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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 $82.2B across these 500 CPT codes. 99214 (Established Patient Office Visit, Level 4) 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
$82.2B
Total Medicare allowed dollars
Services
1.3B
Times these codes were billed
Top 25
55.9%
Share of the allowed dollars
Vintage
CY2018
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 26,949,071 104,080,189 $10,442,500,177 $100.33
2 99213 Established Patient Office Visit, Level 3 25,871,603 94,752,915 $6,445,696,625 $68.03
4 99232 Subsequent Hospital Care, Level 2 4,725,874 45,859,810 $3,299,004,026 $71.94
6 99233 Subsequent Hospital Care, Level 3 3,614,130 23,798,637 $2,469,131,532 $103.75
7 66984 Cataract Surgery with Lens Implant 1,268,766 10,000,733 $2,254,249,127 $225.41
10 99223 Initial Hospital Care, Level 3 4,343,825 10,636,646 $2,137,747,269 $200.98
12 99285 Emergency Department Visit, Level 5 6,764,786 11,539,869 $1,976,518,844 $171.28
14 99204 New Patient Office Visit, Level 4 8,252,190 10,392,566 $1,622,274,160 $156.10
13 92014 Comprehensive Eye Exam, Established Patient 9,615,965 12,367,726 $1,527,677,628 $123.52
17 97110 Therapeutic Exercise, 15 Minutes 2,755,681 56,540,325 $1,454,091,958 $25.72
18 99215 Established Patient Office Visit, Level 5 5,817,604 10,205,100 $1,373,052,799 $134.55
20 99291 Critical Care, First Time Block 1,856,770 5,744,021 $1,278,931,740 $222.65
15 99203 New Patient Office Visit, Level 3 9,067,326 11,291,463 $1,143,916,334 $101.31
22 88305 Surgical Pathology Exam, Level IV 7,736,177 19,769,227 $972,057,343 $49.17
24 99222 Initial Hospital Care, Level 2 3,353,237 6,614,984 $893,904,097 $135.13
25 93306 Transthoracic Echocardiogram, Complete with Doppler 6,428,186 7,477,263 $883,689,992 $118.18
27 99309 Subsequent Nursing Facility Visit, Level 3 1,848,573 9,469,404 $807,379,887 $85.26
28 99308 Subsequent Nursing Facility Visit, Level 2 1,948,401 11,038,926 $721,030,477 $65.32
30 90837 Psychotherapy, 60 Minutes 570,625 5,857,221 $650,697,278 $111.09
32 99284 Emergency Department Visit, Level 4 4,024,568 5,640,301 $643,409,580 $114.07
33 90960 Monthly Dialysis Management, Adult, Four or More Visits 305,257 2,239,550 $633,460,774 $282.85
34 97140 Manual Therapy, 15 Minutes 2,079,584 27,726,923 $616,951,795 $22.25
36 97530 Therapeutic Activities, Per 15 Minutes 1,198,567 15,940,574 $578,086,827 $36.27
38 92012 Established Patient Eye Exam, Intermediate Level 3,636,758 6,604,045 $575,858,759 $87.20
39 99205 New Patient Office Visit, Level 5 2,553,569 2,880,555 $563,296,422 $195.55
41 99239 Hospital Discharge Day Management, Longer Visit 3,373,438 5,022,126 $533,827,933 $106.30
42 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,388,296 13,306,097 $516,278,688 $38.80
44 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 1,803,448 1,884,355 $487,514,746 $258.72
26 99212 Established Patient Office Visit, Level 2 6,718,012 11,696,461 $472,455,046 $40.39
47 97112 Neuromuscular Re-education Therapy 1,254,406 14,640,554 $456,441,191 $31.18
48 27447 Total Knee Replacement 288,679 495,960 $446,868,269 $901.02
29 77067 Screening Mammography, Bilateral 6,035,824 6,290,999 $434,126,575 $69.01
50 45385 Colonoscopy with Lesion Removal (Snare) 905,794 1,326,820 $434,014,864 $327.11
51 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 594,442 784,188 $426,522,079 $543.90
53 90834 Psychotherapy, 45 Minutes 618,988 4,995,351 $380,896,875 $76.25
54 78815 PET/CT Scan, Skull Base to Mid-Thigh 471,851 677,738 $379,680,838 $560.22
55 74177 CT Abdomen and Pelvis, With Contrast 2,465,772 3,309,513 $372,909,418 $112.68
5 80053 Comprehensive Metabolic Panel 14,372,936 28,898,908 $368,239,730 $12.74
58 67028 Intravitreal Injection of Medication 643,357 3,290,909 $354,846,641 $107.83
60 45380 Colonoscopy with Biopsy 1,044,867 1,505,990 $344,546,632 $228.78
62 20610 Major Joint Injection or Aspiration 2,865,450 5,740,675 $341,002,914 $59.40
66 92004 Comprehensive Eye Exam, New Patient 2,136,626 2,239,682 $325,145,939 $145.18
67 43239 Upper GI Endoscopy (EGD) with Biopsy 1,340,247 1,951,789 $321,793,609 $164.87
69 11721 Trimming of Six or More Thickened Nails 2,614,005 7,064,201 $310,064,504 $43.89
9 80061 Lipid Panel 12,638,541 19,185,601 $309,907,968 $16.15
11 84443 Thyroid-Stimulating Hormone (TSH) 10,002,759 15,146,340 $307,460,276 $20.30
43 17000 Destruction of Premalignant Skin Lesion, First 3,959,838 5,841,313 $298,829,648 $51.16
56 92134 Retinal OCT Scan 3,116,923 7,040,189 $285,383,386 $40.54
72 93880 Carotid Duplex Ultrasound, Complete 2,131,002 2,349,522 $283,258,154 $120.56
74 99231 Subsequent Hospital Care, Level 1 1,888,278 7,289,568 $278,441,137 $38.20
8 85025 Complete Blood Count with Differential 13,276,134 29,535,076 $276,759,560 $9.37
75 66821 YAG Laser Capsulotomy After Cataract Surgery 528,599 1,474,473 $272,769,337 $184.99
79 63685 Spinal Cord Stimulator Generator Implant 30,661 48,235 $263,249,829 $5,457.65
