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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 $79.8B across these 500 CPT codes. 99214 (Established Patient Office Visit, Level 4) 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
$79.8B
Total Medicare allowed dollars
Services
1.3B
Times these codes were billed
Top 25
57.2%
Share of the allowed dollars
Vintage
CY2017
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 26,676,302 102,087,464 $10,220,026,741 $100.11
2 99213 Established Patient Office Visit, Level 3 26,137,643 97,527,463 $6,626,926,131 $67.95
4 99232 Subsequent Hospital Care, Level 2 4,860,457 47,353,298 $3,362,851,550 $71.02
6 99233 Subsequent Hospital Care, Level 3 3,606,261 23,100,219 $2,388,381,413 $103.39
7 66984 Cataract Surgery with Lens Implant 1,278,658 8,957,299 $2,211,923,313 $246.94
10 99223 Initial Hospital Care, Level 3 4,421,501 10,722,261 $2,144,424,236 $200.00
12 99285 Emergency Department Visit, Level 5 6,861,092 11,772,392 $2,046,747,337 $173.86
14 99204 New Patient Office Visit, Level 4 8,111,646 10,174,582 $1,579,263,952 $155.22
15 97110 Therapeutic Exercise, 15 Minutes 2,646,174 55,251,270 $1,485,089,437 $26.88
13 92014 Comprehensive Eye Exam, Established Patient 9,564,398 12,225,961 $1,466,766,983 $119.97
19 99215 Established Patient Office Visit, Level 5 5,752,883 9,980,372 $1,338,827,632 $134.15
20 99291 Critical Care, First Time Block 1,830,425 5,665,354 $1,268,221,340 $223.86
16 99203 New Patient Office Visit, Level 3 9,068,123 11,295,948 $1,142,880,493 $101.18
22 88305 Surgical Pathology Exam, Level IV 7,747,793 19,682,669 $958,864,495 $48.72
24 99222 Initial Hospital Care, Level 2 3,458,862 6,809,286 $917,174,610 $134.69
25 93306 Transthoracic Echocardiogram, Complete with Doppler 6,405,480 7,464,163 $883,891,142 $118.42
27 99309 Subsequent Nursing Facility Visit, Level 3 1,831,370 9,140,119 $775,380,796 $84.83
28 99308 Subsequent Nursing Facility Visit, Level 2 1,971,619 10,804,341 $701,797,651 $64.96
30 99284 Emergency Department Visit, Level 4 4,108,384 5,803,223 $666,884,895 $114.92
31 90960 Monthly Dialysis Management, Adult, Four or More Visits 308,475 2,255,961 $634,338,865 $281.18
32 97140 Manual Therapy, 15 Minutes 1,990,658 26,644,178 $622,049,306 $23.35
34 90837 Psychotherapy, 60 Minutes 541,790 5,589,875 $603,219,983 $107.91
36 92012 Established Patient Eye Exam, Intermediate Level 3,675,485 6,641,710 $558,666,567 $84.11
37 99205 New Patient Office Visit, Level 5 2,540,868 2,860,827 $556,814,633 $194.63
38 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 1,900,354 1,990,365 $512,101,202 $257.29
40 99239 Hospital Discharge Day Management, Longer Visit 3,285,345 4,846,825 $511,720,446 $105.58
26 99212 Established Patient Office Visit, Level 2 7,173,595 12,746,728 $509,962,398 $40.01
43 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,377,701 13,052,580 $499,209,838 $38.25
44 27447 Total Knee Replacement 285,102 487,562 $439,095,399 $900.59
46 45385 Colonoscopy with Lesion Removal (Snare) 869,257 1,270,019 $409,563,526 $322.49
47 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 570,390 754,871 $408,238,514 $540.81
49 97530 Therapeutic Activities, Per 15 Minutes 988,681 12,453,961 $394,523,125 $31.68
50 90834 Psychotherapy, 45 Minutes 614,411 5,134,491 $379,824,154 $73.98
51 97112 Neuromuscular Re-education Therapy 1,099,203 12,486,880 $377,798,061 $30.26
52 74177 CT Abdomen and Pelvis, With Contrast 2,374,754 3,166,113 $354,441,402 $111.95
54 78815 PET/CT Scan, Skull Base to Mid-Thigh 449,084 640,059 $350,849,849 $548.15
56 20610 Major Joint Injection or Aspiration 2,875,845 5,840,974 $343,696,771 $58.84
11 84443 Thyroid-Stimulating Hormone (TSH) 10,016,448 15,127,964 $340,287,336 $22.49
59 45380 Colonoscopy with Biopsy 1,038,764 1,493,109 $339,099,325 $227.11
62 67028 Intravitreal Injection of Medication 620,764 3,113,696 $329,536,684 $105.83
63 92004 Comprehensive Eye Exam, New Patient 2,172,509 2,278,167 $322,906,062 $141.74
64 43239 Upper GI Endoscopy (EGD) with Biopsy 1,347,384 1,962,437 $320,737,515 $163.44
5 80053 Comprehensive Metabolic Panel 14,348,207 28,894,909 $315,447,842 $10.92
68 11721 Trimming of Six or More Thickened Nails 2,656,949 7,198,874 $309,047,384 $42.93
8 85025 Complete Blood Count with Differential 13,299,517 29,771,625 $306,121,115 $10.28
72 99231 Subsequent Hospital Care, Level 1 1,988,804 7,888,037 $300,472,315 $38.09
41 17000 Destruction of Premalignant Skin Lesion, First 3,915,292 5,795,860 $299,359,409 $51.65
74 93880 Carotid Duplex Ultrasound, Complete 2,213,233 2,446,346 $281,441,580 $115.05
9 80061 Lipid Panel 12,624,269 19,287,661 $276,055,166 $14.31
60 92134 Retinal OCT Scan 2,982,420 6,767,542 $267,432,333 $39.52
77 66821 YAG Laser Capsulotomy After Cataract Surgery 525,010 1,378,871 $267,345,460 $193.89
42 70450 CT Head/Brain, without Contrast 3,906,920 5,843,500 $257,661,750 $44.09
33 82306 Vitamin D, 25-Hydroxy 4,702,624 6,414,655 $250,799,519 $39.10
83 96413 Chemotherapy Infusion, First Hour 244,642 1,818,873 $243,327,078 $133.78
