localis
Sign up

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

Medicare's 500 most-billed CPT codes of 2018

In CY2018 Medicare paid $82.8B across these 500 CPT codes. 99214 (Long Follow-Up Office Visit) leads every measure: 26.9M beneficiaries and $10.4B 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
$82.8B
Total Medicare allowed dollars
Services
1.3B
Times these codes were billed
Top 25
55.5%
Share of the allowed dollars
Vintage
CY2018
Medicare fee-for-service only

All 500 codes, ranked Copy link

Sorted by services. Every code links to its full rate breakdown.

Sort by: Overall rank Beneficiaries Services Allowed dollars Allowed per service
# Code What it is Beneficiaries Services Allowed Per service
1 99214 Long Follow-Up Office Visit 26,949,071 104,080,189 $10,442,500,177 $100.33
2 99213 Routine Follow-Up Office Visit 25,871,603 94,752,915 $6,445,696,625 $68.03
17 97110 Physical Therapy Exercises 2,755,681 56,540,325 $1,454,091,958 $25.72
3 36415 Blood Draw 17,479,861 49,017,431 $143,684,566 $2.93
4 99232 Daily Hospital Visit 4,725,874 45,859,810 $3,299,004,026 $71.94
8 85025 Blood Cell Count With Differential 13,276,134 29,535,076 $276,759,560 $9.37
5 80053 Full Metabolic Blood Panel 14,372,936 28,898,908 $368,239,730 $12.74
34 97140 Hands-On Physical Therapy 2,079,584 27,726,923 $616,951,795 $22.25
6 99233 Extended Daily Hospital Visit 3,614,130 23,798,637 $2,469,131,532 $103.75
22 88305 Biopsy Tissue Examination 7,736,177 19,769,227 $972,057,343 $49.17
16 93010 Heart Tracing Reading 8,534,683 19,358,267 $164,073,785 $8.48
9 80061 Cholesterol Blood Panel 12,638,541 19,185,601 $309,907,968 $16.15
65 17003 Additional Premalignant Skin Lesion Destruction 2,965,648 18,623,944 $92,926,119 $4.99
31 71045 Chest X-Ray, One View 5,921,504 16,449,964 $155,308,301 $9.44
36 97530 Daily-Activity Therapy 1,198,567 15,940,574 $578,086,827 $36.27
11 84443 Thyroid Blood Test 10,002,759 15,146,340 $307,460,276 $20.30
19 83036 Average Blood Sugar Test 8,165,319 14,893,203 $174,339,286 $11.71
47 97112 Balance and Coordination Therapy 1,254,406 14,640,554 $456,441,191 $31.18
42 98941 Chiropractic Spinal Manipulation, Multiple Regions 1,388,296 13,306,097 $516,278,688 $38.80
13 92014 Full Eye Exam, Returning Patient 9,615,965 12,367,726 $1,527,677,628 $123.52
21 71046 Chest X-Ray, Two Views 7,881,440 11,927,105 $178,680,790 $14.98
26 99212 Brief Follow-Up Office Visit 6,718,012 11,696,461 $472,455,046 $40.39
23 93000 Heart Tracing 7,594,078 11,649,812 $197,380,895 $16.94
12 99285 Emergency Visit, Highest Urgency 6,764,786 11,539,869 $1,976,518,844 $171.28
15 99203 New Patient Office Visit 9,067,326 11,291,463 $1,143,916,334 $101.31
28 99308 Nursing Home Visit 1,948,401 11,038,926 $721,030,477 $65.32
10 99223 Extended Hospital Admission Visit 4,343,825 10,636,646 $2,137,747,269 $200.98
329 95004 — 189,274 10,486,373 $54,700,044 $5.22
14 99204 Long New Patient Office Visit 8,252,190 10,392,566 $1,622,274,160 $156.10
18 99215 Longest Follow-Up Office Visit 5,817,604 10,205,100 $1,373,052,799 $134.55
127 85610 Prothrombin Time Test 1,371,920 10,039,226 $47,563,655 $4.74
7 66984 Cataract Surgery 1,268,766 10,000,733 $2,254,249,127 $225.41
27 99309 Extended Nursing Home Visit 1,848,573 9,469,404 $807,379,887 $85.26
63 96372 Therapeutic Injection Administration 2,971,065 9,450,627 $182,854,921 $19.35
25 93306 Heart Ultrasound 6,428,186 7,477,263 $883,689,992 $118.18
218 95165 Allergen Immunotherapy Preparation 198,821 7,445,088 $92,162,306 $12.38
74 99231 Subsequent Hospital Care, Level 1 1,888,278 7,289,568 $278,441,137 $38.20
37 81001 Urine Test With Microscope Exam 4,530,889 7,180,967 $27,478,616 $3.83
40 80048 Basic Metabolic Blood Panel 4,056,212 7,173,776 $73,131,883 $10.19
69 11721 Debridement of Multiple Nails 2,614,005 7,064,201 $310,064,504 $43.89
56 92134 Retina Scan 3,116,923 7,040,189 $285,383,386 $40.54
24 99222 Hospital Admission Visit 3,353,237 6,614,984 $893,904,097 $135.13
38 92012 Established Patient Eye Examination, Intermediate 3,636,758 6,604,045 $575,858,759 $87.20
35 82306 Vitamin D Blood Test 4,725,265 6,440,793 $230,216,382 $35.74
45 81003 Automated Urinalysis 3,892,655 6,302,721 $16,988,922 $2.70
29 77067 Screening Mammogram 6,035,824 6,290,999 $434,126,575 $69.01
30 90837 Extended Therapy Session 570,625 5,857,221 $650,697,278 $111.09