82 96413 Chemotherapy Infusion, First Hour 247,046 1,835,159 $254,515,406 $138.69
46 70450 CT Head/Brain, without Contrast 3,855,558 5,772,359 $253,993,939 $44.00
84 37225 Thigh Artery Atherectomy Retired after Q4 2025 35,407 43,342 $252,659,582 $5,829.44
86 17110 Destruction of Benign Lesions, Up to 14 1,750,334 2,334,101 $241,014,164 $103.26
87 64483 Transforaminal Epidural Injection, Lumbar/Sacral 494,936 1,104,057 $240,959,095 $218.25
88 27130 Total Hip Replacement 156,458 265,393 $239,239,687 $901.45
90 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 248,963 256,162 $235,491,071 $919.31
35 82306 Vitamin D, 25-Hydroxy 4,725,265 6,440,793 $230,216,382 $35.74
93 99306 Initial Nursing Facility Visit, High Level 1,035,386 1,384,432 $228,771,869 $165.25
94 74176 CT Abdomen and Pelvis, Without Contrast 1,852,369 2,351,903 $227,417,107 $96.69
97 80307 Presumptive Drug Screen by Analyzer 1,220,366 3,185,939 $222,149,306 $69.73
98 00142 Anesthesia for Cataract and Lens Surgery 1,072,201 2,105,094 $215,075,009 $102.17
99 36902 Dialysis Access Angioplasty, Peripheral Segment 127,658 220,927 $214,962,745 $973.00
100 66982 Complex Cataract Surgery with Lens Implant 144,980 590,505 $213,004,546 $360.72
101 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 18,249 21,696 $206,110,462 $9,499.93
89 99238 Hospital Discharge Day Management, 30 Minutes or Less 2,088,104 2,773,276 $198,567,508 $71.60
105 77427 Radiation Treatment Management, Per Five Sessions 245,398 1,058,193 $197,558,506 $186.69
23 93000 Electrocardiogram (ECG), Complete 7,594,078 11,649,812 $197,380,895 $16.94
108 72148 MRI Lumbar Spine, without Contrast 1,308,469 1,502,286 $190,127,043 $126.56
109 37229 Below-Knee Artery Atherectomy, First Vessel Retired after Q4 2025 26,707 35,360 $187,407,008 $5,299.97
111 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 301,970 490,956 $185,441,523 $377.72
114 99310 Subsequent Nursing Facility Visit, Level 4 589,987 1,479,926 $184,529,075 $124.69
71 92083 Extended Visual Field Test 2,540,219 2,979,198 $183,929,967 $61.74
68 92250 Retinal Photography with Interpretation 2,828,515 3,368,029 $183,659,418 $54.53
117 00731 Anesthesia for Upper GI Endoscopy 1,048,990 1,643,725 $183,371,516 $111.56
63 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,971,065 9,450,627 $182,854,921 $19.35
120 70553 MRI Brain, With and Without Contrast 851,684 1,045,098 $178,998,805 $171.27
123 99221 Initial Hospital Care, Level 1 1,326,842 1,804,498 $178,946,690 $99.17
21 71046 Chest X-ray, Two Views 7,881,440 11,927,105 $178,680,790 $14.98
125 78492 Cardiac PET Perfusion Imaging, Rest and Stress 156,574 171,857 $178,092,000 $1,036.28
85 99283 Emergency Department Visit, Level 3 2,257,614 2,988,447 $177,819,499 $59.50
76 99202 New Patient Office Visit, Level 2 2,441,644 2,566,988 $177,111,106 $69.00
104 71250 CT Scan of the Chest, No Contrast 1,806,932 2,314,034 $176,954,638 $76.47
19 83036 Hemoglobin A1c 8,165,319 14,893,203 $174,339,286 $11.71
130 90961 Monthly Dialysis Management, Adult, Two or Three Visits 236,213 731,199 $172,039,028 $235.28
131 64635 Lower Back Facet Nerve Ablation, First Joint 190,766 394,246 $169,404,318 $429.69
133 99490 Chronic Care Management, First 20 Minutes 899,389 4,154,006 $168,851,844 $40.65
16 93010 Electrocardiogram (ECG), Interpretation Only 8,534,683 19,358,267 $164,073,785 $8.48
139 98940 Chiropractic Spinal Manipulation, One to Two Regions 779,145 5,816,213 $159,353,512 $27.40
140 62323 Lower Back Epidural Steroid Injection with Imaging 448,512 891,318 $157,102,123 $176.26
31 71045 Chest X-ray, Single View 5,921,504 16,449,964 $155,308,301 $9.44
124 93970 Complete Duplex Ultrasound of Limb Veins 1,402,391 1,686,776 $155,128,884 $91.97
142 11042 Debridement, Subcutaneous Tissue 484,384 1,909,637 $155,014,648 $81.17
144 36475 Radiofrequency Vein Ablation, First Vein 61,353 110,342 $154,609,481 $1,401.18
145 64493 Lower Back Facet Joint Injection, First Level 351,212 767,168 $152,806,349 $199.18
147 00811 Anesthesia for Diagnostic or Therapeutic Colonoscopy 1,082,018 1,413,638 $151,023,563 $106.83
149 52000 Diagnostic Cystoscopy 737,758 971,928 $149,809,070 $154.14
3 36415 Routine Venipuncture (Blood Draw) 17,479,861 49,017,431 $143,684,566 $2.93
49 77063 Screening 3D Breast Tomosynthesis, Both Breasts 3,651,015 3,796,343 $141,413,097 $37.25
152 29827 Arthroscopic Rotator Cuff Repair 69,181 129,747 $139,226,294 $1,073.06
154 99305 Initial Nursing Facility Visit, Moderate Level 841,771 1,083,785 $138,886,176 $128.15
128 71260 CT Scan of the Chest with Contrast 1,369,202 1,903,664 $137,944,289 $72.46
157 92928 Coronary Stent Placement, Single Major Vessel 202,807 250,927 $137,737,220 $548.91
158 90832 Individual Psychotherapy, 30 Minutes 398,957 2,346,373 $136,306,721 $58.09
161 99496 Transitional Care Management, High Complexity 537,052 617,960 $135,400,992 $219.11
163 99349 Home Visit, Established Patient, Level 3 280,836 1,123,267 $134,962,591 $120.15