84 64483 Transforaminal Epidural Injection, Lumbar/Sacral 490,625 1,108,811 $239,711,356 $216.19
86 27130 Total Hip Replacement 151,007 254,727 $229,392,297 $900.54
87 37225 Thigh Artery Atherectomy Retired after Q4 2025 34,219 41,617 $229,311,732 $5,510.05
58 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,988,336 9,602,741 $228,738,306 $23.82
89 17110 Destruction of Benign Lesions, Up to 14 1,675,771 2,234,691 $227,615,995 $101.86
90 80307 Presumptive Drug Screen by Analyzer 1,190,194 3,075,002 $226,222,682 $73.57
92 99306 Initial Nursing Facility Visit, High Level 1,041,847 1,373,331 $225,104,178 $163.91
93 74176 CT Abdomen and Pelvis, Without Contrast 1,860,819 2,355,591 $224,542,813 $95.32
85 99238 Hospital Discharge Day Management, 30 Minutes or Less 2,259,694 3,034,318 $214,296,192 $70.62
96 00142 Anesthesia for Cataract and 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
69 92250 Retinal Photography with Interpretation 2,717,701 3,225,144 $204,125,174 $63.29
98 77427 Radiation Treatment Management, Per Five Sessions 245,924 1,075,140 $198,546,861 $184.67
23 93000 Electrocardiogram (ECG), Complete 7,660,067 11,727,995 $197,930,720 $16.88
100 63685 Spinal Cord Stimulator Generator Implant 26,387 40,988 $197,050,989 $4,807.53
103 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 207,311 213,442 $197,036,517 $923.14
104 36902 Dialysis Access Angioplasty, Peripheral Segment 126,220 210,845 $196,589,359 $932.39
21 83036 Hemoglobin A1c 8,013,355 14,783,785 $191,585,190 $12.96
109 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 17,654 21,026 $191,354,799 $9,100.87
78 99283 Emergency Department Visit, Level 3 2,379,656 3,183,548 $189,970,375 $59.67
71 99202 New Patient Office Visit, Level 2 2,580,107 2,721,225 $186,565,503 $68.56
113 72148 MRI Lumbar Spine, without Contrast 1,297,768 1,488,851 $186,350,134 $125.16
114 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 298,182 490,940 $184,909,875 $376.64
117 99221 Initial Hospital Care, Level 1 1,369,489 1,859,611 $183,907,380 $98.90
73 92083 Extended Visual Field Test 2,532,838 2,963,000 $179,092,051 $60.44
120 70553 MRI Brain, With and Without Contrast 859,483 1,049,675 $178,723,254 $170.27
124 90961 Monthly Dialysis Management, Adult, Two or Three Visits 237,128 730,280 $171,207,316 $234.44
126 99310 Subsequent Nursing Facility Visit, Level 4 548,466 1,361,946 $169,616,184 $124.54
127 37229 Below-Knee Artery Atherectomy, First Vessel Retired after Q4 2025 24,906 32,791 $168,753,224 $5,146.33
129 36475 Radiofrequency Vein Ablation, First Vein 66,750 120,451 $168,233,829 $1,396.70
17 93010 Electrocardiogram (ECG), Interpretation Only 8,585,819 19,469,842 $165,419,530 $8.50
131 98940 Chiropractic Spinal Manipulation, One to Two Regions 819,215 6,115,827 $164,728,286 $26.93
133 62323 Lower Back Epidural Steroid Injection with Imaging 454,809 924,814 $160,420,286 $173.46
102 71250 CT Scan of the Chest, No Contrast 1,737,644 2,215,160 $159,028,072 $71.79
136 64635 Lower Back Facet Nerve Ablation, First Joint 178,313 363,093 $155,868,694 $429.28
138 52000 Diagnostic Cystoscopy 748,578 984,202 $154,718,673 $157.20
121 93970 Complete Duplex Ultrasound of Limb Veins 1,397,218 1,682,696 $149,909,680 $89.09
141 78492 Cardiac PET Perfusion Imaging, Rest and Stress 135,323 149,926 $148,113,759 $987.91
143 64493 Lower Back Facet Joint Injection, First Level 344,067 746,523 $147,385,289 $197.43
3 36415 Routine Venipuncture (Blood Draw) 17,589,870 50,090,087 $146,785,330 $2.93
146 11042 Debridement, Subcutaneous Tissue 467,122 1,844,734 $145,264,570 $78.75
125 71260 CT Scan of the Chest with Contrast 1,372,243 1,891,418 $144,537,581 $76.42
148 92928 Coronary Stent Placement, Single Major Vessel 206,806 255,093 $139,873,787 $548.32
149 99490 Chronic Care Management, First 20 Minutes 788,183 3,392,985 $138,703,488 $40.88
151 99305 Initial Nursing Facility Visit, Moderate Level 849,278 1,084,774 $138,264,196 $127.46
152 93458 Left Heart Catheterization with Coronary Angiography 497,709 520,332 $137,711,232 $264.66
155 99349 Home Visit, Established Patient, Level 3 283,445 1,139,758 $137,216,933 $120.39
156 90832 Individual Psychotherapy, 30 Minutes 393,515 2,385,982 $136,268,678 $57.11
158 29827 Arthroscopic Rotator Cuff Repair 67,693 125,178 $133,034,679 $1,062.76
161 95811 Sleep Study with CPAP or BiPAP Titration 346,856 404,155 $127,620,584 $315.77
162 17004 Destruction of Fifteen or More Precancerous Skin Lesions 578,436 871,623 $126,353,704 $144.96
164 77301 IMRT Treatment Planning 114,668 126,688 $124,226,893 $980.57
122 88342 Immunohistochemistry Stain, First Antibody 1,391,951 2,057,928 $121,149,372 $58.87
167 99496 Transitional Care Management, High Complexity 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
170 45378 Diagnostic Colonoscopy 433,454 547,611 $117,921,113 $215.34
171 33533 Coronary Bypass Using a Single Arterial Graft 63,525 102,233 $117,768,712 $1,151.96
175 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 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 Corns or Calluses, 2-4 Lesions 807,966 2,030,186 $115,473,525 $56.88