43 17000 Precancerous Skin Spot Removal 3,959,838 5,841,313 $298,829,648 $51.16
139 98940 Chiropractic Spinal Manipulation 779,145 5,816,213 $159,353,512 $27.40
46 70450 Head CT Without Contrast 3,855,558 5,772,359 $253,993,939 $44.00
20 99291 Critical Care 1,856,770 5,744,021 $1,278,931,740 $222.65
62 20610 Major Joint Injection or Aspiration 2,865,450 5,740,675 $341,002,914 $59.40
32 99284 Emergency Visit, High Urgency 4,024,568 5,640,301 $643,409,580 $114.07
52 84439 Free T4 Thyroid Test 3,520,417 5,236,676 $56,978,947 $10.88
59 87086 Urine Culture 3,054,085 5,164,439 $50,318,285 $9.74
41 99239 Extended Hospital Discharge Visit 3,373,438 5,022,126 $533,827,933 $106.30
53 90834 Standard Therapy Session 618,988 4,995,351 $380,896,875 $76.25
57 82570 Urine Creatinine Test 3,085,103 4,621,932 $28,828,282 $6.24
133 99490 Chronic Care Management 899,389 4,154,006 $168,851,844 $40.65
61 82607 Vitamin B12 Laboratory Test 3,049,741 4,011,042 $73,007,863 $18.20
49 77063 3D Screening Mammogram 3,651,015 3,796,343 $141,413,097 $37.25
70 82043 Urine Albumin Test 2,783,747 3,697,386 $25,750,167 $6.96
80 81002 Manual Urinalysis 2,321,876 3,584,893 $12,147,019 $3.39
81 85027 Blood Cell Count 2,303,817 3,492,182 $27,241,509 $7.80
68 92250 Fundus Photography 2,828,515 3,368,029 $183,659,418 $54.53
55 74177 Abdomen and Pelvis CT With Contrast 2,465,772 3,309,513 $372,909,418 $112.68
58 67028 Intravitreal Medication Injection 643,357 3,290,909 $354,846,641 $107.83
83 84153 Prostate-Specific Antigen Test 2,277,319 3,270,257 $72,577,835 $22.19
106 83735 Magnesium Laboratory Test 1,765,883 3,248,247 $26,224,939 $8.07
155 99211 Established Patient Office Visit, Level 1 1,176,812 3,226,306 $65,836,939 $20.41
97 80307 Presumptive Drug Screening 1,220,366 3,185,939 $222,149,306 $69.73
96 84550 Uric Acid Laboratory Test 1,938,361 3,134,755 $17,056,592 $5.44
85 99283 Emergency Department Visit, Level 3 2,257,614 2,988,447 $177,819,499 $59.50
71 92083 Comprehensive Visual Field Examination 2,540,219 2,979,198 $183,929,967 $61.74
102 83540 Iron Laboratory Test 1,848,528 2,974,569 $23,209,098 $7.80
115 87186 Antimicrobial Susceptibility Testing 1,643,706 2,907,807 $30,375,588 $10.45
39 99205 Longest New Patient Office Visit 2,553,569 2,880,555 $563,296,422 $195.55
103 73630 Foot Radiograph 1,810,788 2,853,505 $58,073,760 $20.35
92 73030 Shoulder Radiograph 2,013,236 2,851,343 $53,755,487 $18.85
91 73502 Hip and Pelvis Radiograph 2,045,071 2,843,411 $64,943,880 $22.84
110 82728 Ferritin Laboratory Test 1,728,019 2,835,529 $46,624,249 $16.44
89 99238 Hospital Discharge Visit 2,088,104 2,773,276 $198,567,508 $71.60
77 92133 Optic Nerve Imaging by Optical Coherence Tomography 2,395,248 2,700,003 $95,974,617 $35.55
73 77080 Central Bone Density Study 2,514,566 2,617,150 $64,930,245 $24.81
76 99202 New Patient Office Visit, Level 2 2,441,644 2,566,988 $177,111,106 $69.00
112 73562 Knee Radiograph 1,722,198 2,512,684 $60,964,748 $24.26
200 99307 Subsequent Nursing Facility Care, Level 1 827,427 2,499,618 $106,691,712 $42.68
118 87088 Urine Culture Identification 1,513,754 2,389,109 $23,336,276 $9.77
94 74176 Abdomen and Pelvis CT Without Contrast 1,852,369 2,351,903 $227,417,107 $96.69
72 93880 Carotid Artery Duplex Study 2,131,002 2,349,522 $283,258,154 $120.56
119 83550 Iron-Binding Capacity Test 1,484,025 2,349,520 $24,751,746 $10.53
158 90832 Brief Therapy Session 398,957 2,346,373 $136,306,721 $58.09
86 17110 Destruction of Benign Skin Lesions 1,750,334 2,334,101 $241,014,164 $103.26
104 71250 Chest CT Without Contrast 1,806,932 2,314,034 $176,954,638 $76.47
320 97116 Gait Training 258,727 2,307,974 $56,045,017 $24.28
66 92004 New Patient Eye Examination, Comprehensive 2,136,626 2,239,682 $325,145,939 $145.18
33 90960 Monthly Dialysis Care, Frequent Visits 305,257 2,239,550 $633,460,774 $282.85
138 74018 Abdominal Radiograph 1,297,612 2,238,366 $25,836,491 $11.54
141 86140 C-Reactive Protein Test 1,285,100 2,225,599 $13,878,580 $6.24
195 84460 Alanine Aminotransferase Test 936,320 2,206,369 $14,009,261 $6.35
113 82746 Folate Laboratory Test 1,688,767 2,191,744 $38,924,036 $17.76
398 97035 — 339,067 2,179,850 $23,323,673 $10.70
129 87077 Microorganism Identification From Culture 1,369,200 2,173,672 $21,171,120 $9.74
121 88342 Immunohistochemistry Study, Initial Antibody 1,455,547 2,170,104 $130,950,208 $60.34