165 93458 Left Heart Catheterization with Coronary Angiography 486,408 508,409 $134,688,813 $264.92
168 77301 IMRT Treatment Planning 123,325 136,188 $132,577,315 $973.49
121 88342 Immunohistochemistry Stain, First Antibody 1,455,547 2,170,104 $130,950,208 $60.34
172 95811 Sleep Study with CPAP or BiPAP Titration 335,036 388,867 $123,869,951 $318.54
175 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 578,710 685,950 $123,401,092 $179.90
176 31231 Diagnostic Nasal Endoscopy 427,029 622,045 $122,888,164 $197.56
173 70551 Brain MRI Without Contrast 1,060,464 1,182,729 $122,750,887 $103.79
169 71275 CT Angiogram of the Chest 1,074,832 1,231,406 $120,745,843 $98.06
180 17004 Destruction of Fifteen or More Precancerous Skin Lesions 567,910 851,003 $119,134,960 $139.99
182 11056 Paring of Corns or Calluses, 2-4 Lesions 817,522 2,050,123 $118,410,094 $57.76
148 97161 Physical Therapy Evaluation, Low Complexity 1,229,521 1,383,720 $116,736,654 $84.36
185 00790 Anesthesia for Upper Abdominal Surgery 311,628 462,503 $116,605,538 $252.12
187 01402 Anesthesia for Knee Replacement Surgery 311,547 470,087 $115,894,356 $246.54
143 99497 Advance Care Planning Discussion 1,246,957 1,413,698 $114,098,037 $80.71
190 33533 Coronary Bypass Using a Single Arterial Graft 61,230 98,738 $113,728,444 $1,151.82
192 00670 Anesthesia for Major Spine and Spinal Cord Surgery 175,382 262,883 $112,498,048 $427.94
194 45378 Diagnostic Colonoscopy 401,872 508,964 $110,306,284 $216.73
197 90791 Psychiatric Diagnostic Evaluation 824,990 922,587 $110,265,553 $119.52
159 97162 Physical Therapy Evaluation, Moderate Complexity 1,159,228 1,296,816 $109,571,743 $84.49
198 73721 MRI of Leg Joint, No Contrast 617,614 770,786 $107,983,024 $140.09
200 99307 Subsequent Nursing Facility Visit, Level 1 827,427 2,499,618 $106,691,712 $42.68
201 27245 Hip Fracture Repair with Intramedullary Nail 81,812 105,950 $105,969,831 $1,000.19
204 74178 CT Abdomen and Pelvis, Before and After Contrast 509,279 589,305 $103,960,382 $176.41
206 99495 Transitional Care Management, Moderate Complexity 599,880 673,920 $102,895,493 $152.68
208 88312 Special Stain for Microorganisms 845,126 1,590,838 $102,575,120 $64.48
212 63047 Lumbar Laminectomy for Spinal Decompression 101,428 164,374 $101,108,183 $615.11
162 92136 Eye Measurement for Cataract Lens Power 1,125,741 1,861,429 $98,266,989 $52.79
77 92133 Optic Nerve Imaging (OCT) 2,395,248 2,700,003 $95,974,617 $35.55
214 95810 Attended Overnight Sleep Study in a Lab 286,678 316,775 $94,721,228 $299.02
215 23472 Total Shoulder Replacement 58,465 94,174 $92,981,356 $987.34
65 17003 Destruction of Additional Precancerous Skin Lesions 2,965,648 18,623,944 $92,926,119 $4.99
122 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,426,423 1,822,445 $92,639,837 $50.83
218 95165 Preparation of Allergy Immunotherapy Extracts 198,821 7,445,088 $92,162,306 $12.38
220 88307 Surgical Pathology Exam, Level V 590,423 992,766 $91,567,018 $92.23
221 96365 Initial IV Infusion, Up to One Hour 281,332 1,222,051 $88,177,587 $72.16
224 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 258,329 305,227 $86,753,039 $284.22
226 90833 Shorter Psychotherapy Session Added to a Medical Visit 384,255 1,363,053 $85,461,262 $62.70
151 76770 Complete Retroperitoneal Ultrasound 1,203,663 1,390,385 $84,376,828 $60.69
230 20611 Major Joint Injection or Aspiration with Ultrasound 430,579 914,491 $83,761,397 $91.59
233 90966 Monthly Home Dialysis Management, Adult 51,341 354,340 $82,436,420 $232.65
234 72141 Neck MRI, No Contrast Dye 583,835 657,510 $80,818,883 $122.92
236 64721 Carpal Tunnel Release 104,751 165,618 $80,434,843 $485.66
237 00813 Anesthesia for Combined Upper and Lower Endoscopy 463,538 604,013 $79,363,334 $131.39
239 36478 Laser Vein Ablation, First Vein 36,361 68,821 $79,251,815 $1,151.56
242 95886 Complete Needle EMG of One Limb 550,964 947,072 $79,203,627 $83.63
243 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 504,855 575,614 $78,985,914 $137.22
245 90935 Hemodialysis Session with One Physician Evaluation 208,199 1,085,722 $78,664,794 $72.45
248 11043 Wound Debridement Down to Muscle or Fascia 126,669 409,281 $76,346,849 $186.54
250 73221 Arm Joint MRI, No Contrast Dye 444,362 545,061 $76,058,686 $139.54
254 22551 Anterior Cervical Discectomy and Fusion, One Level 39,423 63,718 $75,424,295 $1,183.72
256 36903 Dialysis Access Stent Placement, Peripheral Segment 18,246 21,841 $74,770,367 $3,423.39
207 76700 Abdominal Ultrasound, Complete 880,896 1,012,873 $74,490,416 $73.54
261 47562 Laparoscopic Cholecystectomy 102,371 124,913 $74,164,004 $593.73
263 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 37,483 61,952 $74,154,519 $1,196.97
40 80048 Basic Metabolic Panel 4,056,212 7,173,776 $73,131,883 $10.19
61 82607 Vitamin B12 Level 3,049,741 4,011,042 $73,007,863 $18.20
83 84153 Prostate-Specific Antigen (PSA), Total 2,277,319 3,270,257 $72,577,835 $22.19
267 36905 Dialysis Access Clot Removal with Angioplasty 28,975 46,299 $72,057,444 $1,556.35