180 31231 Diagnostic Nasal Endoscopy 402,015 584,915 $114,672,072 $196.05
183 99307 Subsequent Nursing Facility Visit, Level 1 870,039 2,669,770 $113,734,098 $42.60
179 71275 CT Angiogram of the Chest 1,014,622 1,158,073 $113,653,270 $98.14
187 01402 Anesthesia for Knee Replacement Surgery 308,240 466,775 $113,144,416 $242.40
65 77063 Screening 3D Breast Tomosynthesis, Both Breasts 2,778,244 2,882,455 $109,064,509 $37.84
191 00670 Anesthesia for Major Spine and Spinal Cord Surgery 170,908 254,135 $107,588,665 $423.35
194 90791 Psychiatric Diagnostic Evaluation 811,705 907,365 $106,414,056 $117.28
165 92136 Eye Measurement for Cataract Lens Power 1,102,891 1,814,122 $106,413,123 $58.66
196 73721 MRI of Leg Joint, No Contrast 615,667 766,279 $105,781,608 $138.05
198 27245 Hip Fracture Repair with Intramedullary Nail 81,031 104,732 $104,364,245 $996.49
200 74178 CT Abdomen and Pelvis, Before and After Contrast 512,155 592,102 $104,245,404 $176.06
153 97162 Physical Therapy Evaluation, Moderate Complexity 1,138,205 1,262,404 $102,503,310 $81.20
157 97161 Physical Therapy Evaluation, Low Complexity 1,127,324 1,255,980 $101,721,352 $80.99
205 88312 Special Stain for Microorganisms 863,444 1,571,644 $99,937,698 $63.59
206 63047 Lumbar Laminectomy for Spinal Decompression 102,383 165,229 $99,717,736 $603.51
61 17003 Destruction of Additional Precancerous Skin Lesions 2,936,384 18,584,883 $98,840,953 $5.32
209 95810 Attended Overnight Sleep Study in a Lab 298,915 332,136 $98,085,012 $295.32
79 92133 Optic Nerve Imaging (OCT) 2,360,395 2,659,802 $93,148,906 $35.02
212 36478 Laser Vein Ablation, First Vein 41,480 80,181 $90,905,555 $1,133.75
213 88307 Surgical Pathology Exam, Level V 588,834 977,552 $89,268,341 $91.32
119 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,422,379 1,811,960 $89,200,970 $49.23
216 99495 Transitional Care Management, Moderate Complexity 518,672 580,628 $88,337,991 $152.14
218 95165 Preparation of Allergy Immunotherapy Extracts 197,731 7,116,151 $87,722,690 $12.33
219 96365 Initial IV Infusion, Up to One Hour 283,762 1,254,800 $85,360,626 $68.03
190 99497 Advance Care Planning Discussion 969,967 1,077,513 $84,254,757 $78.19
222 23472 Total Shoulder Replacement 52,989 84,924 $83,815,123 $986.94
147 76770 Complete Retroperitoneal Ultrasound 1,195,833 1,383,387 $83,323,531 $60.23
224 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 245,841 291,044 $82,712,994 $284.19
225 20611 Major Joint Injection or Aspiration with Ultrasound 404,962 898,220 $82,094,837 $91.40
227 90833 Shorter Psychotherapy Session Added to a Medical Visit 374,272 1,342,582 $81,736,921 $60.88
55 82607 Vitamin B12 Level 3,053,005 4,010,550 $81,049,201 $20.21
230 90935 Hemodialysis Session with One Physician Evaluation 210,097 1,108,421 $79,630,289 $71.84
82 84153 Prostate-Specific Antigen (PSA), Total 2,262,809 3,232,936 $79,574,733 $24.61
234 90966 Monthly Home Dialysis Management, Adult 49,355 342,341 $79,269,431 $231.55
235 72141 Neck MRI, No Contrast Dye 575,815 648,249 $78,812,489 $121.58
237 64721 Carpal Tunnel Release 102,842 162,567 $78,203,378 $481.05
240 95886 Complete Needle EMG of One Limb 545,279 936,988 $77,485,608 $82.70
244 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 494,844 564,849 $76,354,436 $135.18
245 47562 Laparoscopic Cholecystectomy 106,185 129,218 $76,050,790 $588.55
199 76700 Abdominal Ultrasound, Complete 912,779 1,041,136 $75,521,381 $72.54
248 22551 Anterior Cervical Discectomy and Fusion, One Level 39,406 63,387 $74,603,566 $1,176.95
137 99211 Established Patient Office Visit, Minimal 1,298,309 3,850,575 $73,590,037 $19.11
254 73221 Arm Joint MRI, No Contrast Dye 434,471 531,299 $73,471,257 $138.29
256 36903 Dialysis Access Stent Placement, Peripheral Segment 17,976 20,445 $72,776,775 $3,559.64
258 95004 Skin Prick Allergy Testing 194,977 10,886,081 $72,156,316 $6.63
259 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 36,737 60,318 $72,068,357 $1,194.81
181 93015 Cardiovascular Stress Test, Complete 1,011,782 1,043,175 $71,800,301 $68.83
260 27236 Surgical Repair of Femoral Neck Fracture 57,116 78,739 $71,498,352 $908.04
262 88185 Flow Cytometry, Additional Marker, Technical Work 81,566 1,839,490 $71,446,750 $38.84
39 80048 Basic Metabolic Panel 4,132,874 7,409,354 $71,271,294 $9.62
265 74183 MRI Abdomen, Before and After Contrast 256,335 310,793 $70,298,662 $226.19
145 69210 Impacted Earwax Removal, Instrumentation 1,199,285 1,556,898 $69,851,748 $44.87
267 99350 Home Visit, Established Patient, Level 4 143,974 424,158 $69,607,210 $164.11
271 36905 Dialysis Access Clot Removal with Angioplasty 29,122 44,373 $68,165,034 $1,536.18
173 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 1,049,995 1,208,931 $67,953,984 $56.21
273 11043 Wound Debridement Down to Muscle or Fascia 119,115 369,952 $67,206,494 $181.66
274 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 235,871 263,569 $66,434,545 $252.06
276 31575 Flexible Laryngoscopy, Diagnostic 490,075 638,562 $66,164,869 $103.62
223 76536 Ultrasound of Neck and Head Soft Tissues 804,021 929,845 $65,835,417 $70.80