217 92226 — Retired after Q4 2019 819,215 2,159,307 $64,595,533 $29.91
126 51798 Bladder Residual Urine Measurement 1,374,919 2,110,158 $33,577,531 $15.91
132 85652 Erythrocyte Sedimentation Rate Test 1,332,851 2,110,134 $6,854,400 $3.25
98 00142 Anesthesia for Lens Surgery 1,072,201 2,105,094 $215,075,009 $102.17
209 11720 Debridement of Nails 854,579 2,098,612 $67,914,179 $32.36
182 11056 Paring of Multiple Benign Foot Lesions 817,522 2,050,123 $118,410,094 $57.76
116 72100 Lumbar Spine Radiograph 1,592,361 1,995,960 $42,219,797 $21.15
67 43239 Upper Gastrointestinal Endoscopy With Tissue Sampling 1,340,247 1,951,789 $321,793,609 $164.87
135 73560 Limited Knee Radiograph Study 1,303,927 1,923,203 $36,531,680 $19.00
142 11042 Subcutaneous Tissue Wound Debridement 484,384 1,909,637 $155,014,648 $81.17
128 71260 Chest CT With Contrast 1,369,202 1,903,664 $137,944,289 $72.46
306 88185 — 84,080 1,886,931 $59,470,972 $31.52
44 78452 Myocardial Perfusion Imaging 1,803,448 1,884,355 $487,514,746 $258.72
162 92136 Ophthalmic Biometry for Intraocular Lens Planning 1,125,741 1,861,429 $98,266,989 $52.79
82 96413 Intravenous Antineoplastic Infusion Administration 247,046 1,835,159 $254,515,406 $138.69
122 93971 Unilateral Extremity Venous Duplex Study 1,426,423 1,822,445 $92,639,837 $50.83
156 82565 Blood Creatinine Test 1,162,112 1,820,616 $11,162,973 $6.13
123 99221 Initial Hospital Care, Level 1 1,326,842 1,804,498 $178,946,690 $99.17
331 97113 — 69,561 1,736,240 $54,667,095 $31.49
196 84100 Phosphorus Laboratory Test 910,290 1,733,774 $9,806,133 $5.66
124 93970 Bilateral Extremity Venous Duplex Study 1,402,391 1,686,776 $155,128,884 $91.97
247 82962 — 694,046 1,673,835 $5,311,519 $3.17
244 83615 Lactate Dehydrogenase Test 695,560 1,645,230 $11,905,521 $7.24
117 00731 Anesthesia for Upper Gastrointestinal Endoscopy 1,048,990 1,643,725 $183,371,516 $111.56
171 82550 Creatine Kinase Test 1,068,738 1,636,962 $12,837,514 $7.84
366 97535 Self-Care and Home Management Training 352,625 1,627,724 $47,697,710 $29.30
179 80076 Hepatic Function Panel 1,035,022 1,627,671 $16,017,321 $9.84
208 88312 Special Stain for Microorganisms 845,126 1,590,838 $102,575,120 $64.48
153 69210 Impacted Earwax Removal 1,199,909 1,563,596 $69,799,101 $44.64
251 88313 Special Histochemical Stain 681,802 1,563,388 $58,351,391 $37.32
160 73564 Complete Knee Radiograph Study 1,151,178 1,558,473 $42,158,351 $27.05
219 82947 — 818,597 1,520,463 $7,149,338 $4.70
60 45380 Colonoscopy With Tissue Sampling 1,044,867 1,505,990 $344,546,632 $228.78
108 72148 Lumbar Spine MRI Without Contrast 1,308,469 1,502,286 $190,127,043 $126.56
205 81000 — 882,351 1,499,905 $5,871,678 $3.91
114 99310 Subsequent Nursing Facility Care, Level 4 589,987 1,479,926 $184,529,075 $124.69
78 99220 — Retired after Q4 2022 1,242,735 1,476,114 $269,499,450 $182.57
75 66821 Laser Treatment of the Posterior Lens Capsule 528,599 1,474,473 $272,769,337 $184.99
231 87804 Influenza Antigen Test 761,680 1,433,917 $22,997,983 $16.04
191 84481 Free Triiodothyronine Test 975,428 1,431,142 $29,235,535 $20.43
480 86235 — 253,017 1,427,574 $30,564,868 $21.41
143 99497 Advance Care Planning 1,246,957 1,413,698 $114,098,037 $80.71
147 00811 Anesthesia for Lower Gastrointestinal Endoscopy 1,082,018 1,413,638 $151,023,563 $106.83
146 99217 — Retired after Q4 2022 1,239,014 1,412,809 $100,462,223 $71.11
151 76770 Complete Retroperitoneal Ultrasound 1,203,663 1,390,385 $84,376,828 $60.69
292 77300 — 262,442 1,387,128 $62,929,102 $45.37
93 99306 Initial Nursing Facility Care, Level 3 1,035,386 1,384,432 $228,771,869 $165.25
148 97161 Physical Therapy Evaluation 1,229,521 1,383,720 $116,736,654 $84.36
226 90833 Psychotherapy With Evaluation and Management 384,255 1,363,053 $85,461,262 $62.70
203 73610 Ankle Radiograph 896,229 1,348,858 $25,432,221 $18.85
183 84436 Total Thyroxine Test 1,000,834 1,348,731 $11,186,921 $8.29
50 45385 Colonoscopy With Polyp Removal 905,794 1,326,820 $434,014,864 $327.11
159 97162 Detailed Physical Therapy Evaluation 1,159,228 1,296,816 $109,571,743 $84.49
202 73130 Hand Radiograph 898,814 1,277,739 $24,221,428 $18.96
150 93018 Cardiovascular Stress Test Interpretation 1,229,179 1,264,258 $18,525,873 $14.65
166 72125 Cervical Spine CT Without Contrast 1,093,274 1,263,286 $70,863,113 $56.09
188 76942 — 986,595 1,253,877 $53,895,145 $42.98