269 99350 Home Visit, Established Patient, Level 4 149,047 431,026 $71,373,699 $165.59
270 27236 Surgical Repair of Femoral Neck Fracture 56,329 78,092 $71,064,682 $910.01
166 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 1,093,274 1,263,286 $70,863,113 $56.09
272 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 102,443 129,109 $70,424,994 $545.47
153 69210 Impacted Earwax Removal, Instrumentation 1,199,909 1,563,596 $69,799,101 $44.64
274 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 241,866 270,942 $68,573,584 $253.09
216 76536 Ultrasound of Neck and Head Soft Tissues 828,487 952,134 $68,147,638 $71.57
209 11720 Nail Trimming/Debridement, Up to 5 854,579 2,098,612 $67,914,179 $32.36
278 74183 MRI Abdomen, Before and After Contrast 276,300 335,861 $67,680,356 $201.51
279 00840 Anesthesia for Lower Abdominal Surgery 193,128 282,112 $66,368,859 $235.26
281 31575 Flexible Laryngoscopy, Diagnostic 495,554 644,823 $66,216,281 $102.69
155 99211 Established Patient Office Visit, Minimal 1,176,812 3,226,306 $65,836,939 $20.41
189 93015 Cardiovascular Stress Test, Complete 976,155 1,004,908 $65,693,541 $65.37
285 33249 Implantable Defibrillator System Placement 44,933 46,067 $65,526,000 $1,422.41
91 73502 Hip X-Ray, Two or Three Views 2,045,071 2,843,411 $64,943,880 $22.84
73 77080 DEXA Bone Density, Axial 2,514,566 2,617,150 $64,930,245 $24.81
288 33208 Dual-Chamber Pacemaker Insertion 101,969 103,962 $64,823,889 $623.53
290 01214 Anesthesia for Hip Replacement Surgery 163,888 240,255 $63,415,689 $263.95
292 77300 Basic Radiation Dose Calculation 262,442 1,387,128 $62,929,102 $45.37
296 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 169,255 201,013 $61,317,435 $305.04
297 77280 Simple Radiation Therapy Simulation 144,019 340,749 $61,149,102 $179.45
300 36906 Dialysis Access Clot Removal with Stent Placement 11,844 15,123 $61,003,382 $4,033.81
112 73562 Knee X-Ray, Three Views 1,722,198 2,512,684 $60,964,748 $24.26
305 99292 Critical Care, Additional Time 263,677 539,685 $59,478,709 $110.21
306 88185 Flow Cytometry, Additional Marker, Technical Work 84,080 1,886,931 $59,470,972 $31.52
251 88313 Special Stain for Tissue Elements and Pigments 681,802 1,563,388 $58,351,391 $37.32
308 33361 Transcatheter Aortic Valve Replacement, Femoral Puncture 35,624 66,429 $58,233,366 $876.63
103 73630 Foot X-ray, Complete Series 1,810,788 2,853,505 $58,073,760 $20.35
310 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 53,853 63,448 $57,544,813 $906.96
52 84439 Free Thyroxine (Free T4) 3,520,417 5,236,676 $56,978,947 $10.88
311 68761 Punctal Plug Insertion for Dry Eye 180,732 410,763 $56,958,289 $138.66
313 36482 Adhesive Closure of a Leg Vein, First Vein 15,292 27,829 $56,808,853 $2,041.35
315 96401 Chemotherapy Injection Under the Skin or into Muscle 142,517 716,337 $56,806,536 $79.30
316 65778 Amniotic Membrane Placement on the Eye Surface 25,683 41,349 $56,771,531 $1,372.98
317 43235 Upper GI Endoscopy, Diagnostic 317,344 395,483 $56,177,595 $142.05
295 00812 Anesthesia for Screening Colonoscopy 522,086 657,736 $56,076,602 $85.26
320 97116 Gait Training Therapy 258,727 2,307,974 $56,045,017 $24.28
322 67042 Vitrectomy with Internal Limiting Membrane Peel 26,993 44,856 $56,005,947 $1,248.57
323 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 130,026 138,234 $55,357,819 $400.46
325 97597 Selective Wound Debridement, Smaller Area 317,758 962,001 $54,959,929 $57.13
326 29881 Knee Arthroscopy with Meniscectomy 55,462 82,233 $54,903,504 $667.66
329 95004 Skin Prick Allergy Testing 189,274 10,486,373 $54,700,044 $5.22
331 97113 Aquatic Therapy with Exercise 69,561 1,736,240 $54,667,095 $31.49
273 77066 Diagnostic Mammogram, Both Breasts 590,858 620,617 $54,240,722 $87.40
188 76942 Ultrasound Guidance for Needle Placement 986,595 1,253,877 $53,895,145 $42.98
92 73030 Shoulder X-ray, Complete 2,013,236 2,851,343 $53,755,487 $18.85
255 77065 Diagnostic Mammogram, One Breast 648,532 791,119 $53,690,473 $67.87
184 94060 Spirometry, Pre- and Post-Bronchodilator 995,901 1,177,406 $53,529,721 $45.46
334 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 44,953 46,668 $52,978,156 $1,135.21
335 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 11,717 14,999 $52,460,372 $3,497.59
337 62321 Neck or Upper Back Epidural Injection with Imaging 143,501 280,824 $52,313,804 $186.29
339 64490 Neck or Mid-Back Facet Joint Injection, First Level 113,165 250,254 $52,203,165 $208.60
341 50590 Extracorporeal Shock Wave Lithotripsy 48,284 67,856 $51,978,824 $766.02
345 77338 Multi-Leaf Collimator Design for IMRT 123,219 158,431 $51,617,344 $325.80
347 22514 Lumbar Vertebral Augmentation (Kyphoplasty) 25,212 27,639 $51,432,151 $1,860.85
352 77290 Complex Radiation Therapy Simulation 175,926 226,160 $50,887,286 $225.01
353 26055 Trigger Finger Release (Tendon Sheath Incision) 75,062 143,147 $50,663,020 $353.92
59 87086 Urine Culture, Quantitative 3,054,085 5,164,439 $50,318,285 $9.74