207 11720 Nail Trimming/Debridement, Up to 5 861,007 2,110,681 $65,745,500 $31.15
279 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 95,089 120,454 $65,389,422 $542.86
281 00840 Anesthesia for Lower Abdominal Surgery 191,462 278,897 $64,953,241 $232.89
284 77300 Basic Radiation Dose Calculation 254,787 1,407,774 $63,742,986 $45.28
88 73502 Hip X-Ray, Two or Three Views 2,014,748 2,794,460 $63,207,446 $22.62
76 77080 DEXA Bone Density, Axial 2,437,173 2,533,846 $62,207,117 $24.55
48 84439 Free Thyroxine (Free T4) 3,461,674 5,112,917 $61,409,602 $12.01
287 33208 Dual-Chamber Pacemaker Insertion 103,504 105,208 $61,363,659 $583.26
116 85610 Prothrombin Time (PT/INR) 1,504,728 11,601,062 $60,901,703 $5.25
290 01214 Anesthesia for Hip Replacement Surgery 158,688 233,584 $60,860,020 $260.55
107 73562 Knee X-Ray, Three Views 1,694,333 2,469,183 $59,978,026 $24.29
294 99292 Critical Care, Additional Time 267,169 536,807 $59,453,093 $110.75
296 33249 Implantable Defibrillator System Placement 46,129 47,019 $59,400,705 $1,263.33
243 88313 Special Stain for Tissue Elements and Pigments 703,177 1,584,664 $59,073,268 $37.28
298 97113 Aquatic Therapy with Exercise 71,116 1,728,327 $57,787,697 $33.44
299 36906 Dialysis Access Clot Removal with Stent Placement 11,336 13,657 $57,522,379 $4,211.93
300 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 158,649 188,493 $57,508,969 $305.10
301 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 54,738 64,874 $57,471,184 $885.89
303 43235 Upper GI Endoscopy, Diagnostic 326,248 407,458 $57,407,222 $140.89
53 87086 Urine Culture, Quantitative 3,069,232 5,225,765 $56,373,211 $10.79
306 29881 Knee Arthroscopy with Meniscectomy 59,097 87,265 $56,133,798 $643.26
101 73630 Foot X-ray, Complete Series 1,782,150 2,794,406 $56,046,898 $20.06
309 36556 Non-Tunneled Central Line Placement, Age 5 and Over 386,306 461,191 $56,045,409 $121.52
310 67042 Vitrectomy with Internal Limiting Membrane Peel 27,241 45,187 $55,766,983 $1,234.14
182 94060 Spirometry, Pre- and Post-Bronchodilator 1,011,250 1,200,207 $54,412,433 $45.34
312 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 128,730 136,612 $54,396,293 $398.18
314 96401 Chemotherapy Injection Under the Skin or into Muscle 154,140 730,246 $53,858,944 $73.75
193 76942 Ultrasound Guidance for Needle Placement 937,788 1,207,305 $52,661,554 $43.62
317 77290 Complex Radiation Therapy Simulation 181,201 235,508 $52,258,617 $221.90
319 50590 Extracorporeal Shock Wave Lithotripsy 48,979 68,765 $52,070,628 $757.23
321 68761 Punctal Plug Insertion for Dry Eye 171,546 383,763 $51,892,806 $135.22
323 62321 Neck or Upper Back Epidural Injection with Imaging 141,508 280,853 $51,819,826 $184.51
326 93351 Stress Echocardiogram, Complete with Supervision 246,626 251,404 $51,751,468 $205.85
91 73030 Shoulder X-ray, Complete 1,975,592 2,780,655 $51,729,271 $18.60
328 33361 Transcatheter Aortic Valve Replacement, Femoral Puncture 31,509 58,653 $51,398,626 $876.32
333 97597 Selective Wound Debridement, Smaller Area 325,539 989,482 $51,062,088 $51.60
334 77280 Simple Radiation Therapy Simulation 155,442 317,422 $50,543,001 $159.23
336 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 11,816 15,018 $50,065,580 $3,333.70
110 82728 Ferritin Blood Test 1,675,852 2,735,797 $49,850,830 $18.22
339 64490 Neck or Mid-Back Facet Joint Injection, First Level 108,715 238,470 $49,474,117 $207.46
340 77523 Proton Beam Radiation Treatment, Intermediate Delivery 2,034 48,580 $49,403,796 $1,016.96
342 65778 Amniotic Membrane Placement on the Eye Surface 22,765 36,490 $49,334,038 $1,351.99
344 33405 — 22,226 35,430 $49,322,429 $1,392.11
345 72158 Low-Back MRI, Before and After Contrast 241,090 275,956 $48,863,321 $177.07
347 77338 Multi-Leaf Collimator Design for IMRT 114,896 148,150 $48,072,194 $324.48
349 35301 — 38,113 53,306 $47,613,932 $893.22
351 77263 Complex Radiation Therapy Treatment Planning 267,367 289,532 $47,411,673 $163.75
353 99183 Physician Supervision of Hyperbaric Oxygen Therapy 19,652 444,831 $47,376,935 $106.51
354 22514 Lumbar Vertebral Augmentation (Kyphoplasty) 24,734 27,065 $47,363,193 $1,749.98
356 00400 Anesthesia for Skin Surgery on Limbs and Trunk 247,804 398,189 $47,173,364 $118.47
358 64636 Lower Back Facet Nerve Ablation, Additional Joint 163,092 416,244 $47,005,990 $112.93
360 29880 Knee Arthroscopy, Meniscectomy Both Compartments 45,232 68,006 $46,471,793 $683.35
362 97116 Gait Training Therapy 239,734 2,105,353 $46,293,879 $21.99
363 26055 Trigger Finger Release (Tendon Sheath Incision) 70,888 135,438 $46,083,144 $340.25
365 78816 PET/CT Scan, Whole Body 54,934 74,051 $45,922,011 $620.14
367 67904 Droopy Eyelid Repair, External Levator Approach 31,293 66,579 $45,872,500 $688.99
370 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 38,282 39,904 $45,118,465 $1,130.68
371 00567 Anesthesia for On-Pump Coronary Bypass Surgery 53,153 66,318 $45,044,734 $679.22
374 96367 — 156,455 1,482,250 $44,923,969 $30.31
375 55700 Prostate Needle Biopsy Retired after Q4 2025 142,914 165,414 $44,891,095 $271.39