199 94010 Spirometry 902,289 1,242,393 $36,620,831 $29.48
222 82248 Direct Bilirubin Test 815,400 1,238,752 $7,247,339 $5.85
169 71275 Chest CT Angiography 1,074,832 1,231,406 $120,745,843 $98.06
221 96365 Intravenous Therapeutic Infusion Administration 281,332 1,222,051 $88,177,587 $72.16
164 92557 Comprehensive Hearing Assessment 1,122,143 1,216,429 $45,882,319 $37.72
235 84165 Serum Protein Electrophoresis 738,164 1,188,909 $18,245,505 $15.35
173 70551 Brain MRI Without Contrast 1,060,464 1,182,729 $122,750,887 $103.79
184 94060 Bronchodilator Responsiveness Testing 995,901 1,177,406 $53,529,721 $45.46
360 87798 Infectious-Agent Molecular Detection 238,808 1,171,432 $49,411,903 $42.18
232 84403 Total Testosterone Test 756,768 1,144,984 $35,550,745 $31.05
489 96367 — 137,187 1,140,977 $35,571,267 $31.18
193 76705 Limited Abdominal Ultrasound 971,789 1,135,567 $43,750,076 $38.53
163 99349 Established Patient Home or Residence Visit, Level 3 280,836 1,123,267 $134,962,591 $120.15
241 84450 — 714,764 1,117,283 $6,874,726 $6.15
87 64483 Lumbar or Sacral Transforaminal Epidural Injection 494,936 1,104,057 $240,959,095 $218.25
238 73110 Wrist Radiograph 721,684 1,102,360 $22,739,144 $20.63
181 94729 Pulmonary Diffusing Capacity Test 1,004,541 1,095,284 $37,388,495 $34.14
245 90935 — 208,199 1,085,722 $78,664,794 $72.45
154 99305 Initial Nursing Facility Care, Level 2 841,771 1,083,785 $138,886,176 $128.15
177 93016 Cardiovascular Stress Test Supervision 1,048,516 1,075,831 $23,418,108 $21.77
105 77427 Radiation Treatment Management 245,398 1,058,193 $197,558,506 $186.69
289 80069 Renal Function Panel 536,163 1,055,382 $11,034,941 $10.46
120 70553 Brain MRI With and Without Contrast 851,684 1,045,098 $178,998,805 $171.27
271 84156 Urine Protein Test 594,258 1,024,121 $4,533,774 $4.43
213 88304 Surgical Pathology Examination, Level III 840,724 1,019,968 $19,684,118 $19.30
253 88112 Cytopathology Examination 667,522 1,019,940 $42,692,396 $41.86
207 76700 Complete Abdominal Ultrasound 880,896 1,012,873 $74,490,416 $73.54
189 93015 Complete Cardiovascular Stress Test 976,155 1,004,908 $65,693,541 $65.37
220 88307 Surgical Pathology Examination, Level V 590,423 992,766 $91,567,018 $92.23
149 52000 Diagnostic Cystoscopy 737,758 971,928 $149,809,070 $154.14
325 97597 — 317,758 962,001 $54,959,929 $57.13
262 84520 — 622,886 953,705 $4,510,374 $4.73
216 76536 Neck Soft-Tissue Ultrasound 828,487 952,134 $68,147,638 $71.57
257 83880 Natriuretic Peptide Test 630,875 949,127 $38,870,530 $40.95
242 95886 Needle Electromyography Study 550,964 947,072 $79,203,627 $83.63
280 85651 — 578,564 938,980 $4,009,335 $4.27
197 90791 Psychiatric Diagnostic Evaluation 824,990 922,587 $110,265,553 $119.52
230 20611 Ultrasound-Guided Major Joint Injection or Aspiration 430,579 914,491 $83,761,397 $91.59
321 11055 — 470,106 909,916 $41,973,076 $46.13
380 98942 — 109,385 906,470 $46,331,216 $51.11
399 11719 — 339,052 905,753 $9,677,131 $10.68
225 72110 Multi-View Lumbar Spine Radiograph 800,248 894,141 $27,446,952 $30.70
140 62323 Lumbar or Sacral Epidural Injection 448,512 891,318 $157,102,123 $176.26
359 80305 — 394,148 882,202 $11,495,070 $13.03
228 92020 Gonioscopy 769,664 882,051 $23,942,857 $27.14
227 92567 Tympanometry 770,023 867,968 $12,410,854 $14.30
180 17004 Destruction of Multiple Premalignant Skin Lesions 567,910 851,003 $119,134,960 $139.99
303 92225 — Retired after Q4 2019 513,026 847,441 $26,268,444 $31.00
277 83721 — 582,983 847,106 $9,743,197 $11.50
240 72170 Pelvis Radiograph 715,883 828,122 $13,122,499 $15.85
421 83861 — 315,847 813,300 $17,860,835 $21.96
307 20550 — 506,686 811,584 $38,076,806 $46.92
255 77065 Unilateral Diagnostic Mammography 648,532 791,119 $53,690,473 $67.87
249 86038 Antinuclear Antibody Test 688,038 789,199 $11,497,968 $14.57
51 17311 Mohs Skin Cancer Surgery, First Stage 594,442 784,188 $426,522,079 $543.90
198 73721 Lower-Extremity Joint MRI Without Contrast 617,614 770,786 $107,983,024 $140.09
145 64493 Lumbar or Sacral Facet Joint Injection 351,212 767,168 $152,806,349 $199.18
330 86334 Immunofixation Electrophoresis 450,350 749,768 $17,578,085 $23.44
266 76642 Limited Breast Ultrasound 603,847 745,612 $37,998,205 $50.96
268 87070 — 594,395 743,024 $7,737,978 $10.41
291 84480 — 529,133 737,327 $12,624,638 $17.12
287 84479 — 541,544 731,496 $5,709,136 $7.80
