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

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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