166 92557 Comprehensive Audiometry 1,100,221 1,194,352 $44,887,730 $37.58
379 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 269,229 314,259 $44,839,620 $142.68
246 88112 Non-Gynecologic Enhanced Cytology 693,695 1,070,264 $44,508,516 $41.59
381 10060 Incision and Drainage of Abscess, Simple 351,195 406,457 $44,124,602 $108.56
382 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 52,536 83,898 $43,998,867 $524.43
384 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 199,288 316,073 $43,998,567 $139.20
385 27096 Sacroiliac Joint Injection with Imaging Guidance 220,431 326,301 $43,992,763 $134.82
388 52601 TURP - Transurethral Prostate Resection 45,824 48,586 $43,587,019 $897.11
327 93923 Complete Arterial Circulation Study, Arms or Legs 420,513 500,462 $43,546,974 $87.01
188 76705 Limited Abdominal Ultrasound 974,883 1,136,350 $43,473,218 $38.26
392 77295 3D Conformal Radiotherapy Planning 132,269 153,041 $43,290,190 $282.87
394 76641 Complete Breast Ultrasound 324,123 489,985 $43,174,924 $88.11
397 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 109,352 542,993 $42,994,099 $79.18
399 98942 Chiropractic Spinal Manipulation, Five Regions 108,289 855,560 $42,978,825 $50.23
108 82746 Serum Folate Blood Test 1,683,415 2,176,868 $42,666,215 $19.60
112 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,616,304 2,026,561 $42,589,248 $21.02
401 22513 Thoracic Vertebral Augmentation (Kyphoplasty) 21,698 24,543 $42,551,494 $1,733.75
257 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 624,015 945,104 $42,509,173 $44.98
404 99348 Home Visit, Established Patient, Level 2 192,696 521,623 $42,385,184 $81.26
405 64494 Lower Back Facet Joint Injection, Second Level 304,815 468,689 $41,835,372 $89.26
409 11730 — 300,854 422,460 $41,259,795 $97.67
411 28285 Hammertoe Correction 46,321 102,584 $40,968,772 $399.37
413 49505 Inguinal Hernia Repair, Age 5 or Older 56,487 70,767 $40,885,072 $577.74
415 72197 Pelvis MRI, Before and After Contrast 149,905 169,288 $40,848,723 $241.30
308 11055 Paring of a Single Corn or Callus 464,835 902,164 $40,835,910 $45.26
128 51798 Post-Void Residual Urine, Ultrasound 1,369,973 2,106,421 $40,774,431 $19.36
361 99316 Nursing Facility Discharge Visit, Longer Session 376,731 416,314 $40,628,852 $97.59
420 31500 — 244,577 280,557 $40,399,020 $144.00
417 97535 Self-Care and Home Management Training 309,923 1,360,013 $40,306,500 $29.64
270 93922 Limited Arterial Circulation Study, Arms or Legs 578,012 698,462 $40,272,444 $57.66
423 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 159,400 248,479 $40,248,775 $161.98
163 73564 Complete Knee X-Ray, Four or More Views 1,108,900 1,497,663 $40,234,705 $26.86
426 00562 — 43,200 53,154 $39,931,783 $751.25
337 76830 Transvaginal Pelvic Ultrasound 411,733 474,324 $39,717,965 $83.74
427 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 213,477 270,614 $39,706,297 $146.73
429 65855 Laser Trabeculoplasty for Glaucoma 104,301 185,952 $39,269,600 $211.18
430 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 45,666 91,281 $39,081,832 $428.15
433 95816 EEG, Awake and Drowsy 264,269 292,956 $39,052,736 $133.31
357 92235 Fluorescein Angiography of the Retina 385,307 492,983 $39,016,100 $79.14
436 19301 Partial Mastectomy (Lumpectomy) 51,501 62,675 $38,737,203 $618.06
228 84403 Total Testosterone Blood Test 741,772 1,115,347 $38,215,913 $34.26
440 90962 — 88,914 210,977 $38,108,242 $180.63
441 95819 EEG Recording Both Awake and Asleep 209,480 227,950 $38,043,298 $166.89
132 73560 Basic Knee X-Ray, One or Two Views 1,346,886 1,986,207 $37,816,203 $19.04
295 20550 Tendon Sheath, Ligament, or Fascia Injection 499,035 806,387 $37,462,456 $46.46
266 76642 Limited Breast Ultrasound 594,878 734,717 $37,216,559 $50.65
445 36558 — 111,922 131,334 $37,200,636 $283.25
197 94010 Spirometry 922,824 1,268,030 $37,101,042 $29.26
448 00910 Anesthesia for Transurethral Bladder Procedures 222,571 380,544 $36,890,369 $96.94
451 88377 — 65,489 160,943 $36,830,134 $228.84
186 94729 Gas Diffusing Capacity Test (DLCO) 995,893 1,086,768 $36,702,480 $33.77
453 95911 Nerve Conduction Studies, 9-10 Studies 163,059 169,395 $36,693,564 $216.62
454 01844 — 90,257 171,219 $36,318,143 $212.12
457 01230 Anesthesia for Upper Thigh Bone Surgery 119,845 169,945 $35,983,471 $211.74
443 88331 — 275,681 502,330 $35,862,622 $71.39
459 37221 — Retired after Q4 2025 30,136 34,052 $35,854,787 $1,052.94
463 45384 — 104,967 142,860 $35,762,829 $250.33
465 19083 Breast Needle Biopsy with Ultrasound Guidance 106,991 110,681 $35,759,676 $323.09
332 76856 Complete Pelvic Ultrasound, Non-Pregnancy 414,043 482,649 $35,709,439 $73.99
466 43249 Upper Endoscopy with Esophageal Balloon Dilation 99,067 144,560 $35,704,018 $246.98
468 01992 — 148,050 308,129 $35,575,363 $115.46
380 70498 CT Angiogram of the Neck 352,560 379,250 $35,381,964 $93.29
472 01922 Anesthesia for Imaging or Radiation Therapy 141,339 217,048 $35,201,693 $162.18
473 88360 Manual Scoring of Tumor Immunostain 184,735 468,673 $35,012,965 $74.71
446 93312 Transesophageal Heart Ultrasound, Complete Service 271,839 316,525 $34,696,273 $109.62