130 90961 Monthly Dialysis Care, Fewer Visits 236,213 731,199 $172,039,028 $235.28
314 82310 — 484,692 728,847 $4,479,342 $6.15
315 96401 Subcutaneous or Intramuscular Antineoplastic Injection Administration 142,517 716,337 $56,806,536 $79.30
286 76937 — 550,371 710,683 $11,404,556 $16.05
404 83516 — 334,284 706,911 $9,817,524 $13.89
275 93922 — 585,264 703,392 $40,375,588 $57.40
284 72040 — 555,472 696,528 $14,231,496 $20.43
175 93925 Bilateral Lower-Extremity Arterial Duplex Study 578,710 685,950 $123,401,092 $179.90
54 78815 PET/CT Scan, Skull Base to Thigh 471,851 677,738 $379,680,838 $560.22
260 86803 — 624,053 674,928 $11,611,723 $17.20
206 99495 Transitional Care After Discharge 599,880 673,920 $102,895,493 $152.68
264 94726 Pulmonary Lung Volume Study 621,206 669,090 $22,580,206 $33.75
336 84132 — 425,826 667,026 $3,583,461 $5.37
348 82977 — 404,186 662,599 $5,679,070 $8.57
301 88311 — 515,040 659,495 $9,367,990 $14.20
223 99219 — Retired after Q4 2022 592,440 659,056 $87,432,888 $132.66
295 00812 Anesthesia for Lower Gastrointestinal Screening Endoscopy 522,086 657,736 $56,076,602 $85.26
234 72141 Cervical Spine MRI Without Contrast 583,835 657,510 $80,818,883 $122.92
324 84155 — 463,603 644,869 $2,799,380 $4.34
281 31575 — 495,554 644,823 $66,216,281 $102.69
318 94640 — 480,342 636,658 $11,226,714 $17.63
340 82040 — 415,117 635,177 $3,708,467 $5.84
338 73620 — 422,948 633,766 $12,674,543 $20.00
282 87880 Streptococcus Antigen Test 565,689 632,961 $10,113,595 $15.98
176 31231 Diagnostic Nasal Endoscopy 427,029 622,045 $122,888,164 $197.56
273 77066 Bilateral Diagnostic Mammography 590,858 620,617 $54,240,722 $87.40
161 99496 Transitional Care After Discharge, Prompt Contact 537,052 617,960 $135,400,992 $219.11
532 83883 — 209,388 609,020 $9,973,898 $16.38
298 86431 — 521,725 608,332 $4,161,127 $6.84
237 00813 Anesthesia for Combined Upper and Lower Gastrointestinal Endoscopy 463,538 604,013 $79,363,334 $131.39
344 99225 — Retired after Q4 2022 405,637 601,400 $42,864,224 $71.27
100 66982 Complex Cataract Surgery With Lens Implant 144,980 590,505 $213,004,546 $360.72
204 74178 Abdomen and Pelvis CT With and Without Contrast 509,279 589,305 $103,960,382 $176.41
304 76775 — 510,439 576,213 $23,539,203 $40.85
243 90792 Psychiatric Diagnostic Evaluation With Medical Services 504,855 575,614 $78,985,914 $137.22
299 36620 — 516,632 575,575 $25,795,678 $44.82
363 73552 — 392,056 570,189 $8,524,030 $14.95
312 93325 Echocardiographic Color Flow Mapping 487,517 569,708 $4,182,363 $7.34
473 82378 — 259,084 561,282 $12,840,522 $22.88
518 83520 — 225,724 560,105 $9,446,231 $16.87
372 84075 — 377,702 559,169 $3,388,608 $6.06
309 70486 — 501,858 546,473 $35,175,907 $64.37
250 73221 Upper-Extremity Joint MRI Without Contrast 444,362 545,061 $76,058,686 $139.54
305 99292 — 263,677 539,685 $59,478,709 $110.21
350 73590 — 402,819 536,221 $7,033,408 $13.12
406 82247 — 330,416 531,109 $3,090,762 $5.82
387 97164 — 344,828 531,085 $30,316,925 $57.08
435 85018 — 294,524 525,530 $1,499,216 $2.85
407 90836 — 106,355 522,496 $42,927,877 $82.16
370 86141 — 383,814 515,505 $8,055,972 $15.63
327 72131 Lumbar Spine CT Without Contrast 463,513 512,314 $32,171,171 $62.80
512 88360 — 208,842 512,165 $33,428,515 $65.27
356 82044 — 396,820 510,493 $3,077,551 $6.03
194 45378 Diagnostic Colonoscopy 401,872 508,964 $110,306,284 $216.73
165 93458 Coronary Angiography and Left Heart Catheterization 486,408 508,409 $134,688,813 $264.92
390 76641 — 341,000 501,587 $45,362,999 $90.44
428 99348 Established Patient Home or Residence Visit, Level 2 187,690 501,056 $40,940,919 $81.71
48 27447 Knee Replacement 288,679 495,960 $446,868,269 $901.02
415 99406 — 321,328 492,486 $6,620,263 $13.44
111 17312 Mohs Surgery, Additional Stage 301,970 490,956 $185,441,523 $377.72
328 76514 — 454,378 486,519 $6,988,129 $14.36
365 83690 — 386,631 483,753 $4,020,126 $8.31
467 88331 — 263,110 480,645 $34,902,509 $72.62
346 93923 — 404,840 479,545 $42,280,459 $88.17
457 77002 — 273,738 479,530 $33,464,357 $69.79
416 64494 — 311,890 478,876 $42,585,595 $88.93
374 74019 — 374,889 477,458 $6,780,245 $14.20
382 85730 — 351,273 476,668 $3,460,309 $7.26
187 01402 Anesthesia for Knee Arthroplasty 311,547 470,087 $115,894,356 $246.54
333 70498 Neck CT Angiography 431,133 467,450 $43,022,361 $92.04
351 76830 — 402,131 462,702 $39,082,924 $84.47
