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 294,276 339,100 $6,748,248 $19.90
238 90966 Monthly Home Dialysis Management, Adult 48,569 337,730 $77,881,823 $230.60
407 90471 Immunization Administration, First 313,535 337,282 $7,568,873 $22.44
519 76519 — 211,146 334,373 $18,605,639 $55.64
530 73100 — 205,867 330,321 $6,579,559 $19.92
524 83921 — 209,320 329,153 $7,202,109 $21.88
366 77280 Simple Radiation Therapy Simulation 191,326 328,997 $45,700,136 $138.91
140 64635 Lower Back Facet Nerve Ablation, First Joint 163,100 327,659 $140,625,635 $429.18
449 01992 — 151,163 317,335 $36,667,542 $115.55
370 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 270,170 316,804 $45,338,744 $143.11
393 27096 Sacroiliac Joint Injection with Imaging Guidance 211,999 315,543 $43,016,139 $136.32
421 70498 CT Angiogram of the Neck 294,715 315,091 $25,912,003 $82.24
431 71101 Rib X-ray, One Side, with Chest View 287,877 314,204 $5,727,976 $18.23
509 83525 Total Insulin Blood Test 223,758 313,634 $4,756,089 $15.16
389 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 197,188 310,137 $43,298,985 $139.61
477 93308 Limited or Follow-Up Heart Ultrasound 250,704 304,568 $11,547,454 $37.91
508 84402 Free Testosterone Blood Test 224,111 303,984 $10,253,874 $33.73
528 82465 — 207,137 302,303 $890,597 $2.95
455 93312 Transesophageal Heart Ultrasound, Complete Service 260,022 300,325 $36,295,889 $120.86
467 73565 — 258,433 296,654 $8,664,779 $29.21
442 87340 Hepatitis B Surface Antigen Test 273,361 295,022 $3,974,642 $13.47
453 86200 Cyclic Citrullinated Peptide Antibody 265,073 294,571 $5,068,487 $17.21
557 73120 — 193,319 294,562 $5,268,349 $17.89
470 78306 — 257,134 294,350 $21,516,610 $73.10
547 83718 — 196,257 293,918 $3,203,499 $10.90
432 95816 EEG, Awake and Drowsy 264,472 292,602 $38,356,929 $131.09
446 70496 CT Angiogram of the Head 270,842 292,557 $27,210,852 $93.01
445 70544 — 272,293 289,489 $28,103,930 $97.08
563 84478 — 190,746 288,584 $936,909 $3.25
274 74183 MRI Abdomen, Before and After Contrast 238,154 288,057 $64,520,735 $223.99
506 86800 Thyroglobulin Antibody 224,186 287,506 $6,018,462 $20.93
535 88108 — 200,811 286,299 $9,887,534 $34.54
360 77263 Complex Radiation Therapy Treatment Planning 263,708 285,289 $46,255,883 $162.14
542 01810 — 187,443 283,843 $28,085,977 $98.95
349 72158 Low-Back MRI, Before and After Contrast 247,022 282,520 $49,029,244 $173.54
225 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 238,166 282,164 $80,424,447 $285.03
465 99315 — 259,297 281,799 $19,288,136 $68.45
534 99406 Smoking Cessation Counseling, Intermediate 201,066 281,629 $3,720,365 $13.21
483 86592 — 246,184 280,820 $1,592,482 $5.67
484 31500 — 243,403 279,402 $30,917,270 $110.66
272 00840 Anesthesia for Lower Abdominal Surgery 192,112 278,883 $64,889,274 $232.68
480 94762 — 247,616 276,059 $7,676,861 $27.81
544 82670 Estradiol Blood Test 197,663 276,022 $10,104,453 $36.61
418 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 213,379 271,307 $39,699,285 $146.33
459 87624 High-Risk HPV DNA Test 263,703 271,114 $12,021,385 $44.34
543 73600 — 199,220 270,194 $5,191,342 $19.21
488 73700 CT Scan of Leg or Foot, No Contrast 238,216 269,672 $16,975,067 $62.95
514 86225 Double-Stranded DNA Antibody 215,483 265,336 $4,832,970 $18.21
554 82533 Total Cortisol Blood Test 194,230 265,258 $5,743,654 $21.65
513 70491 CT Scan of Neck Soft Tissue with Contrast 216,380 264,658 $23,070,166 $87.17
475 88175 — 252,266 263,421 $8,971,790 $34.06
486 92550 — 240,652 259,594 $5,630,836 $21.69