355 64636 Lower Back Facet Nerve Ablation, Additional Joint 174,350 442,160 $50,012,704 $113.11
360 87798 Molecular Test for an Unlisted Organism 238,808 1,171,432 $49,411,903 $42.18
361 77263 Complex Radiation Therapy Treatment Planning 272,088 294,570 $48,728,554 $165.42
364 77523 Proton Beam Radiation Treatment, Intermediate Delivery 1,927 47,079 $48,160,704 $1,022.98
366 97535 Self-Care and Home Management Training 352,625 1,627,724 $47,697,710 $29.30
127 85610 Prothrombin Time (PT/INR) 1,371,920 10,039,226 $47,563,655 $4.74
369 55700 Prostate Needle Biopsy Retired after Q4 2025 147,300 172,354 $47,253,814 $274.17
371 72158 Low-Back MRI, Before and After Contrast 232,675 266,554 $47,151,597 $176.89
373 00400 Anesthesia for Skin Surgery on Limbs and Trunk 242,463 390,122 $47,059,699 $120.63
376 22513 Thoracic Vertebral Augmentation (Kyphoplasty) 22,368 25,201 $46,808,759 $1,857.42
110 82728 Ferritin Blood Test 1,728,019 2,835,529 $46,624,249 $16.44
380 98942 Chiropractic Spinal Manipulation, Five Regions 109,385 906,470 $46,331,216 $51.11
381 67904 Droopy Eyelid Repair, External Levator Approach 31,103 67,042 $46,187,816 $688.94
164 92557 Comprehensive Audiometry 1,122,143 1,216,429 $45,882,319 $37.72
383 27096 Sacroiliac Joint Injection with Imaging Guidance 228,941 332,271 $45,771,416 $137.75
384 33405 — 20,645 32,738 $45,537,894 $1,390.98
386 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 54,060 86,256 $45,481,757 $527.29
388 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 201,618 321,900 $45,393,380 $141.02
390 76641 Complete Breast Ultrasound 341,000 501,587 $45,362,999 $90.44
391 29880 Knee Arthroscopy, Meniscectomy Both Compartments 42,184 63,902 $45,272,036 $708.46
394 93351 Stress Echocardiogram, Complete with Supervision 238,022 242,670 $44,688,222 $184.15
395 00567 Anesthesia for On-Pump Coronary Bypass Surgery 51,729 64,587 $44,621,615 $690.88
397 35301 — 35,623 50,065 $44,365,925 $886.17
400 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 263,986 303,297 $44,174,381 $145.65
193 76705 Limited Abdominal Ultrasound 971,789 1,135,567 $43,750,076 $38.53
377 36556 Non-Tunneled Central Line Placement, Age 5 and Over 369,474 441,202 $43,411,114 $98.39
402 99183 Physician Supervision of Hyperbaric Oxygen Therapy 17,755 404,534 $43,224,670 $106.85
403 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 49,749 100,567 $43,174,518 $429.31
396 10060 Incision and Drainage of Abscess, Simple 339,095 389,918 $43,027,274 $110.35
333 70498 CT Angiogram of the Neck 431,133 467,450 $43,022,361 $92.04
407 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 106,355 522,496 $42,927,877 $82.16
408 77295 3D Conformal Radiotherapy Planning 130,222 151,186 $42,871,079 $283.57
253 88112 Non-Gynecologic Enhanced Cytology 667,522 1,019,940 $42,692,396 $41.86
416 64494 Lower Back Facet Joint Injection, Second Level 311,890 478,876 $42,585,595 $88.93
418 72197 Pelvis MRI, Before and After Contrast 172,574 195,139 $42,371,929 $217.14
346 93923 Complete Arterial Circulation Study, Arms or Legs 404,840 479,545 $42,280,459 $88.17
116 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,592,361 1,995,960 $42,219,797 $21.15
160 73564 Complete Knee X-Ray, Four or More Views 1,151,178 1,558,473 $42,158,351 $27.05
342 70496 CT Angiogram of the Head 407,810 446,151 $42,026,336 $94.20
321 11055 Paring of a Single Corn or Callus 470,106 909,916 $41,973,076 $46.13
367 99316 Nursing Facility Discharge Visit, Longer Session 385,742 428,231 $41,914,064 $97.88
425 78816 PET/CT Scan, Whole Body 51,931 71,195 $41,163,540 $578.18
427 95816 EEG, Awake and Drowsy 263,281 292,874 $41,062,956 $140.21
428 99348 Home Visit, Established Patient, Level 2 187,690 501,056 $40,940,919 $81.71
429 28285 Hammertoe Correction 44,961 99,544 $40,818,521 $410.06
432 87633 — 56,743 83,507 $40,735,108 $487.80
433 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 217,782 275,445 $40,733,819 $147.88
434 11730 — 293,988 408,716 $40,584,070 $99.30
436 19301 Partial Mastectomy (Lumpectomy) 53,897 65,711 $40,580,513 $617.56
275 93922 Limited Arterial Circulation Study, Arms or Legs 585,264 703,392 $40,375,588 $57.40
439 87507 — 70,167 84,277 $40,324,914 $478.48
440 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 157,266 244,229 $40,230,496 $164.72
442 90962 — 90,213 218,209 $39,727,782 $182.06
443 01922 Anesthesia for Imaging or Radiation Therapy 156,922 243,282 $39,468,314 $162.23
444 31500 — 240,073 275,690 $39,399,103 $142.91
378 92235 Fluorescein Angiography of the Retina 355,946 454,030 $39,097,520 $86.11
351 76830 Transvaginal Pelvic Ultrasound 402,131 462,702 $39,082,924 $84.47
448 77373 Stereotactic Body Radiation Therapy Delivery 6,064 28,544 $39,010,513 $1,366.68
113 82746 Serum Folate Blood Test 1,688,767 2,191,744 $38,924,036 $17.76
257 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 630,875 949,127 $38,870,530 $40.95
451 43249 Upper Endoscopy with Esophageal Balloon Dilation 104,303 152,840 $38,673,437 $253.03