185 00790 Anesthesia for Upper Abdominal Surgery 311,628 462,503 $116,605,538 $252.12
354 76856 — 397,892 462,033 $34,581,176 $74.85
379 82150 — 353,121 460,865 $3,600,444 $7.81
358 93005 — 395,139 455,043 $3,704,291 $8.14
378 92235 — 355,946 454,030 $39,097,520 $86.11
342 70496 Head CT Angiography 407,810 446,151 $42,026,336 $94.20
385 51741 — 344,861 445,137 $5,558,706 $12.49
420 20605 — 316,532 443,597 $20,291,597 $45.74
355 64636 — 174,350 442,160 $50,012,704 $113.11
377 36556 — 369,474 441,202 $43,411,114 $98.39
269 99350 Established Patient Home or Residence Visit, Level 4 149,047 431,026 $71,373,699 $165.59
367 99316 — 385,742 428,231 $41,914,064 $97.88
362 82274 — 393,190 421,606 $8,065,697 $19.13
393 84154 — 339,342 420,149 $9,325,328 $22.20
401 73080 — 335,186 416,055 $6,818,298 $16.39
375 72050 — 373,508 414,339 $11,674,941 $28.18
311 68761 Lacrimal Punctum Closure 180,732 410,763 $56,958,289 $138.66
459 20600 — 271,846 409,928 $17,252,070 $42.09
248 11043 Muscle and Fascia Wound Debridement 126,669 409,281 $76,346,849 $186.54
392 86376 — 340,293 408,766 $7,174,870 $17.55
434 11730 — 293,988 408,716 $40,584,070 $99.30
412 77001 — 323,308 406,089 $9,335,294 $22.99
402 99183 — 17,755 404,534 $43,224,670 $106.85
498 84295 — 238,905 404,047 $2,317,730 $5.74
430 73140 — 300,538 403,013 $8,392,912 $20.83
317 43235 — 317,344 395,483 $56,177,595 $142.05
131 64635 Lumbar or Sacral Facet Nerve Ablation 190,766 394,246 $169,404,318 $429.69
417 93308 — 320,449 394,095 $13,609,656 $34.53
413 92285 — 323,207 392,803 $7,253,152 $18.47
373 00400 — 242,463 390,122 $47,059,699 $120.63
396 10060 — 339,095 389,918 $43,027,274 $110.35
172 95811 — 335,036 388,867 $123,869,951 $318.54
466 00910 — 224,639 382,455 $37,451,299 $97.92
510 64484 — 231,519 381,051 $28,881,836 $75.80
455 73060 — 275,311 374,558 $5,195,349 $13.87
419 74230 — 317,037 374,472 $11,912,922 $31.81
476 88173 — 256,981 367,883 $32,976,767 $89.64
484 80051 — 251,554 366,753 $3,083,219 $8.41
426 99282 — 310,318 366,133 $14,554,467 $39.75
515 20552 — 230,179 365,422 $17,291,864 $47.32
389 93227 — 343,934 364,371 $9,624,527 $26.41
368 01936 — Retired after Q4 2021 185,244 360,756 $47,262,508 $131.01
410 93320 — 327,047 358,861 $9,668,858 $26.94
422 99304 — 314,369 356,120 $32,060,363 $90.03
409 94727 — 329,221 354,353 $12,236,634 $34.53
233 90966 Monthly Home Dialysis Services 51,341 354,340 $82,436,420 $232.65
471 85045 — 259,137 353,237 $1,702,201 $4.82
445 74022 — 286,254 343,802 $6,023,824 $17.52
297 77280 Radiation Treatment Simulation 144,019 340,749 $61,149,102 $179.45
543 83921 — 207,032 335,973 $6,914,647 $20.58
278 74183 Abdominal MRI With and Without Contrast 276,300 335,861 $67,680,356 $201.51
469 87205 — 260,520 334,235 $1,721,376 $5.15
405 82270 — 333,346 333,843 $1,423,665 $4.26
446 72070 — 286,187 333,762 $6,761,078 $20.26
383 27096 — 228,941 332,271 $45,771,416 $137.75
507 82670 — 236,111 332,162 $11,178,660 $33.65
449 93312 — 282,786 331,867 $36,589,303 $110.25
431 71101 — 297,821 329,076 $6,214,294 $18.88
495 84402 — 242,291 326,719 $10,009,602 $30.64
477 83090 — 254,351 323,115 $6,587,679 $20.39
450 73700 — 280,975 322,457 $21,313,572 $66.10
388 01480 — 201,618 321,900 $45,393,380 $141.02
482 86800 — 252,289 320,847 $6,158,344 $19.19
478 73501 — 253,461 318,866 $5,443,239 $17.07
438 87340 — 291,971 317,432 $3,944,738 $12.43
214 95810 — 286,678 316,775 $94,721,228 $299.02
437 90471 — 294,352 316,005 $5,986,794 $18.95
447 86200 — 283,818 314,411 $4,897,337 $15.58
441 93224 — 290,532 310,634 $26,245,478 $84.49
503 99226 — Retired after Q4 2022 236,698 307,852 $31,752,267 $103.14
224 13132 Complex Skin Wound Repair 258,329 305,227 $86,753,039 $284.22
453 97163 — 279,978 304,183 $25,631,491 $84.26
400 93978 — 263,986 303,297 $44,174,381 $145.65
490 01992 — 147,959 301,753 $35,446,242 $117.47
361 77263 — 272,088 294,570 $48,728,554 $165.42
427 95816 Electroencephalography Study 263,281 292,874 $41,062,956 $140.21
545 82533 — 206,669 289,141 $5,682,819 $19.65
547 83525 — 206,438 288,332 $3,980,045 $13.80
508 70491 — 232,486 286,676 $24,422,610 $85.19
514 86225 — 230,273 282,290 $4,666,956 $16.53
279 00840 — 193,128 282,112 $66,368,859 $235.26
337 62321 — 143,501 280,824 $52,313,804 $186.29
523 76882 — 216,614 279,733 $11,094,385 $39.66
491 86592 — 243,793 278,412 $1,434,926 $5.15
