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

Medicare's 500 most-billed CPT codes of 2017

In CY2017 Medicare paid $80.9B across these 500 CPT codes. 99214 (Long Follow-Up Office Visit) leads every measure: 26.7M beneficiaries and $10.2B 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
$80.9B
Total Medicare allowed dollars
Services
1.3B
Times these codes were billed
Top 25
56.4%
Share of the allowed dollars
Vintage
CY2017
Medicare fee-for-service only

All 500 codes, ranked Copy link

Sorted by overall rank. Every code links to its full rate breakdown.

# Code What it is Beneficiaries Services Allowed Per service
1 99214 Long Follow-Up Office Visit 26,676,302 102,087,464 $10,220,026,741 $100.11
2 99213 Routine Follow-Up Office Visit 26,137,643 97,527,463 $6,626,926,131 $67.95
3 36415 Blood Draw 17,589,870 50,090,087 $146,785,330 $2.93
4 99232 Daily Hospital Visit 4,860,457 47,353,298 $3,362,851,550 $71.02
5 80053 Full Metabolic Blood Panel 14,348,207 28,894,909 $315,447,842 $10.92
6 99233 Extended Daily Hospital Visit 3,606,261 23,100,219 $2,388,381,413 $103.39
7 66984 Cataract Surgery 1,278,658 8,957,299 $2,211,923,313 $246.94
8 85025 Blood Cell Count With Differential 13,299,517 29,771,625 $306,121,115 $10.28
9 80061 Cholesterol Blood Panel 12,624,269 19,287,661 $276,055,166 $14.31
10 99223 Extended Hospital Admission Visit 4,421,501 10,722,261 $2,144,424,236 $200.00
11 84443 Thyroid Blood Test 10,016,448 15,127,964 $340,287,336 $22.49
12 99285 Emergency Visit, Highest Urgency 6,861,092 11,772,392 $2,046,747,337 $173.86
13 92014 Full Eye Exam, Returning Patient 9,564,398 12,225,961 $1,466,766,983 $119.97
14 99204 Long New Patient Office Visit 8,111,646 10,174,582 $1,579,263,952 $155.22
15 97110 Physical Therapy Exercises 2,646,174 55,251,270 $1,485,089,437 $26.88
16 99203 New Patient Office Visit 9,068,123 11,295,948 $1,142,880,493 $101.18
17 93010 Heart Tracing Reading 8,585,819 19,469,842 $165,419,530 $8.50
19 99215 Longest Follow-Up Office Visit 5,752,883 9,980,372 $1,338,827,632 $134.15
20 99291 Critical Care 1,830,425 5,665,354 $1,268,221,340 $223.86
21 83036 Average Blood Sugar Test 8,013,355 14,783,785 $191,585,190 $12.96
22 88305 Biopsy Tissue Examination 7,747,793 19,682,669 $958,864,495 $48.72
23 93000 Heart Tracing 7,660,067 11,727,995 $197,930,720 $16.88
24 99222 Hospital Admission Visit 3,458,862 6,809,286 $917,174,610 $134.69
25 93306 Heart Ultrasound 6,405,480 7,464,163 $883,891,142 $118.42
26 99212 Brief Follow-Up Office Visit 7,173,595 12,746,728 $509,962,398 $40.01
27 99309 Extended Nursing Home Visit 1,831,370 9,140,119 $775,380,796 $84.83
28 99308 Nursing Home Visit 1,971,619 10,804,341 $701,797,651 $64.96
30 99284 Emergency Visit, High Urgency 4,108,384 5,803,223 $666,884,895 $114.92
31 90960 Monthly Dialysis Care, Frequent Visits 308,475 2,255,961 $634,338,865 $281.18
32 97140 Hands-On Physical Therapy 1,990,658 26,644,178 $622,049,306 $23.35
33 82306 Vitamin D Blood Test 4,702,624 6,414,655 $250,799,519 $39.10
34 90837 Extended Therapy Session 541,790 5,589,875 $603,219,983 $107.91
35 81001 Urine Test With Microscope Exam 4,532,007 7,230,786 $30,667,753 $4.24
36 92012 Established Patient Eye Examination, Intermediate 3,675,485 6,641,710 $558,666,567 $84.11
37 99205 Longest New Patient Office Visit 2,540,868 2,860,827 $556,814,633 $194.63
38 78452 Myocardial Perfusion Imaging 1,900,354 1,990,365 $512,101,202 $257.29
39 80048 Basic Metabolic Blood Panel 4,132,874 7,409,354 $71,271,294 $9.62
40 99239 Extended Hospital Discharge Visit 3,285,345 4,846,825 $511,720,446 $105.58
41 17000 Precancerous Skin Spot Removal 3,915,292 5,795,860 $299,359,409 $51.65
42 70450 Head CT Without Contrast 3,906,920 5,843,500 $257,661,750 $44.09
43 98941 Chiropractic Spinal Manipulation, Multiple Regions 1,377,701 13,052,580 $499,209,838 $38.25
44 27447 Knee Replacement 285,102 487,562 $439,095,399 $900.59
45 81003 Automated Urinalysis 3,892,857 6,279,567 $18,814,308 $3.00
46 45385 Colonoscopy With Polyp Removal 869,257 1,270,019 $409,563,526 $322.49
47 17311 Mohs Skin Cancer Surgery, First Stage 570,390 754,871 $408,238,514 $540.81
48 84439 Free T4 Thyroid Test 3,461,674 5,112,917 $61,409,602 $12.01
49 97530 Daily-Activity Therapy 988,681 12,453,961 $394,523,125 $31.68
50 90834 Standard Therapy Session 614,411 5,134,491 $379,824,154 $73.98
51 97112 Balance and Coordination Therapy 1,099,203 12,486,880 $377,798,061 $30.26
52 74177 Abdomen and Pelvis CT With Contrast 2,374,754 3,166,113 $354,441,402 $111.95
53 87086 Urine Culture 3,069,232 5,225,765 $56,373,211 $10.79