452 88377 — 66,672 168,339 $38,369,239 $227.93
454 52601 TURP - Transurethral Prostate Resection 45,378 48,161 $38,199,105 $793.15
307 20550 Tendon Sheath, Ligament, or Fascia Injection 506,686 811,584 $38,076,806 $46.92
456 36558 — 112,497 133,602 $38,071,485 $284.96
266 76642 Limited Breast Ultrasound 603,847 745,612 $37,998,205 $50.96
458 00562 — 40,315 49,601 $37,978,144 $765.67
460 37228 — Retired after Q4 2025 28,644 33,371 $37,951,204 $1,137.25
462 65855 Laser Trabeculoplasty for Glaucoma 98,299 176,560 $37,874,411 $214.51
463 95911 Nerve Conduction Studies, 9-10 Studies 165,136 171,651 $37,697,885 $219.62
465 95819 EEG Recording Both Awake and Asleep 197,955 215,190 $37,473,933 $174.14
466 00910 Anesthesia for Transurethral Bladder Procedures 224,639 382,455 $37,451,299 $97.92
181 94729 Gas Diffusing Capacity Test (DLCO) 1,004,541 1,095,284 $37,388,495 $34.14
470 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 78,189 117,566 $36,900,177 $313.87
472 19083 Breast Needle Biopsy with Ultrasound Guidance 109,689 113,276 $36,842,232 $325.24
199 94010 Spirometry 902,289 1,242,393 $36,620,831 $29.48
475 01230 Anesthesia for Upper Thigh Bone Surgery 120,318 170,950 $36,618,358 $214.21
449 93312 Transesophageal Heart Ultrasound, Complete Service 282,786 331,867 $36,589,303 $110.25
135 73560 Basic Knee X-Ray, One or Two Views 1,303,927 1,923,203 $36,531,680 $19.00
479 49505 Inguinal Hernia Repair, Age 5 or Older 51,316 64,565 $36,409,897 $563.93
483 01844 — 89,266 168,085 $36,054,303 $214.50
485 37221 — Retired after Q4 2025 29,251 32,676 $36,007,242 $1,101.95
489 96367 — 137,187 1,140,977 $35,571,267 $31.18
232 84403 Total Testosterone Blood Test 756,768 1,144,984 $35,550,745 $31.05
490 01992 — 147,959 301,753 $35,446,242 $117.47
492 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 196,336 226,833 $35,186,601 $155.12
309 70486 CT Scan of Sinuses and Facial Bones 501,858 546,473 $35,175,907 $64.37
467 88331 — 263,110 480,645 $34,902,509 $72.62
354 76856 Complete Pelvic Ultrasound, Non-Pregnancy 397,892 462,033 $34,581,176 $74.85
497 00630 — 91,587 133,616 $34,244,150 $256.29
499 36907 — 42,271 66,376 $34,226,315 $515.64
500 25609 Open Repair of Complex Distal Radius Fracture 17,330 26,281 $34,181,408 $1,300.61
504 22840 Posterior Spinal Instrumentation, Non-Segmental 40,850 66,086 $33,736,900 $510.50
505 43248 — 99,191 160,493 $33,624,282 $209.51
506 64561 Sacral Nerve Stimulator Electrode Placement 8,288 14,514 $33,599,023 $2,314.94
126 51798 Post-Void Residual Urine, Ultrasound 1,374,919 2,110,158 $33,577,531 $15.91
509 93460 — 88,188 89,368 $33,563,347 $375.56
457 77002 Fluoroscopic Guidance for Needle Placement 273,738 479,530 $33,464,357 $69.79
512 88360 Manual Scoring of Tumor Immunostain 208,842 512,165 $33,428,515 $65.27
513 00320 — 106,151 166,178 $33,366,457 $200.79
476 88173 Fine Needle Aspiration Interpretation 256,981 367,883 $32,976,767 $89.64
517 67108 Retinal Detachment Repair by Vitrectomy 16,316 26,632 $32,849,514 $1,233.46
519 67210 — 39,862 65,788 $32,605,328 $495.61
521 01630 — 116,497 165,191 $32,524,202 $196.89
327 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 463,513 512,314 $32,171,171 $62.80
422 99304 Initial Nursing Facility Visit, Level 1 314,369 356,120 $32,060,363 $90.03
529 13101 Complex Wound Repair of the Trunk (Mid-Length) 87,653 99,600 $31,398,089 $315.24
533 37226 — Retired after Q4 2025 23,102 25,521 $31,239,259 $1,224.06
534 45384 — 90,996 123,599 $31,187,679 $252.33
538 91110 Capsule Endoscopy, Esophagus Through Ileum 51,584 53,966 $31,103,986 $576.36
539 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 191,252 224,185 $31,059,754 $138.55
540 47563 — 39,983 48,729 $31,038,478 $636.96
542 63030 — 26,238 42,443 $30,962,791 $729.51
544 65756 Endothelial Corneal Transplant 12,330 24,118 $30,795,267 $1,276.86
548 20680 — 50,973 71,349 $30,710,805 $430.43
480 86235 Extractable Nuclear Antigen Antibody 253,017 1,427,574 $30,564,868 $21.41
551 27487 Total Knee Replacement Revision, Both Components 16,107 25,845 $30,490,178 $1,179.73
552 63048 — 75,003 206,779 $30,464,810 $147.33
115 87186 Antibiotic Susceptibility Panel, MIC 1,643,706 2,907,807 $30,375,588 $10.45
387 97164 Physical Therapy Re-evaluation 344,828 531,085 $30,316,925 $57.08
557 00560 Anesthesia for Heart Surgery Without Bypass Machine 50,673 65,551 $29,371,664 $448.07
191 84481 Free Triiodothyronine (T3) Blood Test 975,428 1,431,142 $29,235,535 $20.43
561 67036 Vitrectomy Through the Pars Plana 17,087 28,219 $29,056,427 $1,029.68
510 64484 — 231,519 381,051 $28,881,836 $75.80
57 82570 Creatinine, Non-Blood Sample 3,085,103 4,621,932 $28,828,282 $6.24
526 72146 Mid-Back MRI, No Contrast Dye 212,858 239,159 $28,590,771 $119.55
37 81001 Urinalysis, Automated with Microscopy 4,530,889 7,180,967 $27,478,616 $3.83
225 72110 Lower Back (Lumbar) Spine X-ray, Full Series 800,248 894,141 $27,446,952 $30.70
81 85027 Complete Blood Count, Automated, No Differential 2,303,817 3,492,182 $27,241,509 $7.80