329 93351 Stress Echocardiogram, Complete with Supervision 253,734 258,557 $52,738,272 $203.97
276 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 228,021 255,013 $63,831,782 $250.31
409 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 162,824 254,486 $40,755,930 $160.15
551 93926 — 194,484 253,346 $19,077,497 $75.30
312 77290 Complex Radiation Therapy Simulation 191,612 253,271 $56,025,945 $221.21
522 73090 — 209,978 253,039 $3,073,242 $12.15
139 92928 Coronary Stent Placement, Single Major Vessel 205,041 251,258 $140,942,241 $560.95
573 73070 — 187,783 248,544 $3,980,443 $16.02
189 00670 Anesthesia for Major Spine and Spinal Cord Surgery 167,435 248,275 $104,662,440 $421.56
561 76882 Limited Ultrasound of an Arm or Leg 190,793 247,992 $7,270,547 $29.32
91 27130 Total Hip Replacement 146,441 244,597 $221,027,873 $903.64
425 95819 EEG Recording Both Awake and Asleep 218,115 237,819 $39,092,489 $164.38
525 71100 — 208,918 235,503 $4,166,155 $17.69
318 64490 Neck or Mid-Back Facet Joint Injection, First Level 104,871 230,489 $54,357,756 $235.84
503 92002 — 226,150 228,679 $17,583,975 $76.89
294 01214 Anesthesia for Hip Replacement Surgery 154,521 227,234 $59,179,184 $260.43
537 72146 Mid-Back MRI, No Contrast Dye 200,355 225,140 $24,321,538 $108.03
549 88300 — 195,466 220,056 $1,117,146 $5.08
552 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 185,980 218,576 $27,286,186 $124.84
565 76872 — 189,799 218,297 $16,588,029 $75.99
499 63048 — 79,659 217,265 $31,986,306 $147.22
482 11750 — 162,878 215,453 $33,638,103 $156.13
540 72072 — 199,891 215,227 $3,371,034 $15.66
515 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 182,127 214,117 $30,079,809 $140.48
539 86706 — 200,355 213,870 $3,042,446 $14.23
555 73521 — 194,193 213,309 $5,135,598 $24.08
436 90962 — 88,281 210,554 $38,027,630 $180.61
546 78582 — 196,313 209,371 $11,667,785 $55.73
569 77012 — 188,530 204,528 $12,394,703 $60.60
567 74220 — 189,783 202,352 $6,590,797 $32.57
494 01922 Anesthesia for Imaging or Radiation Therapy 129,682 197,410 $32,450,552 $164.38
568 01400 — 138,762 195,945 $26,242,088 $133.93
106 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 189,683 195,627 $186,473,138 $953.21
570 12001 Simple Wound Repair, Small 188,085 192,391 $9,797,197 $50.92
357 65855 Laser Trabeculoplasty for Glaucoma 108,545 191,863 $46,619,220 $242.98
440 01844 — 93,612 175,421 $37,251,210 $212.35
326 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 147,908 175,364 $53,305,520 $303.97
444 95911 Nerve Conduction Studies, 9-10 Studies 165,549 172,136 $36,944,612 $214.62
456 01230 Anesthesia for Upper Thigh Bone Surgery 120,835 170,862 $36,129,968 $211.46
479 00320 — 109,498 170,114 $33,913,406 $199.36
490 01630 — 119,581 169,696 $32,920,006 $193.99
195 63047 Lumbar Laminectomy for Spinal Decompression 106,237 169,430 $101,490,528 $599.01
536 95910 Nerve Conduction Studies, 7-8 Studies 160,775 165,158 $28,468,478 $172.37
249 64721 Carpal Tunnel Release 103,828 162,614 $75,884,675 $466.66
427 45384 — 117,559 159,663 $38,953,188 $243.97
468 43248 — 98,223 159,343 $34,830,734 $218.59
399 55700 Prostate Needle Biopsy Retired after Q4 2025 138,000 159,288 $41,795,285 $262.39
433 88377 — 64,897 158,836 $38,316,581 $241.23
523 10061 — 134,306 158,220 $29,244,411 $184.83
386 77295 3D Conformal Radiotherapy Planning 133,009 153,698 $43,495,193 $282.99
507 99236 — 139,942 147,003 $31,068,292 $211.34
476 72197 Pelvis MRI, Before and After Contrast 126,496 143,799 $34,012,108 $236.53
355 77338 Multi-Leaf Collimator Design for IMRT 110,312 143,077 $46,762,317 $326.83