54 78815 PET/CT Scan, Skull Base to Thigh 449,084 640,059 $350,849,849 $548.15
55 82607 Vitamin B12 Laboratory Test 3,053,005 4,010,550 $81,049,201 $20.21
56 20610 Major Joint Injection or Aspiration 2,875,845 5,840,974 $343,696,771 $58.84
57 82570 Urine Creatinine Test 3,027,969 4,556,620 $31,332,061 $6.88
58 96372 Therapeutic Injection Administration 2,988,336 9,602,741 $228,738,306 $23.82
59 45380 Colonoscopy With Tissue Sampling 1,038,764 1,493,109 $339,099,325 $227.11
60 92134 Retina Scan 2,982,420 6,767,542 $267,432,333 $39.52
61 17003 Additional Premalignant Skin Lesion Destruction 2,936,384 18,584,883 $98,840,953 $5.32
62 67028 Intravitreal Medication Injection 620,764 3,113,696 $329,536,684 $105.83
63 92004 New Patient Eye Examination, Comprehensive 2,172,509 2,278,167 $322,906,062 $141.74
64 43239 Upper Gastrointestinal Endoscopy With Tissue Sampling 1,347,384 1,962,437 $320,737,515 $163.44
65 77063 3D Screening Mammogram 2,778,244 2,882,455 $109,064,509 $37.84
67 82043 Urine Albumin Test 2,751,269 3,644,596 $25,562,570 $7.01
68 11721 Debridement of Multiple Nails 2,656,949 7,198,874 $309,047,384 $42.93
69 92250 Fundus Photography 2,717,701 3,225,144 $204,125,174 $63.29
70 00810 Retired after Q4 2017 1,883,061 2,494,404 $303,212,111 $121.56
71 99202 New Patient Office Visit, Level 2 2,580,107 2,721,225 $186,565,503 $68.56
72 99231 Subsequent Hospital Care, Level 1 1,988,804 7,888,037 $300,472,315 $38.09
73 92083 Comprehensive Visual Field Examination 2,532,838 2,963,000 $179,092,051 $60.44
74 93880 Carotid Artery Duplex Study 2,213,233 2,446,346 $281,441,580 $115.05
75 81002 Manual Urinalysis 2,469,380 3,821,898 $12,911,553 $3.38
76 77080 Central Bone Density Study 2,437,173 2,533,846 $62,207,117 $24.55
77 66821 Laser Treatment of the Posterior Lens Capsule 525,010 1,378,871 $267,345,460 $193.89
78 99283 Emergency Department Visit, Level 3 2,379,656 3,183,548 $189,970,375 $59.67
79 92133 Optic Nerve Imaging by Optical Coherence Tomography 2,360,395 2,659,802 $93,148,906 $35.02
80 99220 Retired after Q4 2022 1,194,266 1,408,530 $255,779,608 $181.59
81 85027 Blood Cell Count 2,266,179 3,466,305 $29,650,431 $8.55
82 84153 Prostate-Specific Antigen Test 2,262,809 3,232,936 $79,574,733 $24.61
83 96413 Intravenous Antineoplastic Infusion Administration 244,642 1,818,873 $243,327,078 $133.78
84 64483 Lumbar or Sacral Transforaminal Epidural Injection 490,625 1,108,811 $239,711,356 $216.19
85 99238 Hospital Discharge Visit 2,259,694 3,034,318 $214,296,192 $70.62
86 27130 Total Hip Arthroplasty 151,007 254,727 $229,392,297 $900.54
87 37225 Leg Artery Plaque Removal With Balloon Widening Retired after Q4 2025 34,219 41,617 $229,311,732 $5,510.05
88 73502 Hip and Pelvis Radiograph 2,014,748 2,794,460 $63,207,446 $22.62
89 17110 Destruction of Benign Skin Lesions 1,675,771 2,234,691 $227,615,995 $101.86
90 80307 Presumptive Drug Screening 1,190,194 3,075,002 $226,222,682 $73.57
91 73030 Shoulder Radiograph 1,975,592 2,780,655 $51,729,271 $18.60
92 99306 Initial Nursing Facility Care, Level 3 1,041,847 1,373,331 $225,104,178 $163.91
93 74176 Abdomen and Pelvis CT Without Contrast 1,860,819 2,355,591 $224,542,813 $95.32
94 00740 Retired after Q4 2017 1,176,786 1,894,873 $215,728,198 $113.85
95 84550 Uric Acid Laboratory Test 1,961,173 3,200,957 $12,184,303 $3.81
96 00142 Anesthesia for Lens Surgery 1,082,328 2,116,265 $213,444,786 $100.86
97 66982 Complex Cataract Surgery With Lens Implant 146,869 576,651 $210,878,013 $365.69
98 77427 Radiation Treatment Management 245,924 1,075,140 $198,546,861 $184.67
99 83540 Iron Laboratory Test 1,798,157 2,882,491 $24,797,203 $8.60
100 63685 Spinal Cord Stimulator Battery Placement 26,387 40,988 $197,050,989 $4,807.53
101 73630 Foot Radiograph 1,782,150 2,794,406 $56,046,898 $20.06
102 71250 Chest CT Without Contrast 1,737,644 2,215,160 $159,028,072 $71.79
103 93229 Mobile Cardiac Telemetry Analysis 207,311 213,442 $197,036,517 $923.14
104 36902 Dialysis Circuit Endovascular Treatment 126,220 210,845 $196,589,359 $932.39
105 83735 Magnesium Laboratory Test 1,716,990 3,156,643 $28,210,615 $8.94
107 73562 Knee Radiograph 1,694,333 2,469,183 $59,978,026 $24.29
108 82746 Folate Laboratory Test 1,683,415 2,176,868 $42,666,215 $19.60
109 37227 Leg Artery Plaque Removal With Stent Retired after Q4 2025 17,654 21,026 $191,354,799 $9,100.87
110 82728 Ferritin Laboratory Test 1,675,852 2,735,797 $49,850,830 $18.22
111 87186 Antimicrobial Susceptibility Testing 1,648,151 2,885,152 $32,887,099 $11.40
112 72100 Lumbar Spine Radiograph 1,616,304 2,026,561 $42,589,248 $21.02