441 93224 — 290,532 310,634 $26,245,478 $84.49
106 83735 Magnesium Blood Level 1,765,883 3,248,247 $26,224,939 $8.07
138 74018 Abdominal X-ray, Single View 1,297,612 2,238,366 $25,836,491 $11.54
299 36620 Arterial Line Placement, Percutaneous 516,632 575,575 $25,795,678 $44.82
70 82043 Urine Microalbumin, Quantitative 2,783,747 3,697,386 $25,750,167 $6.96
453 97163 Physical Therapy Evaluation, High Complexity 279,978 304,183 $25,631,491 $84.26
486 70544 — 251,268 267,449 $25,615,476 $95.78
203 73610 Full Ankle X-Ray Series 896,229 1,348,858 $25,432,221 $18.85
119 83550 Iron Binding Capacity Blood Test 1,484,025 2,349,520 $24,751,746 $10.53
508 70491 CT Scan of Neck Soft Tissue with Contrast 232,486 286,676 $24,422,610 $85.19
202 73130 Full Hand X-Ray Series 898,814 1,277,739 $24,221,428 $18.96
228 92020 Gonioscopy, Exam of the Eye's Drainage Angle 769,664 882,051 $23,942,857 $27.14
304 76775 Limited Retroperitoneal Ultrasound 510,439 576,213 $23,539,203 $40.85
177 93016 Cardiac Stress Test, Supervision Only 1,048,516 1,075,831 $23,418,108 $21.77
118 87088 Urine Culture with Isolate Identification 1,513,754 2,389,109 $23,336,276 $9.77
398 97035 — 339,067 2,179,850 $23,323,673 $10.70
102 83540 Serum Iron Level 1,848,528 2,974,569 $23,209,098 $7.80
501 78306 — 236,993 274,343 $23,028,342 $83.94
231 87804 Rapid Influenza Antigen Test 761,680 1,433,917 $22,997,983 $16.04
238 73110 Full Wrist X-Ray Series 721,684 1,102,360 $22,739,144 $20.63
264 94726 Lung Volume Testing by Body Plethysmography 621,206 669,090 $22,580,206 $33.75
450 73700 CT Scan of Leg or Foot, No Contrast 280,975 322,457 $21,313,572 $66.10
129 87077 Definitive Identification of Cultured Isolate 1,369,200 2,173,672 $21,171,120 $9.74
420 20605 Intermediate Joint Injection or Aspiration 316,532 443,597 $20,291,597 $45.74
213 88304 Surgical Pathology Exam, Level III 840,724 1,019,968 $19,684,118 $19.30
549 93926 — 205,433 269,730 $18,851,749 $69.89
150 93018 Cardiac Stress Test, Interpretation and Report Only 1,229,179 1,264,258 $18,525,873 $14.65
235 84165 Serum Protein Electrophoresis (SPEP) 738,164 1,188,909 $18,245,505 $15.35
493 99315 — 242,718 264,967 $18,104,074 $68.33
421 83861 — 315,847 813,300 $17,860,835 $21.96
330 86334 Serum Immunofixation Electrophoresis 450,350 749,768 $17,578,085 $23.44
515 20552 Trigger Point Injection, One or Two Muscles 230,179 365,422 $17,291,864 $47.32
459 20600 Arthrocentesis, Small Joint 271,846 409,928 $17,252,070 $42.09
528 92002 — 211,886 214,405 $17,202,271 $80.23
96 84550 Uric Acid Blood Test 1,938,361 3,134,755 $17,056,592 $5.44
45 81003 Urinalysis, Automated without Microscopy 3,892,655 6,302,721 $16,988,922 $2.70
179 80076 Liver Function Blood Panel 1,035,022 1,627,671 $16,017,321 $9.84
541 64447 Femoral Nerve Block, Single Injection 207,248 236,029 $15,294,670 $64.80
426 99282 — 310,318 366,133 $14,554,467 $39.75
284 72040 Neck (Cervical) Spine X-ray, Limited Views 555,472 696,528 $14,231,496 $20.43
195 84460 ALT (Alanine Aminotransferase) Blood Test 936,320 2,206,369 $14,009,261 $6.35
141 86140 C-Reactive Protein, Standard 1,285,100 2,225,599 $13,878,580 $6.24
417 93308 Limited or Follow-Up Heart Ultrasound 320,449 394,095 $13,609,656 $34.53
240 72170 Basic Pelvis X-Ray 715,883 828,122 $13,122,499 $15.85
473 82378 — 259,084 561,282 $12,840,522 $22.88
171 82550 Total Creatine Kinase Blood Test 1,068,738 1,636,962 $12,837,514 $7.84
338 73620 Foot X-ray, Two Views 422,948 633,766 $12,674,543 $20.00
291 84480 Total Triiodothyronine (T3) Blood Test 529,133 737,327 $12,624,638 $17.12
558 77012 — 194,324 209,737 $12,582,629 $59.99
227 92567 Eardrum Movement Test (Tympanometry) 770,023 867,968 $12,410,854 $14.30
409 94727 Lung Volume Testing by Gas Dilution or Washout 329,221 354,353 $12,236,634 $34.53
80 81002 Manual Urinalysis, Dipstick Only 2,321,876 3,584,893 $12,147,019 $3.39
419 74230 Swallowing Study with Video X-ray 317,037 374,472 $11,912,922 $31.81
244 83615 Lactate Dehydrogenase (LDH) Blood Test 695,560 1,645,230 $11,905,521 $7.24
375 72050 Neck (Cervical) Spine X-ray, Extended Views 373,508 414,339 $11,674,941 $28.18
260 86803 Hepatitis C Antibody Test 624,053 674,928 $11,611,723 $17.20
249 86038 Antinuclear Antibody Screen 688,038 789,199 $11,497,968 $14.57
359 80305 Presumptive Drug Screen, Visually Read 394,148 882,202 $11,495,070 $13.03
286 76937 Ultrasound Guidance for Vascular Access 550,371 710,683 $11,404,556 $16.05
318 94640 Inhalation Treatment for Airway Obstruction 480,342 636,658 $11,226,714 $17.63
183 84436 Total Thyroxine (T4) Blood Test 1,000,834 1,348,731 $11,186,921 $8.29
507 82670 Estradiol Blood Test 236,111 332,162 $11,178,660 $33.65
156 82565 Creatinine, Blood 1,162,112 1,820,616 $11,162,973 $6.13
523 76882 Limited Ultrasound of an Arm or Leg 216,614 279,733 $11,094,385 $39.66
289 80069 Renal Function Panel 536,163 1,055,382 $11,034,941 $10.46
488 87624 High-Risk HPV DNA Test 250,282 257,529 $10,919,594 $42.40
282 87880 Rapid Strep A Antigen Test 565,689 632,961 $10,113,595 $15.98