559 52332 Cystoscopy with Ureteral Stent Placement 99,623 140,914 $26,895,831 $190.87
471 43249 Upper Endoscopy with Esophageal Balloon Dilation 95,966 140,025 $34,716,011 $247.93
460 00630 — 94,717 139,342 $35,456,986 $254.46
304 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 129,681 137,968 $57,174,595 $414.40
232 47562 Laparoscopic Cholecystectomy 109,919 133,928 $78,588,734 $586.80
344 26055 Trigger Finger Release (Tendon Sheath Incision) 68,819 131,581 $49,879,454 $379.08
158 78492 Cardiac PET Perfusion Imaging, Rest and Stress 119,853 130,630 $126,982,768 $972.08
430 36558 — 110,679 129,647 $38,539,633 $297.27
165 77301 IMRT Treatment Planning 109,918 121,879 $121,676,053 $998.33
162 29827 Arthroscopic Rotator Cuff Repair 65,292 120,175 $124,581,954 $1,036.67
123 36475 Radiofrequency Vein Ablation, First Vein 65,323 118,643 $168,534,344 $1,420.52
288 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 88,903 112,957 $60,523,976 $535.81
463 19083 Breast Needle Biopsy with Ultrasound Guidance 105,307 108,980 $35,259,273 $323.54
466 28285 Hammertoe Correction 48,231 107,311 $35,202,705 $328.04
497 93459 — 100,483 107,030 $32,262,631 $301.44
296 33208 Dual-Chamber Pacemaker Insertion 102,819 104,145 $58,561,017 $562.30
169 33533 Coronary Bypass Using a Single Arterial Graft 64,290 103,922 $118,583,149 $1,141.08
193 27245 Hip Fracture Repair with Intramedullary Nail 80,650 103,616 $103,485,375 $998.74
502 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 67,019 100,441 $31,281,174 $311.44
277 29881 Knee Arthroscopy with Meniscectomy 63,499 92,863 $63,674,149 $685.68
529 13101 Complex Wound Repair of the Trunk (Mid-Length) 81,118 92,552 $28,720,777 $310.32
462 93460 — 89,536 90,842 $35,395,130 $389.63
208 36478 Laser Vein Ablation, First Vein 43,829 85,696 $98,226,500 $1,146.22
560 67228 — 45,226 82,969 $26,613,057 $320.76
464 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 42,006 82,311 $35,233,646 $428.06
390 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 51,852 82,002 $43,281,636 $527.81
259 27236 Surgical Repair of Femoral Neck Fracture 58,519 80,020 $72,920,394 $911.28
247 23472 Total Shoulder Replacement 48,459 77,598 $76,272,530 $982.92
374 49505 Inguinal Hernia Repair, Age 5 or Older 61,842 77,484 $44,798,829 $578.17
572 29824 — 40,732 73,467 $26,010,355 $354.04
458 67210 — 47,118 73,083 $35,579,696 $486.84
332 29880 Knee Arthroscopy, Meniscectomy Both Compartments 48,672 72,704 $52,259,033 $718.79
324 50590 Extracorporeal Shock Wave Lithotripsy 49,893 70,628 $53,416,282 $756.30
556 20680 — 50,892 70,538 $27,235,808 $386.12
396 78816 PET/CT Scan, Whole Body 51,895 69,283 $42,585,959 $614.67
478 22840 Posterior Spinal Instrumentation, Non-Segmental 41,506 66,532 $34,009,349 $511.17
295 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 55,439 65,903 $58,662,986 $890.14
378 00567 Anesthesia for On-Pump Coronary Bypass Surgery 52,839 65,814 $44,287,373 $672.92
387 67904 Droopy Eyelid Repair, External Levator Approach 30,448 64,406 $43,304,992 $672.38
257 22551 Anterior Cervical Discectomy and Fusion, One Level 39,519 62,941 $73,787,077 $1,172.32
434 19301 Partial Mastectomy (Lumpectomy) 50,013 60,587 $38,233,075 $631.04
518 22845 — 38,476 60,222 $29,906,791 $496.61
267 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 35,935 58,844 $70,238,364 $1,193.64
391 00562 — 47,121 57,952 $43,251,903 $746.34
341 35301 — 39,939 56,004 $50,154,830 $895.56
472 47563 — 45,100 54,610 $34,572,939 $633.09
485 91110 Capsule Endoscopy, Esophagus Through Ileum 51,602 53,734 $33,331,788 $620.31