113 72148 Lumbar Spine MRI Without Contrast 1,297,768 1,488,851 $186,350,134 $125.16
114 17312 Mohs Surgery, Additional Stage 298,182 490,940 $184,909,875 $376.64
115 87088 Urine Culture Identification 1,514,062 2,394,340 $25,507,098 $10.65
116 85610 Prothrombin Time Test 1,504,728 11,601,062 $60,901,703 $5.25
117 99221 Initial Hospital Care, Level 1 1,369,489 1,859,611 $183,907,380 $98.90
118 83550 Iron-Binding Capacity Test 1,434,109 2,262,131 $25,928,749 $11.46
119 93971 Unilateral Extremity Venous Duplex Study 1,422,379 1,811,960 $89,200,970 $49.23
120 70553 Brain MRI With and Without Contrast 859,483 1,049,675 $178,723,254 $170.27
121 93970 Bilateral Extremity Venous Duplex Study 1,397,218 1,682,696 $149,909,680 $89.09
122 88342 Immunohistochemistry Study, Initial Antibody 1,391,951 2,057,928 $121,149,372 $58.87
124 90961 Monthly Dialysis Care, Fewer Visits 237,128 730,280 $171,207,316 $234.44
125 71260 Chest CT With Contrast 1,372,243 1,891,418 $144,537,581 $76.42
126 99310 Subsequent Nursing Facility Care, Level 4 548,466 1,361,946 $169,616,184 $124.54
127 37229 Leg Artery Plaque Removal Retired after Q4 2025 24,906 32,791 $168,753,224 $5,146.33
128 51798 Bladder Residual Urine Measurement 1,369,973 2,106,421 $40,774,431 $19.36
129 36475 Radiofrequency Treatment of an Incompetent Extremity Vein 66,750 120,451 $168,233,829 $1,396.70
130 87077 Microorganism Identification From Culture 1,351,062 2,155,899 $22,255,488 $10.32
131 98940 Chiropractic Spinal Manipulation 819,215 6,115,827 $164,728,286 $26.93
132 73560 Limited Knee Radiograph Study 1,346,886 1,986,207 $37,816,203 $19.04
133 62323 Lumbar or Sacral Epidural Injection 454,809 924,814 $160,420,286 $173.46
135 85652 Erythrocyte Sedimentation Rate Test 1,299,452 2,038,347 $7,353,765 $3.61
136 64635 Lumbar or Sacral Facet Nerve Ablation 178,313 363,093 $155,868,694 $429.28
137 99211 Established Patient Office Visit, Level 1 1,298,309 3,850,575 $73,590,037 $19.11
138 52000 Diagnostic Cystoscopy 748,578 984,202 $154,718,673 $157.20
140 93018 Cardiovascular Stress Test Interpretation 1,268,538 1,306,663 $19,052,901 $14.58
141 78492 Cardiac PET Scan, Multiple Studies 135,323 149,926 $148,113,759 $987.91
142 86140 C-Reactive Protein Test 1,235,611 2,140,922 $14,609,744 $6.82
143 64493 Lumbar or Sacral Facet Joint Injection 344,067 746,523 $147,385,289 $197.43
144 99217 Retired after Q4 2022 1,230,631 1,402,405 $99,093,829 $70.66
145 69210 Impacted Earwax Removal 1,199,285 1,556,898 $69,851,748 $44.87
146 11042 Subcutaneous Tissue Wound Debridement 467,122 1,844,734 $145,264,570 $78.75
147 76770 Complete Retroperitoneal Ultrasound 1,195,833 1,383,387 $83,323,531 $60.23
148 92928 Coronary Artery Stent Procedure 206,806 255,093 $139,873,787 $548.32
149 99490 Chronic Care Management 788,183 3,392,985 $138,703,488 $40.88
151 99305 Initial Nursing Facility Care, Level 2 849,278 1,084,774 $138,264,196 $127.46
152 93458 Coronary Angiography and Left Heart Catheterization 497,709 520,332 $137,711,232 $264.66
153 97162 Detailed Physical Therapy Evaluation 1,138,205 1,262,404 $102,503,310 $81.20
154 82565 Blood Creatinine Test 1,129,568 1,757,128 $5,815,860 $3.31
155 99349 Established Patient Home or Residence Visit, Level 3 283,445 1,139,758 $137,216,933 $120.39
156 90832 Brief Therapy Session 393,515 2,385,982 $136,268,678 $57.11
157 97161 Physical Therapy Evaluation 1,127,324 1,255,980 $101,721,352 $80.99
158 29827 Arthroscopic Rotator Cuff Repair 67,693 125,178 $133,034,679 $1,062.76
159 82550 Creatine Kinase Test 1,120,114 1,717,358 $8,374,892 $4.88
160 80076 Hepatic Function Panel 1,109,397 1,758,340 $13,122,952 $7.46
161 95811 346,856 404,155 $127,620,584 $315.77
162 17004 Destruction of Multiple Premalignant Skin Lesions 578,436 871,623 $126,353,704 $144.96
163 73564 Complete Knee Radiograph Study 1,108,900 1,497,663 $40,234,705 $26.86
164 77301 Intensity-Modulated Radiation Treatment Planning 114,668 126,688 $124,226,893 $980.57
165 92136 Ophthalmic Biometry for Intraocular Lens Planning 1,102,891 1,814,122 $106,413,123 $58.66
166 92557 Comprehensive Hearing Assessment 1,100,221 1,194,352 $44,887,730 $37.58
167 99496 Transitional Care After Discharge, Prompt Contact 479,565 550,307 $119,780,353 $217.66
168 70551 Brain MRI Without Contrast 1,040,836 1,160,664 $119,344,914 $102.82
169 93016 Cardiovascular Stress Test Supervision 1,088,214 1,117,793 $24,217,931 $21.67
170 45378 Diagnostic Colonoscopy 433,454 547,611 $117,921,113 $215.34
171 33533 Coronary Artery Bypass Grafting 63,525 102,233 $117,768,712 $1,151.96
172 84436 Total Thyroxine Test 1,055,429 1,419,685 $12,862,182 $9.06