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
481 00630 — 91,888 135,288 $34,173,979 $252.60
482 77373 Stereotactic Body Radiation Therapy Delivery 5,460 25,619 $34,112,331 $1,331.52
297 70486 CT Scan of Sinuses and Facial Bones 496,373 540,611 $34,054,015 $62.99
484 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 187,836 218,260 $33,984,457 $155.71
485 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 72,622 109,800 $33,912,656 $308.86
400 70496 CT Angiogram of the Head 327,808 356,011 $33,715,197 $94.70
488 93460 — 88,263 89,444 $33,702,711 $376.80
467 88173 Fine Needle Aspiration Interpretation 261,847 372,531 $33,199,831 $89.12
462 77002 Fluoroscopic Guidance for Needle Placement 265,063 481,484 $33,151,235 $68.85
490 43248 — 98,511 159,327 $33,093,306 $207.71
492 00320 — 106,388 166,037 $33,033,447 $198.95
111 87186 Antibiotic Susceptibility Panel, MIC 1,648,151 2,885,152 $32,887,099 $11.40
494 22840 Posterior Spinal Instrumentation, Non-Segmental 39,983 64,565 $32,835,763 $508.57
496 47563 — 42,286 51,349 $32,423,584 $631.44
416 99304 Initial Nursing Facility Visit, Level 1 316,178 359,501 $32,337,249 $89.95
498 01630 — 117,273 166,326 $32,329,974 $194.38
500 37226 — Retired after Q4 2025 23,603 26,184 $32,280,922 $1,232.85
504 25609 Open Repair of Complex Distal Radius Fracture 16,705 25,111 $31,712,013 $1,262.87
486 86235 Extractable Nuclear Antigen Antibody 242,278 1,350,899 $31,554,496 $23.36
507 63030 — 27,680 44,073 $31,447,072 $713.52
57 82570 Creatinine, Non-Blood Sample 3,027,969 4,556,620 $31,332,061 $6.88
509 67108 Retinal Detachment Repair by Vitrectomy 15,930 25,702 $31,180,072 $1,213.14
510 91110 Capsule Endoscopy, Esophagus Through Ileum 51,279 53,279 $31,023,603 $582.29
512 63048 — 76,310 210,337 $30,879,058 $146.81
514 64561 Sacral Nerve Stimulator Electrode Placement 8,607 14,359 $30,852,895 $2,148.68
518 96375 — 179,008 1,413,451 $30,700,364 $21.72
313 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 446,301 492,376 $30,685,980 $62.32
35 81001 Urinalysis, Automated with Microscopy 4,532,007 7,230,786 $30,667,753 $4.24
521 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 186,857 219,392 $30,500,013 $139.02
522 20680 — 51,270 71,282 $30,307,837 $425.18
525 13101 Complex Wound Repair of the Trunk (Mid-Length) 83,559 95,320 $29,826,596 $312.91
529 92941 — 43,564 44,940 $29,719,056 $661.31
292 36620 Arterial Line Placement, Percutaneous 517,030 574,842 $29,708,199 $51.68
531 65756 Endothelial Corneal Transplant 12,093 24,088 $29,704,293 $1,233.16
81 85027 Complete Blood Count, Automated, No Differential 2,266,179 3,466,305 $29,650,431 $8.55
195 84481 Free Triiodothyronine (T3) Blood Test 928,585 1,355,051 $29,575,209 $21.83
535 99236 — 131,992 138,656 $29,517,955 $212.89
538 93459 — 95,267 101,517 $29,330,042 $288.92
539 27487 Total Knee Replacement Revision, Both Components 15,576 24,742 $29,224,880 $1,181.19
497 64484 — 230,395 392,698 $28,906,121 $73.61
414 93224 — 317,264 339,350 $28,501,738 $83.99
546 95910 Nerve Conduction Studies, 7-8 Studies 156,735 161,072 $28,453,291 $176.65
387 97164 Physical Therapy Re-evaluation 342,919 521,225 $28,310,238 $54.31
105 83735 Magnesium Blood Level 1,716,990 3,156,643 $28,210,615 $8.94
552 10061 — 128,146 151,705 $28,113,758 $185.32
555 52332 Cystoscopy with Ureteral Stent Placement 100,610 142,565 $27,721,306 $194.45
557 01810 — 184,927 280,754 $27,713,678 $98.71
220 72110 Lower Back (Lumbar) Spine X-ray, Full Series 818,955 915,369 $27,588,878 $30.14
562 11750 — 157,270 208,051 $27,363,143 $131.52
534 72146 Mid-Back MRI, No Contrast Dye 205,291 230,414 $26,959,883 $117.01
452 70544 — 267,386 284,249 $26,597,270 $93.57
431 97163 Physical Therapy Evaluation, High Complexity 297,312 319,712 $25,958,232 $81.19
118 83550 Iron Binding Capacity Blood Test 1,434,109 2,262,131 $25,928,749 $11.46
67 82043 Urine Microalbumin, Quantitative 2,751,269 3,644,596 $25,562,570 $7.01
115 87088 Urine Culture with Isolate Identification 1,514,062 2,394,340 $25,507,098 $10.65
203 73610 Full Ankle X-Ray Series 893,225 1,334,086 $24,903,686 $18.67
99 83540 Serum Iron Level 1,798,157 2,882,491 $24,797,203 $8.60
283 76775 Limited Retroperitoneal Ultrasound 542,016 610,258 $24,638,150 $40.37
502 70491 CT Scan of Neck Soft Tissue with Contrast 224,213 275,080 $24,629,206 $89.53
366 97035 — 371,036 2,386,202 $24,585,823 $10.30
169 93016 Cardiac Stress Test, Supervision Only 1,088,214 1,117,793 $24,217,931 $21.67
226 92020 Gonioscopy, Exam of the Eye's Drainage Angle 773,890 883,681 $23,808,177 $26.94
204 73130 Full Hand X-Ray Series 870,599 1,231,717 $22,493,723 $18.26
238 73110 Full Wrist X-Ray Series 715,489 1,086,472 $22,458,791 $20.67
130 87077 Definitive Identification of Cultured Isolate 1,351,062 2,155,899 $22,255,488 $10.32
263 94726 Lung Volume Testing by Body Plethysmography 607,244 652,929 $21,119,550 $32.35
480 78306 — 245,927 283,309 $20,829,901 $73.52
410 20605 Intermediate Joint Injection or Aspiration 322,110 455,208 $20,464,765 $44.96
210 88304 Surgical Pathology Exam, Level III 857,634 1,034,614 $19,538,611 $18.88