444 31500 — 240,073 275,690 $39,399,103 $142.91
433 17262 — 217,782 275,445 $40,733,819 $147.88
501 78306 — 236,993 274,343 $23,028,342 $83.94
274 12032 Intermediate Skin Wound Repair 241,866 270,942 $68,573,584 $253.09
549 93926 — 205,433 269,730 $18,851,749 $69.89
486 70544 — 251,268 267,449 $25,615,476 $95.78
511 76376 — 231,016 266,882 $3,550,704 $13.30
371 72158 — 232,675 266,554 $47,151,597 $176.89
88 27130 Total Hip Arthroplasty 156,458 265,393 $239,239,687 $901.45
493 99315 — 242,718 264,967 $18,104,074 $68.33
192 00670 Anesthesia for Spine Surgery 175,382 262,883 $112,498,048 $427.94
488 87624 — 250,282 257,529 $10,919,594 $42.40
90 93229 Mobile Cardiac Telemetry Analysis 248,963 256,162 $235,491,071 $919.31
537 73090 — 208,334 254,055 $3,042,418 $11.98
157 92928 Coronary Artery Stent Procedure 202,807 250,927 $137,737,220 $548.91
339 64490 — 113,165 250,254 $52,203,165 $208.60
530 73565 — 211,549 244,661 $7,178,493 $29.34
440 00300 — 157,266 244,229 $40,230,496 $164.72
443 01922 — 156,922 243,282 $39,468,314 $162.23
394 93351 — 238,022 242,670 $44,688,222 $184.15
290 01214 — 163,888 240,255 $63,415,689 $263.95
526 72146 — 212,858 239,159 $28,590,771 $119.55
522 92550 — 221,015 237,713 $5,264,914 $22.15
541 64447 — 207,248 236,029 $15,294,670 $64.80
492 93975 — 196,336 226,833 $35,186,601 $155.12
352 77290 — 175,926 226,160 $50,887,286 $225.01
539 11602 — 191,252 224,185 $31,059,754 $138.55
535 86706 — 208,523 223,680 $2,893,689 $12.94
99 36902 Dialysis Circuit Endovascular Treatment 127,658 220,927 $214,962,745 $973.00
442 90962 — 90,213 218,209 $39,727,782 $182.06
465 95819 — 197,955 215,190 $37,473,933 $174.14
528 92002 — 211,886 214,405 $17,202,271 $80.23
174 95951 — Retired after Q4 2019 69,754 205,073 $123,710,279 $603.25
296 13121 — 169,255 201,013 $61,317,435 $305.04
418 72197 Pelvic MRI With and Without Contrast 172,574 195,139 $42,371,929 $217.14
462 65855 — 98,299 176,560 $37,874,411 $214.51
369 55700 — Retired after Q4 2025 147,300 172,354 $47,253,814 $274.17
125 78492 Cardiac PET Scan, Multiple Studies 156,574 171,857 $178,092,000 $1,036.28
463 95911 — 165,136 171,651 $37,697,885 $219.62
475 01230 — 120,318 170,950 $36,618,358 $214.21
452 88377 — 66,672 168,339 $38,369,239 $227.93
483 01844 — 89,266 168,085 $36,054,303 $214.50
513 00320 — 106,151 166,178 $33,366,457 $200.79
236 64721 Open Carpal Tunnel Release 104,751 165,618 $80,434,843 $485.66
521 01630 — 116,497 165,191 $32,524,202 $196.89
212 63047 Lumbar Spine Decompression Surgery 101,428 164,374 $101,108,183 $615.11
505 43248 — 99,191 160,493 $33,624,282 $209.51
345 77338 — 123,219 158,431 $51,617,344 $325.80
451 43249 — 104,303 152,840 $38,673,437 $253.03
408 77295 — 130,222 151,186 $42,871,079 $283.57
353 26055 — 75,062 143,147 $50,663,020 $353.92
323 36561 — 130,026 138,234 $55,357,819 $400.46
168 77301 Intensity-Modulated Radiation Treatment Planning 123,325 136,188 $132,577,315 $973.49
497 00630 — 91,587 133,616 $34,244,150 $256.29
456 36558 — 112,497 133,602 $38,071,485 $284.96
152 29827 Arthroscopic Rotator Cuff Repair 69,181 129,747 $139,226,294 $1,073.06
272 17313 Mohs Surgery on Trunk or Extremities, First Stage 102,443 129,109 $70,424,994 $545.47
261 47562 — 102,371 124,913 $74,164,004 $593.73
534 45384 — 90,996 123,599 $31,187,679 $252.33
470 00537 — 78,189 117,566 $36,900,177 $313.87
472 19083 — 109,689 113,276 $36,842,232 $325.24
144 36475 Radiofrequency Treatment of an Incompetent Extremity Vein 61,353 110,342 $154,609,481 $1,401.18
201 27245 Surgical Fixation of a Proximal Femur Fracture 81,812 105,950 $105,969,831 $1,000.19
288 33208 — 101,969 103,962 $64,823,889 $623.53
403 64633 — 49,749 100,567 $43,174,518 $429.31
529 13101 — 87,653 99,600 $31,398,089 $315.24
429 28285 — 44,961 99,544 $40,818,521 $410.06
190 33533 Coronary Artery Bypass Grafting 61,230 98,738 $113,728,444 $1,151.82
215 23472 Total Shoulder Arthroplasty 58,465 94,174 $92,981,356 $987.34
509 93460 — 88,188 89,368 $33,563,347 $375.56
386 22842 — 54,060 86,256 $45,481,757 $527.29
439 87507 — 70,167 84,277 $40,324,914 $478.48
432 87633 — 56,743 83,507 $40,735,108 $487.80
326 29881 — 55,462 82,233 $54,903,504 $667.66
270 27236 — 56,329 78,092 $71,064,682 $910.01
548 20680 — 50,973 71,349 $30,710,805 $430.43
425 78816 Whole-Body PET/CT Imaging 51,931 71,195 $41,163,540 $578.18
239 36478 — 36,361 68,821 $79,251,815 $1,151.56