376 52601 TURP - Transurethral Prostate Resection 47,167 50,046 $44,555,514 $890.29
308 33249 Implantable Defibrillator System Placement 48,983 49,728 $56,613,067 $1,138.45
545 29848 Endoscopic Carpal Tunnel Release 27,464 48,418 $27,778,036 $573.71
492 63030 — 29,643 46,996 $32,476,179 $691.04
501 92941 — 45,109 46,885 $31,336,447 $668.37
359 77523 Proton Beam Radiation Treatment, Intermediate Delivery 1,894 46,008 $46,263,527 $1,005.55
317 67042 Vitrectomy with Internal Limiting Membrane Peel 26,926 44,396 $54,836,977 $1,235.18
428 33361 Transcatheter Aortic Valve Replacement, Femoral Puncture 24,123 44,299 $38,749,235 $874.72
306 33405 — 25,390 40,742 $56,944,637 $1,397.69
101 37225 Thigh Artery Atherectomy Retired after Q4 2025 31,581 37,732 $188,610,489 $4,998.69
417 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 33,889 35,383 $39,997,550 $1,130.42
474 37221 — Retired after Q4 2025 29,840 33,950 $34,572,359 $1,018.33
564 93653 — 30,221 31,053 $26,484,621 $852.88
153 63685 Spinal Cord Stimulator Generator Implant 20,590 31,038 $133,078,374 $4,287.60
520 37228 — Retired after Q4 2025 25,177 29,020 $29,632,526 $1,021.11
141 37229 Below-Knee Artery Atherectomy, First Vessel Retired after Q4 2025 21,924 28,129 $137,852,408 $4,900.72
489 37226 — Retired after Q4 2025 24,887 27,736 $33,184,309 $1,196.43
447 65778 Amniotic Membrane Placement on the Eye Surface 18,406 26,869 $36,826,757 $1,370.60
371 22514 Lumbar Vertebral Augmentation (Kyphoplasty) 24,292 26,485 $45,113,278 $1,703.35
510 65756 Endothelial Corneal Transplant 12,388 24,974 $30,825,011 $1,234.28
500 67108 Retinal Detachment Repair by Vitrectomy 15,572 24,880 $31,908,668 $1,282.50
412 22513 Thoracic Vertebral Augmentation (Kyphoplasty) 21,465 24,264 $40,637,315 $1,674.80
548 27487 Total Knee Replacement Revision, Both Components 14,783 23,628 $27,657,709 $1,170.55
512 77373 Stereotactic Body Radiation Therapy Delivery 4,844 23,126 $30,798,974 $1,331.79
125 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 16,103 19,178 $167,889,217 $8,754.26
363 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 11,997 15,145 $45,892,840 $3,030.23
422 37241 — 8,259 11,259 $39,120,947 $3,474.64

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 7,790 CPT codes billed to Medicare in CY2016, 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 58.0% of the $78.1B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $10.0B
  2. 2 99213 Established Patient Office Visit, Level 3 $6.8B
  3. 3 99232 Subsequent Hospital Care, Level 2 $3.4B
  4. 4 99233 Subsequent Hospital Care, Level 3 $2.3B
  5. 5 66984 Cataract Surgery with Lens Implant $2.2B
  6. 6 99223 Initial Hospital Care, Level 3 $2.1B
  7. 7 99285 Emergency Department Visit, Level 5 $2.0B
  8. 8 99204 New Patient Office Visit, Level 4 $1.6B
  9. 9 92014 Comprehensive Eye Exam, Established Patient $1.5B
  10. 10 97110 Therapeutic Exercise, 15 Minutes $1.4B

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
#129
By allowed dollars
#481
Per service
$2.13
Few patients, lots of money
37227 Thigh Artery Stent with Atherectomy
By beneficiaries
#493
By allowed dollars
#81
Per service
$8,754.26

What this data covers — and what it doesn't

These are CY2016 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 CY2016 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 7,790 CPT codes billed to Medicare in CY2016; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners — by Geography and Service, national rows, CY2016. 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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