471 73700 CT Scan of Leg or Foot, No Contrast 257,717 293,999 $19,158,401 $65.16
140 93018 Cardiac Stress Test, Interpretation and Report Only 1,268,538 1,306,663 $19,052,901 $14.58
393 83861 — 334,836 855,455 $18,936,151 $22.14
475 99315 — 253,031 275,491 $18,899,487 $68.60
45 81003 Urinalysis, Automated without Microscopy 3,892,857 6,279,567 $18,814,308 $3.00
239 84165 Serum Protein Electrophoresis (SPEP) 714,239 1,141,546 $18,369,218 $16.09
537 93926 — 200,368 262,802 $18,041,581 $68.65
493 20552 Trigger Point Injection, One or Two Muscles 235,560 377,184 $17,752,894 $47.07
320 86334 Serum Immunofixation Electrophoresis 429,501 702,493 $17,707,354 $25.21
261 87804 Rapid Influenza Antigen Test 610,727 1,122,531 $17,177,799 $15.30
513 92002 — 219,210 221,698 $17,117,896 $77.21
455 20600 Arthrocentesis, Small Joint 267,381 404,998 $16,816,404 $41.52
558 76872 — 190,161 219,161 $16,763,297 $76.49
403 99282 — 324,359 380,222 $15,041,048 $39.56
278 84480 Total Triiodothyronine (T3) Blood Test 563,898 783,603 $14,699,603 $18.76
142 86140 C-Reactive Protein, Standard 1,235,611 2,140,922 $14,609,744 $6.82
469 82378 — 261,198 568,978 $14,458,127 $25.41
241 86803 Hepatitis C Antibody Test 710,132 763,044 $14,392,978 $18.86
280 72040 Neck (Cervical) Spine X-ray, Limited Views 553,570 693,450 $13,963,699 $20.14
232 72170 Basic Pelvis X-Ray 729,614 842,186 $13,386,676 $15.90
315 73620 Foot X-ray, Two Views 444,888 665,450 $13,335,347 $20.04
160 80076 Liver Function Blood Panel 1,109,397 1,758,340 $13,122,952 $7.46
437 93308 Limited or Follow-Up Heart Ultrasound 285,945 349,931 $12,966,955 $37.06
75 81002 Manual Urinalysis, Dipstick Only 2,469,380 3,821,898 $12,911,553 $3.38
172 84436 Total Thyroxine (T4) Blood Test 1,055,429 1,419,685 $12,862,182 $9.06
247 86038 Antinuclear Antibody Screen 689,070 790,553 $12,779,752 $16.17
516 83704 — 218,388 297,575 $12,395,967 $41.66
551 77012 — 191,881 207,154 $12,380,237 $59.76
95 84550 Uric Acid Blood Test 1,961,173 3,200,957 $12,184,303 $3.81
464 87624 High-Risk HPV DNA Test 264,885 272,101 $12,167,728 $44.72
402 74230 Swallowing Study with Video X-ray 325,484 384,965 $11,979,074 $31.12
390 94727 Lung Volume Testing by Gas Dilution or Washout 338,453 364,361 $11,899,054 $32.66
231 92567 Eardrum Movement Test (Tympanometry) 734,366 829,671 $11,803,351 $14.23
359 72050 Neck (Cervical) Spine X-ray, Extended Views 381,381 422,007 $11,726,412 $27.79
255 83721 Direct LDL Cholesterol Measurement 628,616 913,901 $11,556,039 $12.64
505 82670 Estradiol Blood Test 223,860 310,240 $11,440,459 $36.88
302 94640 Inhalation Treatment for Airway Obstruction 490,441 658,675 $11,398,207 $17.30
368 80305 Presumptive Drug Screen, Visually Read 368,054 825,812 $11,316,289 $13.70
495 84402 Free Testosterone Blood Test 233,594 314,592 $10,666,474 $33.91
286 80069 Renal Function Panel 522,647 1,029,895 $10,595,190 $10.29
285 76937 Ultrasound Guidance for Vascular Access 523,986 670,278 $10,585,791 $15.79
543 83883 — 196,138 582,505 $10,361,307 $17.79
391 83516 — 338,242 693,284 $10,225,311 $14.75
377 93227 — 358,954 387,351 $10,186,018 $26.30
523 83520 Quantitative Immunoassay, Substance Not Otherwise Specified 212,672 577,115 $10,020,556 $17.36
378 11719 — 356,578 963,083 $9,971,109 $10.35
395 77001 — 330,869 414,527 $9,768,553 $23.57
412 84154 Free PSA Blood Test 319,841 394,933 $9,732,538 $24.64
277 87880 Rapid Strep A Antigen Test 564,364 635,281 $9,625,048 $15.15
408 93320 Full Doppler Flow Measurement with Heart Ultrasound 322,396 351,978 $9,574,586 $27.20
338 86141 High-Sensitivity C-Reactive Protein 408,674 549,274 $9,537,776 $17.36
329 82274 Fecal Immunochemical Test for Blood 420,364 451,650 $9,387,496 $20.78
289 88311 Decalcification of Tissue for Sectioning 521,368 653,840 $9,139,179 $13.98
264 87070 Bacterial Culture, Other Source 606,325 761,925 $8,802,405 $11.55
563 88108 — 189,224 268,031 $8,418,518 $31.41
159 82550 Total Creatine Kinase Blood Test 1,120,114 1,717,358 $8,374,892 $4.88
355 73552 Thigh Bone X-Ray 387,649 562,538 $8,372,280 $14.88
428 73140 Finger X-Ray 298,494 399,718 $8,141,910 $20.37
491 73565 — 236,648 272,922 $8,063,048 $29.54
449 83090 Homocysteine Blood Test 270,533 345,835 $7,834,279 $22.65
536 76882 Limited Ultrasound of an Arm or Leg 205,114 263,306 $7,685,954 $29.19
406 86376 Thyroid Microsomal Antibody 323,022 387,315 $7,498,311 $19.36
520 83921 — 214,069 341,719 $7,466,983 $21.85
424 90471 Immunization Administration, First 302,434 323,607 $7,435,163 $22.98
135 85652 Erythrocyte Sedimentation Rate, Automated 1,299,452 2,038,347 $7,353,765 $3.61
233 83615 Lactate Dehydrogenase (LDH) Blood Test 718,419 1,721,431 $7,309,583 $4.25
383 99406 Smoking Cessation Counseling, Intermediate 348,926 541,348 $7,267,625 $13.43
184 81000 Manual Urinalysis with Microscopy 1,003,443 1,712,853 $7,236,128 $4.22
389 74022 — 342,550 415,213 $7,213,793 $17.37
343 73590 Lower Leg X-Ray 403,401 536,494 $7,060,857 $13.16
515 94762 — 218,562 242,968 $7,030,855 $28.94
201 84460 ALT (Alanine Aminotransferase) Blood Test 908,550 1,785,447 $6,914,410 $3.87