173 72125 Cervical Spine CT Without Contrast 1,049,995 1,208,931 $67,953,984 $56.21
175 93925 Bilateral Lower-Extremity Arterial Duplex Study 562,187 662,750 $116,443,528 $175.70
177 00790 Anesthesia for Upper Abdominal Surgery 316,909 468,865 $115,957,937 $247.32
178 11056 Paring of Multiple Benign Foot Lesions 807,966 2,030,186 $115,473,525 $56.88
179 71275 Chest CT Angiography 1,014,622 1,158,073 $113,653,270 $98.14
180 31231 Diagnostic Nasal Endoscopy 402,015 584,915 $114,672,072 $196.05
181 93015 Complete Cardiovascular Stress Test 1,011,782 1,043,175 $71,800,301 $68.83
182 94060 Bronchodilator Responsiveness Testing 1,011,250 1,200,207 $54,412,433 $45.34
183 99307 Subsequent Nursing Facility Care, Level 1 870,039 2,669,770 $113,734,098 $42.60
184 81000 1,003,443 1,712,853 $7,236,128 $4.22
186 94729 Pulmonary Diffusing Capacity Test 995,893 1,086,768 $36,702,480 $33.77
187 01402 Anesthesia for Knee Arthroplasty 308,240 466,775 $113,144,416 $242.40
188 76705 Limited Abdominal Ultrasound 974,883 1,136,350 $43,473,218 $38.26
189 95951 Retired after Q4 2019 62,826 185,334 $108,153,849 $583.56
190 99497 Advance Care Planning 969,967 1,077,513 $84,254,757 $78.19
191 00670 Anesthesia for Spine Surgery 170,908 254,135 $107,588,665 $423.35
193 76942 937,788 1,207,305 $52,661,554 $43.62
194 90791 Psychiatric Diagnostic Evaluation 811,705 907,365 $106,414,056 $117.28
195 84481 Free Triiodothyronine Test 928,585 1,355,051 $29,575,209 $21.83
196 73721 Lower-Extremity Joint MRI Without Contrast 615,667 766,279 $105,781,608 $138.05
197 94010 Spirometry 922,824 1,268,030 $37,101,042 $29.26
198 27245 Surgical Fixation of a Proximal Femur Fracture 81,031 104,732 $104,364,245 $996.49
199 76700 Complete Abdominal Ultrasound 912,779 1,041,136 $75,521,381 $72.54
200 74178 Abdomen and Pelvis CT With and Without Contrast 512,155 592,102 $104,245,404 $176.06
201 84460 Alanine Aminotransferase Test 908,550 1,785,447 $6,914,410 $3.87
202 84100 Phosphorus Laboratory Test 897,338 1,716,190 $5,430,391 $3.16
203 73610 Ankle Radiograph 893,225 1,334,086 $24,903,686 $18.67
204 73130 Hand Radiograph 870,599 1,231,717 $22,493,723 $18.26
205 88312 Special Stain for Microorganisms 863,444 1,571,644 $99,937,698 $63.59
206 63047 Lumbar Spine Decompression Surgery 102,383 165,229 $99,717,736 $603.51
207 11720 Debridement of Nails 861,007 2,110,681 $65,745,500 $31.15
209 95810 298,915 332,136 $98,085,012 $295.32
210 88304 Surgical Pathology Examination, Level III 857,634 1,034,614 $19,538,611 $18.88
212 36478 41,480 80,181 $90,905,555 $1,133.75
213 88307 Surgical Pathology Examination, Level V 588,834 977,552 $89,268,341 $91.32
214 82248 Direct Bilirubin Test 837,436 1,277,124 $2,817,351 $2.21
215 82947 836,386 1,613,202 $6,295,452 $3.90
216 99495 Transitional Care After Discharge 518,672 580,628 $88,337,991 $152.14
217 92226 Retired after Q4 2019 824,463 2,174,858 $63,368,931 $29.14
218 95165 Allergen Immunotherapy Preparation 197,731 7,116,151 $87,722,690 $12.33
219 96365 Intravenous Therapeutic Infusion Administration 283,762 1,254,800 $85,360,626 $68.03
220 72110 Multi-View Lumbar Spine Radiograph 818,955 915,369 $27,588,878 $30.14
221 99219 Retired after Q4 2022 580,547 644,936 $85,042,209 $131.86
222 23472 Total Shoulder Arthroplasty 52,989 84,924 $83,815,123 $986.94
223 76536 Neck Soft-Tissue Ultrasound 804,021 929,845 $65,835,417 $70.80
224 13132 Complex Skin Wound Repair 245,841 291,044 $82,712,994 $284.19
225 20611 Ultrasound-Guided Major Joint Injection or Aspiration 404,962 898,220 $82,094,837 $91.40
226 92020 Gonioscopy 773,890 883,681 $23,808,177 $26.94
227 90833 Psychotherapy With Evaluation and Management 374,272 1,342,582 $81,736,921 $60.88
228 84403 Total Testosterone Test 741,772 1,115,347 $38,215,913 $34.26
229 84450 735,591 1,142,365 $2,710,620 $2.37
230 90935 210,097 1,108,421 $79,630,289 $71.84
231 92567 Tympanometry 734,366 829,671 $11,803,351 $14.23
232 72170 Pelvis Radiograph 729,614 842,186 $13,386,676 $15.90
233 83615 Lactate Dehydrogenase Test 718,419 1,721,431 $7,309,583 $4.25
234 90966 Monthly Home Dialysis Services 49,355 342,341 $79,269,431 $231.55
235 72141 Cervical Spine MRI Without Contrast 575,815 648,249 $78,812,489 $121.58
236 82962 715,825 1,757,135 $5,384,243 $3.06
237 64721 Open Carpal Tunnel Release 102,842 162,567 $78,203,378 $481.05
238 73110 Wrist Radiograph 715,489 1,086,472 $22,458,791 $20.67
239 84165 Serum Protein Electrophoresis 714,239 1,141,546 $18,369,218 $16.09
240 95886 Needle Electromyography Study 545,279 936,988 $77,485,608 $82.70
241 86803 710,132 763,044 $14,392,978 $18.86