341 50590 — 48,284 67,856 $51,978,824 $766.02
381 67904 — 31,103 67,042 $46,187,816 $688.94
308 33361 Transcatheter Aortic Valve Replacement 35,624 66,429 $58,233,366 $876.63
499 36907 — 42,271 66,376 $34,226,315 $515.64
504 22840 — 40,850 66,086 $33,736,900 $510.50
519 67210 — 39,862 65,788 $32,605,328 $495.61
436 19301 — 53,897 65,711 $40,580,513 $617.56
395 00567 — 51,729 64,587 $44,621,615 $690.88
479 49505 — 51,316 64,565 $36,409,897 $563.93
391 29880 — 42,184 63,902 $45,272,036 $708.46
254 22551 Anterior Cervical Spine Fusion 39,423 63,718 $75,424,295 $1,183.72
310 15260 — 53,853 63,448 $57,544,813 $906.96
263 22633 — 37,483 61,952 $74,154,519 $1,196.97
538 91110 — 51,584 53,966 $31,103,986 $576.36
397 35301 — 35,623 50,065 $44,365,925 $886.17
458 00562 — 40,315 49,601 $37,978,144 $765.67
540 47563 — 39,983 48,729 $31,038,478 $636.96
79 63685 Spinal Cord Stimulator Battery Placement 30,661 48,235 $263,249,829 $5,457.65
454 52601 — 45,378 48,161 $38,199,105 $793.15
364 77523 — 1,927 47,079 $48,160,704 $1,022.98
334 93656 Atrial Fibrillation Catheter Ablation 44,953 46,668 $52,978,156 $1,135.21
267 36905 — 28,975 46,299 $72,057,444 $1,556.35
285 33249 — 44,933 46,067 $65,526,000 $1,422.41
322 67042 — 26,993 44,856 $56,005,947 $1,248.57
84 37225 Leg Artery Plaque Removal With Balloon Widening Retired after Q4 2025 35,407 43,342 $252,659,582 $5,829.44
542 63030 — 26,238 42,443 $30,962,791 $729.51
316 65778 Ocular Surface Amniotic Membrane Placement 25,683 41,349 $56,771,531 $1,372.98
109 37229 Leg Artery Plaque Removal Retired after Q4 2025 26,707 35,360 $187,407,008 $5,299.97
460 37228 — Retired after Q4 2025 28,644 33,371 $37,951,204 $1,137.25
384 33405 — 20,645 32,738 $45,537,894 $1,390.98
485 37221 — Retired after Q4 2025 29,251 32,676 $36,007,242 $1,101.95
448 77373 — 6,064 28,544 $39,010,513 $1,366.68
313 36482 Adhesive Treatment of an Incompetent Extremity Vein 15,292 27,829 $56,808,853 $2,041.35
347 22514 — 25,212 27,639 $51,432,151 $1,860.85
517 67108 — 16,316 26,632 $32,849,514 $1,233.46
500 25609 — 17,330 26,281 $34,181,408 $1,300.61
533 37226 — Retired after Q4 2025 23,102 25,521 $31,239,259 $1,224.06
376 22513 — 22,368 25,201 $46,808,759 $1,857.42
544 65756 — 12,330 24,118 $30,795,267 $1,276.86
256 36903 — 18,246 21,841 $74,770,367 $3,423.39
101 37227 Leg Artery Plaque Removal With Stent Retired after Q4 2025 18,249 21,696 $206,110,462 $9,499.93
300 36906 — 11,844 15,123 $61,003,382 $4,033.81
335 64590 Peripheral Nerve Stimulator Battery Placement 11,717 14,999 $52,460,372 $3,497.59
506 64561 Sacral Nerve Stimulation Electrode Placement 8,288 14,514 $33,599,023 $2,314.94

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 7,826 CPT codes billed to Medicare in CY2018, 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 is heavily concentrated. The top 25 codes carry 55.5% of the $82.8B these 500 codes account for.

  1. 1 99214 Long Follow-Up Office Visit $10.4B
  2. 2 99213 Routine Follow-Up Office Visit $6.4B
  3. 3 99232 Daily Hospital Visit $3.3B
  4. 4 99233 Extended Daily Hospital Visit $2.5B
  5. 5 66984 Cataract Surgery $2.3B
  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 92014 Full Eye Exam, Returning Patient $1.5B
  10. 10 97110 Physical Therapy Exercises $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
#29
By allowed dollars
#395
Per service
$2.70
Few patients, lots of money
63685 Spinal Cord Stimulator Battery Placement
By beneficiaries
#477
By allowed dollars
#54
Per service
$5,457.65

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

These are CY2018 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 left out on purpose. Drug codes are billed per unit, which makes service counts incomparable, and HCPCS Level II codes already carry CMS-owned descriptions.

16 codes on this list have since left the fee schedule. They were billed heavily in CY2018 before CMS 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 7,826 CPT codes billed to Medicare in CY2018; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners—by Geography and Service, national rows, CY2018. 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?

We're building this out in the open. Tell us what you were actually trying to work out and we'll either answer you directly or build the page that does.

Did this page answer your question?