419 92285 External Photography of the Eye and Lids 309,351 375,770 $6,864,518 $18.27
311 76514 Corneal Thickness Measurement by Ultrasound 458,520 490,163 $6,857,625 $13.99
553 88175 — 191,075 200,370 $6,849,223 $34.18
434 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 291,463 339,992 $6,812,301 $20.04
272 84479 Thyroid Hormone Uptake Test 571,369 769,715 $6,516,580 $8.47
398 73080 Full Elbow X-Ray Series 328,395 404,858 $6,502,753 $16.06
487 86800 Thyroglobulin Antibody 241,476 305,614 $6,432,983 $21.05
215 82947 Glucose, Quantitative (Blood) 836,386 1,613,202 $6,295,452 $3.90
548 73100 — 194,007 317,491 $6,203,646 $19.54
438 73501 — 285,712 360,215 $6,202,541 $17.22
533 82533 Total Cortisol Blood Test 207,479 282,454 $6,156,446 $21.80
432 71101 Rib X-ray, One Side, with Chest View 293,369 323,357 $5,910,766 $18.28
373 51741 Complex Urine Flow Study 360,440 468,088 $5,883,841 $12.57
154 82565 Creatinine, Blood 1,129,568 1,757,128 $5,815,860 $3.31
202 84100 Phosphorus (Inorganic Phosphate) Blood Test 897,338 1,716,190 $5,430,391 $3.16
236 82962 Blood Sugar Check with Handheld Glucose Meter 715,825 1,757,135 $5,384,243 $3.06
499 92550 — 228,652 246,617 $5,361,249 $21.74
444 86200 Cyclic Citrullinated Peptide Antibody 272,252 303,305 $5,248,662 $17.30
442 73060 Upper Arm Bone X-Ray 275,854 375,478 $5,231,943 $13.93
561 73120 — 189,507 300,111 $5,173,966 $17.24
545 73600 — 194,898 270,432 $5,022,884 $18.57
508 86225 Double-Stranded DNA Antibody 222,128 272,768 $5,005,215 $18.35
250 85651 Erythrocyte Sedimentation Rate, Manual 647,366 1,055,409 $5,000,309 $4.74
275 84156 Total Protein Measurement, Urine 567,146 974,831 $4,781,691 $4.91
517 83525 Total Insulin Blood Test 217,714 302,428 $4,615,075 $15.26
288 86431 Rheumatoid Factor, Quantitative 522,131 604,346 $4,590,483 $7.60
559 84466 Transferrin Blood Test 189,574 271,461 $4,501,635 $16.58
352 83690 Lipase Blood Test 392,237 495,081 $4,493,275 $9.08
425 87340 Hepatitis B Surface Antigen Test 301,067 324,942 $4,410,137 $13.57
369 82150 Amylase Blood Test 366,252 477,871 $4,145,536 $8.68
307 93325 Color Flow Mapping with Heart Ultrasound 470,382 544,560 $4,107,456 $7.54
376 85730 Partial Thromboplastin Time (PTT) Blood Test 360,199 504,494 $4,052,842 $8.03
540 71100 — 197,709 227,189 $4,024,581 $17.71
350 93005 Electrocardiogram, Tracing Only 393,941 454,938 $3,678,964 $8.09
501 86706 — 225,951 240,681 $3,448,962 $14.33
547 72072 — 194,808 210,422 $3,323,762 $15.80
530 76376 3D Image Reconstruction and Interpretation 209,946 245,142 $3,316,154 $13.53
526 73090 — 210,443 256,368 $3,081,440 $12.02
331 82044 — 416,370 542,058 $2,852,892 $5.26
214 82248 Direct Bilirubin Blood Test 837,436 1,277,124 $2,817,351 $2.21
528 93042 — 210,359 374,155 $2,719,692 $7.27
229 84450 AST (Aspartate Aminotransferase) Blood Test 735,591 1,142,365 $2,710,620 $2.37
341 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 404,393 685,909 $2,468,181 $3.60
460 85045 Automated Reticulocyte Count 266,187 366,568 $1,962,437 $5.35
458 87205 — 266,324 342,215 $1,887,827 $5.52
253 84520 Urea Nitrogen (BUN) 635,653 945,043 $1,862,912 $1.97
335 82310 Total Calcium Blood Test 413,938 591,449 $1,793,324 $3.03
364 84132 Potassium Blood Level 373,877 560,659 $1,777,946 $3.17
422 85018 — 305,047 552,316 $1,739,781 $3.15
346 82270 — 397,430 398,259 $1,716,696 $4.31
447 80051 — 271,085 401,744 $1,713,712 $4.27
318 84155 Total Protein, Blood 432,852 588,555 $1,684,980 $2.86
483 86592 — 244,849 279,900 $1,598,501 $5.71
372 82040 Blood Albumin Test 364,428 556,574 $1,111,838 $2.00
556 88300 — 190,819 215,309 $1,103,065 $5.12
396 84075 Total Alkaline Phosphatase Blood Test 330,131 484,116 $809,744 $1.67
450 82247 Total Bilirubin Blood Test 269,749 445,052 $690,819 $1.55
519 84295 — 215,275 333,609 $624,508 $1.87

Beneficiary counts apply to one code at a time. A patient who received two of these codes is counted under both, so the column cannot be added up into a number of people. Rank is each code's position among all 7,809 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?

Spending concentrates hard. The top 25 codes carry 57.2% of the $79.8B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $10.2B
  2. 2 99213 Established Patient Office Visit, Level 3 $6.6B
  3. 3 99232 Subsequent Hospital Care, Level 2 $3.4B
  4. 4 99233 Subsequent Hospital Care, Level 3 $2.4B
  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 97110 Therapeutic Exercise, 15 Minutes $1.5B
  10. 10 92014 Comprehensive Eye Exam, Established Patient $1.5B

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
82565 Creatinine, Blood
By beneficiaries
#101
By allowed dollars
#456
Per service
$3.31
Few patients, lots of money
37227 Thigh Artery Stent with Atherectomy
By beneficiaries
#491
By allowed dollars
#73
Per service
$9,100.87

What this data covers — and what it doesn't

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.

7 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

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.

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