243 88313 Special Histochemical Stain 703,177 1,584,664 $59,073,268 $37.28
244 90792 Psychiatric Diagnostic Evaluation With Medical Services 494,844 564,849 $76,354,436 $135.18
245 47562 106,185 129,218 $76,050,790 $588.55
246 88112 Cytopathology Examination 693,695 1,070,264 $44,508,516 $41.59
247 86038 Antinuclear Antibody Test 689,070 790,553 $12,779,752 $16.17
248 22551 Anterior Cervical Spine Fusion 39,406 63,387 $74,603,566 $1,176.95
250 85651 647,366 1,055,409 $5,000,309 $4.74
253 84520 635,653 945,043 $1,862,912 $1.97
254 73221 Upper-Extremity Joint MRI Without Contrast 434,471 531,299 $73,471,257 $138.29
255 83721 628,616 913,901 $11,556,039 $12.64
256 36903 17,976 20,445 $72,776,775 $3,559.64
257 83880 Natriuretic Peptide Test 624,015 945,104 $42,509,173 $44.98
258 95004 194,977 10,886,081 $72,156,316 $6.63
259 22633 36,737 60,318 $72,068,357 $1,194.81
260 27236 57,116 78,739 $71,498,352 $908.04
261 87804 Influenza Antigen Test 610,727 1,122,531 $17,177,799 $15.30
262 88185 81,566 1,839,490 $71,446,750 $38.84
263 94726 Pulmonary Lung Volume Study 607,244 652,929 $21,119,550 $32.35
264 87070 606,325 761,925 $8,802,405 $11.55
265 74183 Abdominal MRI With and Without Contrast 256,335 310,793 $70,298,662 $226.19
266 76642 Limited Breast Ultrasound 594,878 734,717 $37,216,559 $50.65
267 99350 Established Patient Home or Residence Visit, Level 4 143,974 424,158 $69,607,210 $164.11
270 93922 578,012 698,462 $40,272,444 $57.66
271 36905 29,122 44,373 $68,165,034 $1,536.18
272 84479 571,369 769,715 $6,516,580 $8.47
273 11043 Muscle and Fascia Wound Debridement 119,115 369,952 $67,206,494 $181.66
274 12032 Intermediate Skin Wound Repair 235,871 263,569 $66,434,545 $252.06
275 84156 Urine Protein Test 567,146 974,831 $4,781,691 $4.91
276 31575 490,075 638,562 $66,164,869 $103.62
277 87880 Streptococcus Antigen Test 564,364 635,281 $9,625,048 $15.15
278 84480 563,898 783,603 $14,699,603 $18.76
279 17313 Mohs Surgery on Trunk or Extremities, First Stage 95,089 120,454 $65,389,422 $542.86
280 72040 553,570 693,450 $13,963,699 $20.14
281 00840 191,462 278,897 $64,953,241 $232.89
283 76775 542,016 610,258 $24,638,150 $40.37
284 77300 254,787 1,407,774 $63,742,986 $45.28
285 76937 523,986 670,278 $10,585,791 $15.79
286 80069 Renal Function Panel 522,647 1,029,895 $10,595,190 $10.29
287 33208 103,504 105,208 $61,363,659 $583.26
288 86431 522,131 604,346 $4,590,483 $7.60
289 88311 521,368 653,840 $9,139,179 $13.98
290 01214 158,688 233,584 $60,860,020 $260.55
291 92225 Retired after Q4 2019 517,297 855,560 $25,951,003 $30.33
292 36620 517,030 574,842 $29,708,199 $51.68
294 99292 267,169 536,807 $59,453,093 $110.75
295 20550 499,035 806,387 $37,462,456 $46.46
296 33249 46,129 47,019 $59,400,705 $1,263.33
297 70486 496,373 540,611 $34,054,015 $62.99
298 97113 71,116 1,728,327 $57,787,697 $33.44
299 36906 11,336 13,657 $57,522,379 $4,211.93
300 13121 158,649 188,493 $57,508,969 $305.10
301 15260 54,738 64,874 $57,471,184 $885.89
302 94640 490,441 658,675 $11,398,207 $17.30
303 43235 326,248 407,458 $57,407,222 $140.89
306 29881 59,097 87,265 $56,133,798 $643.26
307 93325 Echocardiographic Color Flow Mapping 470,382 544,560 $4,107,456 $7.54
308 11055 464,835 902,164 $40,835,910 $45.26
309 36556 386,306 461,191 $56,045,409 $121.52
310 67042 27,241 45,187 $55,766,983 $1,234.14
311 76514 458,520 490,163 $6,857,625 $13.99
312 36561 128,730 136,612 $54,396,293 $398.18
313 72131 Lumbar Spine CT Without Contrast 446,301 492,376 $30,685,980 $62.32
314 96401 Subcutaneous or Intramuscular Antineoplastic Injection Administration 154,140 730,246 $53,858,944 $73.75
315 73620 444,888 665,450 $13,335,347 $20.04
317 77290 181,201 235,508 $52,258,617 $221.90
318 84155 432,852 588,555 $1,684,980 $2.86
319 50590 48,979 68,765 $52,070,628 $757.23
320 86334 Immunofixation Electrophoresis 429,501 702,493 $17,707,354 $25.21
321 68761 Lacrimal Punctum Closure 171,546 383,763 $51,892,806 $135.22
323 62321 141,508 280,853 $51,819,826 $184.51
326 93351 246,626 251,404 $51,751,468 $205.85
327 93923 420,513 500,462 $43,546,974 $87.01
328 33361 Transcatheter Aortic Valve Replacement 31,509 58,653 $51,398,626 $876.32
329 82274 420,364 451,650 $9,387,496 $20.78
331 82044 416,370 542,058 $2,852,892 $5.26
332 76856 414,043 482,649 $35,709,439 $73.99
333 97597 325,539 989,482 $51,062,088 $51.60
334 77280 Radiation Treatment Simulation 155,442 317,422 $50,543,001 $159.23
335 82310 413,938 591,449 $1,793,324 $3.03
336 64590 Peripheral Nerve Stimulator Battery Placement 11,816 15,018 $50,065,580 $3,333.70
337 76830 411,733 474,324 $39,717,965 $83.74
338 86141 408,674 549,274 $9,537,776 $17.36
339 64490 108,715 238,470 $49,474,117 $207.46
340 77523 2,034 48,580 $49,403,796 $1,016.96
341 82977 404,393 685,909 $2,468,181 $3.60
342 65778 Ocular Surface Amniotic Membrane Placement 22,765 36,490 $49,334,038 $1,351.99
343 73590 403,401 536,494 $7,060,857 $13.16
344 33405 22,226 35,430 $49,322,429 $1,392.11
345 72158 241,090 275,956 $48,863,321 $177.07
346 82270 397,430 398,259 $1,716,696 $4.31
347 77338 114,896 148,150 $48,072,194 $324.48
348 99225 Retired after Q4 2022 394,549 584,410 $41,342,231 $70.74
349 35301 38,113 53,306 $47,613,932 $893.22
350 93005 393,941 454,938 $3,678,964 $8.09
351 77263 267,367 289,532 $47,411,673 $163.75
352 83690 392,237 495,081 $4,493,275 $9.08
353 99183 19,652 444,831 $47,376,935 $106.51
354 22514 24,734 27,065 $47,363,193 $1,749.98
355 73552 387,649 562,538 $8,372,280 $14.88
356 00400 247,804 398,189 $47,173,364 $118.47
357 92235 385,307 492,983 $39,016,100 $79.14
358 64636 163,092 416,244 $47,005,990 $112.93
359 72050 381,381 422,007 $11,726,412 $27.79
360 29880 45,232 68,006 $46,471,793 $683.35
361 99316 376,731 416,314 $40,628,852 $97.59
362 97116 Gait Training 239,734 2,105,353 $46,293,879 $21.99
363 26055 70,888 135,438 $46,083,144 $340.25
364 84132 373,877 560,659 $1,777,946 $3.17
365 78816 Whole-Body PET/CT Imaging 54,934 74,051 $45,922,011 $620.14
366 97035 371,036 2,386,202 $24,585,823 $10.30
367 67904 31,293 66,579 $45,872,500 $688.99
368 80305 368,054 825,812 $11,316,289 $13.70
369 82150 366,252 477,871 $4,145,536 $8.68
370 93656 Atrial Fibrillation Catheter Ablation 38,282 39,904 $45,118,465 $1,130.68
371 00567 53,153 66,318 $45,044,734 $679.22
372 82040 364,428 556,574 $1,111,838 $2.00
373 51741 360,440 468,088 $5,883,841 $12.57
374 96367 156,455 1,482,250 $44,923,969 $30.31
375 55700 Retired after Q4 2025 142,914 165,414 $44,891,095 $271.39
376 85730 360,199 504,494 $4,052,842 $8.03
377 93227 358,954 387,351 $10,186,018 $26.30
378 11719 356,578 963,083 $9,971,109 $10.35
379 93978 269,229 314,259 $44,839,620 $142.68
380 70498 Neck CT Angiography 352,560 379,250 $35,381,964 $93.29
381 10060 351,195 406,457 $44,124,602 $108.56
382 22842 52,536 83,898 $43,998,867 $524.43
383 99406 348,926 541,348 $7,267,625 $13.43
384 01480 199,288 316,073 $43,998,567 $139.20
385 27096 220,431 326,301 $43,992,763 $134.82
386 01936 Retired after Q4 2021 173,434 339,130 $43,762,682 $129.04
387 97164 342,919 521,225 $28,310,238 $54.31
388 52601 45,824 48,586 $43,587,019 $897.11
389 74022 342,550 415,213 $7,213,793 $17.37
390 94727 338,453 364,361 $11,899,054 $32.66
391 83516 338,242 693,284 $10,225,311 $14.75
392 77295 132,269 153,041 $43,290,190 $282.87
393 83861 334,836 855,455 $18,936,151 $22.14
394 76641 324,123 489,985 $43,174,924 $88.11
395 77001 330,869 414,527 $9,768,553 $23.57
396 84075 330,131 484,116 $809,744 $1.67
397 90836 109,352 542,993 $42,994,099 $79.18
398 73080 328,395 404,858 $6,502,753 $16.06
399 98942 108,289 855,560 $42,978,825 $50.23
400 70496 Head CT Angiography 327,808 356,011 $33,715,197 $94.70
401 22513 21,698 24,543 $42,551,494 $1,733.75
402 74230 325,484 384,965 $11,979,074 $31.12
403 99282 324,359 380,222 $15,041,048 $39.56
404 99348 Established Patient Home or Residence Visit, Level 2 192,696 521,623 $42,385,184 $81.26
405 64494 304,815 468,689 $41,835,372 $89.26
406 86376 323,022 387,315 $7,498,311 $19.36
408 93320 322,396 351,978 $9,574,586 $27.20
409 11730 300,854 422,460 $41,259,795 $97.67
410 20605 322,110 455,208 $20,464,765 $44.96
411 28285 46,321 102,584 $40,968,772 $399.37
412 84154 319,841 394,933 $9,732,538 $24.64
413 49505 56,487 70,767 $40,885,072 $577.74
414 93224 317,264 339,350 $28,501,738 $83.99
415 72197 Pelvic MRI With and Without Contrast 149,905 169,288 $40,848,723 $241.30
416 99304 316,178 359,501 $32,337,249 $89.95
417 97535 Self-Care and Home Management Training 309,923 1,360,013 $40,306,500 $29.64
419 92285 309,351 375,770 $6,864,518 $18.27
420 31500 244,577 280,557 $40,399,020 $144.00
422 85018 305,047 552,316 $1,739,781 $3.15
423 00300 159,400 248,479 $40,248,775 $161.98
424 90471 302,434 323,607 $7,435,163 $22.98
425 87340 301,067 324,942 $4,410,137 $13.57
426 00562 43,200 53,154 $39,931,783 $751.25
427 17262 213,477 270,614 $39,706,297 $146.73
428 73140 298,494 399,718 $8,141,910 $20.37
429 65855 104,301 185,952 $39,269,600 $211.18
430 64633 45,666 91,281 $39,081,832 $428.15
431 97163 297,312 319,712 $25,958,232 $81.19
432 71101 293,369 323,357 $5,910,766 $18.28
433 95816 Electroencephalography Study 264,269 292,956 $39,052,736 $133.31
434 72070 291,463 339,992 $6,812,301 $20.04
436 19301 51,501 62,675 $38,737,203 $618.06
437 93308 285,945 349,931 $12,966,955 $37.06
438 73501 285,712 360,215 $6,202,541 $17.22
440 90962 88,914 210,977 $38,108,242 $180.63
441 95819 209,480 227,950 $38,043,298 $166.89
442 73060 275,854 375,478 $5,231,943 $13.93
443 88331 275,681 502,330 $35,862,622 $71.39
444 86200 272,252 303,305 $5,248,662 $17.30
445 36558 111,922 131,334 $37,200,636 $283.25
446 93312 271,839 316,525 $34,696,273 $109.62
447 80051 271,085 401,744 $1,713,712 $4.27
448 00910 222,571 380,544 $36,890,369 $96.94
449 83090 270,533 345,835 $7,834,279 $22.65
450 82247 269,749 445,052 $690,819 $1.55
451 88377 65,489 160,943 $36,830,134 $228.84
452 70544 267,386 284,249 $26,597,270 $93.57
453 95911 163,059 169,395 $36,693,564 $216.62
454 01844 90,257 171,219 $36,318,143 $212.12
455 20600 267,381 404,998 $16,816,404 $41.52
457 01230 119,845 169,945 $35,983,471 $211.74
458 87205 266,324 342,215 $1,887,827 $5.52
459 37221 Retired after Q4 2025 30,136 34,052 $35,854,787 $1,052.94
460 85045 266,187 366,568 $1,962,437 $5.35
462 77002 265,063 481,484 $33,151,235 $68.85
463 45384 104,967 142,860 $35,762,829 $250.33
464 87624 264,885 272,101 $12,167,728 $44.72
465 19083 106,991 110,681 $35,759,676 $323.09
466 43249 99,067 144,560 $35,704,018 $246.98
467 88173 261,847 372,531 $33,199,831 $89.12
468 01992 148,050 308,129 $35,575,363 $115.46
469 82378 261,198 568,978 $14,458,127 $25.41
471 73700 257,717 293,999 $19,158,401 $65.16
472 01922 141,339 217,048 $35,201,693 $162.18
473 88360 184,735 468,673 $35,012,965 $74.71
475 99315 253,031 275,491 $18,899,487 $68.60
477 36907 40,559 64,550 $34,424,831 $533.30
478 37228 Retired after Q4 2025 26,624 30,920 $34,382,002 $1,111.97
479 67210 43,291 70,348 $34,265,061 $487.08
480 78306 245,927 283,309 $20,829,901 $73.52
481 00630 91,888 135,288 $34,173,979 $252.60
482 77373 5,460 25,619 $34,112,331 $1,331.52
483 86592 244,849 279,900 $1,598,501 $5.71
484 93975 187,836 218,260 $33,984,457 $155.71
485 00537 72,622 109,800 $33,912,656 $308.86
486 86235 242,278 1,350,899 $31,554,496 $23.36
487 86800 241,476 305,614 $6,432,983 $21.05
488 93460 88,263 89,444 $33,702,711 $376.80
490 43248 98,511 159,327 $33,093,306 $207.71
491 73565 236,648 272,922 $8,063,048 $29.54
492 00320 106,388 166,037 $33,033,447 $198.95
493 20552 235,560 377,184 $17,752,894 $47.07
494 22840 39,983 64,565 $32,835,763 $508.57
495 84402 233,594 314,592 $10,666,474 $33.91
496 47563 42,286 51,349 $32,423,584 $631.44
497 64484 230,395 392,698 $28,906,121 $73.61
498 01630 117,273 166,326 $32,329,974 $194.38
499 92550 228,652 246,617 $5,361,249 $21.74
500 37226 Retired after Q4 2025 23,603 26,184 $32,280,922 $1,232.85
501 86706 225,951 240,681 $3,448,962 $14.33
502 70491 224,213 275,080 $24,629,206 $89.53
504 25609 16,705 25,111 $31,712,013 $1,262.87
505 82670 223,860 310,240 $11,440,459 $36.88
506 94620 Retired after Q4 2017 222,606 271,156 $12,932,926 $47.70
507 63030 27,680 44,073 $31,447,072 $713.52
508 86225 222,128 272,768 $5,005,215 $18.35
509 67108 15,930 25,702 $31,180,072 $1,213.14
510 91110 51,279 53,279 $31,023,603 $582.29
511 99226 Retired after Q4 2022 220,023 285,816 $29,512,678 $103.26
512 63048 76,310 210,337 $30,879,058 $146.81
513 92002 219,210 221,698 $17,117,896 $77.21
514 64561 Sacral Nerve Stimulation Electrode Placement 8,607 14,359 $30,852,895 $2,148.68
515 94762 218,562 242,968 $7,030,855 $28.94
516 83704 218,388 297,575 $12,395,967 $41.66
517 83525 217,714 302,428 $4,615,075 $15.26
518 96375 179,008 1,413,451 $30,700,364 $21.72
519 84295 215,275 333,609 $624,508 $1.87
520 83921 214,069 341,719 $7,466,983 $21.85
521 11602 186,857 219,392 $30,500,013 $139.02
522 20680 51,270 71,282 $30,307,837 $425.18
523 83520 212,672 577,115 $10,020,556 $17.36
525 13101 83,559 95,320 $29,826,596 $312.91
526 73090 210,443 256,368 $3,081,440 $12.02
528 93042 210,359 374,155 $2,719,692 $7.27
529 92941 43,564 44,940 $29,719,056 $661.31
530 76376 209,946 245,142 $3,316,154 $13.53
531 65756 12,093 24,088 $29,704,293 $1,233.16
533 82533 207,479 282,454 $6,156,446 $21.80
534 72146 205,291 230,414 $26,959,883 $117.01
535 99236 131,992 138,656 $29,517,955 $212.89
536 76882 205,114 263,306 $7,685,954 $29.19
537 93926 200,368 262,802 $18,041,581 $68.65
538 93459 95,267 101,517 $29,330,042 $288.92
539 27487 15,576 24,742 $29,224,880 $1,181.19
540 71100 197,709 227,189 $4,024,581 $17.71
543 83883 196,138 582,505 $10,361,307 $17.79
545 73600 194,898 270,432 $5,022,884 $18.57
546 95910 156,735 161,072 $28,453,291 $176.65
547 72072 194,808 210,422 $3,323,762 $15.80

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 7,809 CPT codes billed to Medicare in CY2017, so the column skips a number wherever a code we don't yet cover sits.

Which codes bring in the most Medicare money? Copy link

Spending concentrates hard. The top 25 codes carry 56.4% of the $80.9B these 500 codes account for.

  1. 1 99214 Long Follow-Up Office Visit $10.2B
  2. 2 99213 Routine Follow-Up Office Visit $6.6B
  3. 3 99232 Daily Hospital Visit $3.4B
  4. 4 99233 Extended Daily Hospital Visit $2.4B
  5. 5 66984 Cataract Surgery $2.2B
  6. 6 99223 Extended Hospital Admission Visit $2.1B
  7. 7 99285 Emergency Visit, Highest Urgency $2.0B
  8. 8 99204 Long New Patient Office Visit $1.6B
  9. 9 97110 Physical Therapy Exercises $1.5B
  10. 10 92014 Full Eye Exam, Returning Patient $1.5B

Why the most common codes aren't the most expensive Copy link

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
81003 Automated Urinalysis
By beneficiaries
#27
By allowed dollars
#382
Per service
$3.00
Few patients, lots of money
37225 Leg Artery Plaque Removal With Balloon Widening
By beneficiaries
#474
By allowed dollars
#59
Per service
$5,510.05

What this data covers—and what it doesn't Copy link

These are CY2017 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.

19 codes on this list have since left the fee schedule. CMS billed them heavily in CY2017 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 Copy link

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 7,809 CPT codes billed to Medicare in CY2017; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners—by Geography and Service, national rows, CY2017. 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.

Did this answer your question about the most-billed CPT codes?

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