495 84402 Free Testosterone Blood Test 242,291 326,719 $10,009,602 $30.64
532 83883 — 209,388 609,020 $9,973,898 $16.38
404 83516 — 334,284 706,911 $9,817,524 $13.89
196 84100 Phosphorus (Inorganic Phosphate) Blood Test 910,290 1,733,774 $9,806,133 $5.66
277 83721 Direct LDL Cholesterol Measurement 582,983 847,106 $9,743,197 $11.50
399 11719 — 339,052 905,753 $9,677,131 $10.68
410 93320 Full Doppler Flow Measurement with Heart Ultrasound 327,047 358,861 $9,668,858 $26.94
389 93227 — 343,934 364,371 $9,624,527 $26.41
518 83520 Quantitative Immunoassay, Substance Not Otherwise Specified 225,724 560,105 $9,446,231 $16.87
301 88311 Decalcification of Tissue for Sectioning 515,040 659,495 $9,367,990 $14.20
412 77001 — 323,308 406,089 $9,335,294 $22.99
393 84154 Free PSA Blood Test 339,342 420,149 $9,325,328 $22.20
363 73552 Thigh Bone X-Ray 392,056 570,189 $8,524,030 $14.95
430 73140 Finger X-Ray 300,538 403,013 $8,392,912 $20.83
553 92025 Computerized Corneal Mapping (Topography) 197,422 231,532 $8,292,235 $35.81
362 82274 Fecal Immunochemical Test for Blood 393,190 421,606 $8,065,697 $19.13
370 86141 High-Sensitivity C-Reactive Protein 383,814 515,505 $8,055,972 $15.63
268 87070 Bacterial Culture, Other Source 594,395 743,024 $7,737,978 $10.41
413 92285 External Photography of the Eye and Lids 323,207 392,803 $7,253,152 $18.47
222 82248 Direct Bilirubin Blood Test 815,400 1,238,752 $7,247,339 $5.85
550 84270 Sex Hormone Binding Globulin Blood Test 203,078 278,788 $7,239,698 $25.97
530 73565 — 211,549 244,661 $7,178,493 $29.34
392 86376 Thyroid Microsomal Antibody 340,293 408,766 $7,174,870 $17.55
219 82947 Glucose, Quantitative (Blood) 818,597 1,520,463 $7,149,338 $4.70
350 73590 Lower Leg X-Ray 402,819 536,221 $7,033,408 $13.12
328 76514 Corneal Thickness Measurement by Ultrasound 454,378 486,519 $6,988,129 $14.36
543 83921 — 207,032 335,973 $6,914,647 $20.58
241 84450 AST (Aspartate Aminotransferase) Blood Test 714,764 1,117,283 $6,874,726 $6.15
132 85652 Erythrocyte Sedimentation Rate, Automated 1,332,851 2,110,134 $6,854,400 $3.25
401 73080 Full Elbow X-Ray Series 335,186 416,055 $6,818,298 $16.39
374 74019 Abdominal X-ray, Two Views 374,889 477,458 $6,780,245 $14.20
446 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 286,187 333,762 $6,761,078 $20.26
415 99406 Smoking Cessation Counseling, Intermediate 321,328 492,486 $6,620,263 $13.44
477 83090 Homocysteine Blood Test 254,351 323,115 $6,587,679 $20.39
555 94762 — 196,783 220,251 $6,530,864 $29.65
431 71101 Rib X-ray, One Side, with Chest View 297,821 329,076 $6,214,294 $18.88
482 86800 Thyroglobulin Antibody 252,289 320,847 $6,158,344 $19.19
445 74022 — 286,254 343,802 $6,023,824 $17.52
437 90471 Immunization Administration, First 294,352 316,005 $5,986,794 $18.95
205 81000 Manual Urinalysis with Microscopy 882,351 1,499,905 $5,871,678 $3.91
287 84479 Thyroid Hormone Uptake Test 541,544 731,496 $5,709,136 $7.80
545 82533 Total Cortisol Blood Test 206,669 289,141 $5,682,819 $19.65
348 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 404,186 662,599 $5,679,070 $8.57
385 51741 Complex Urine Flow Study 344,861 445,137 $5,558,706 $12.49
478 73501 — 253,461 318,866 $5,443,239 $17.07
247 82962 Blood Sugar Check with Handheld Glucose Meter 694,046 1,673,835 $5,311,519 $3.17
522 92550 — 221,015 237,713 $5,264,914 $22.15
455 73060 Upper Arm Bone X-Ray 275,311 374,558 $5,195,349 $13.87
559 73600 — 193,276 269,338 $4,931,228 $18.31
447 86200 Cyclic Citrullinated Peptide Antibody 283,818 314,411 $4,897,337 $15.58
514 86225 Double-Stranded DNA Antibody 230,273 282,290 $4,666,956 $16.53
271 84156 Total Protein Measurement, Urine 594,258 1,024,121 $4,533,774 $4.43
262 84520 Urea Nitrogen (BUN) 622,886 953,705 $4,510,374 $4.73
314 82310 Total Calcium Blood Test 484,692 728,847 $4,479,342 $6.15
312 93325 Color Flow Mapping with Heart Ultrasound 487,517 569,708 $4,182,363 $7.34
298 86431 Rheumatoid Factor, Quantitative 521,725 608,332 $4,161,127 $6.84
365 83690 Lipase Blood Test 386,631 483,753 $4,020,126 $8.31
280 85651 Erythrocyte Sedimentation Rate, Manual 578,564 938,980 $4,009,335 $4.27
547 83525 Total Insulin Blood Test 206,438 288,332 $3,980,045 $13.80
438 87340 Hepatitis B Surface Antigen Test 291,971 317,432 $3,944,738 $12.43
340 82040 Blood Albumin Test 415,117 635,177 $3,708,467 $5.84
358 93005 Electrocardiogram, Tracing Only 395,139 455,043 $3,704,291 $8.14
379 82150 Amylase Blood Test 353,121 460,865 $3,600,444 $7.81
336 84132 Potassium Blood Level 425,826 667,026 $3,583,461 $5.37
511 76376 3D Image Reconstruction and Interpretation 231,016 266,882 $3,550,704 $13.30
382 85730 Partial Thromboplastin Time (PTT) Blood Test 351,273 476,668 $3,460,309 $7.26
372 84075 Total Alkaline Phosphatase Blood Test 377,702 559,169 $3,388,608 $6.06
406 82247 Total Bilirubin Blood Test 330,416 531,109 $3,090,762 $5.82
484 80051 — 251,554 366,753 $3,083,219 $8.41
356 82044 — 396,820 510,493 $3,077,551 $6.03
537 73090 — 208,334 254,055 $3,042,418 $11.98
535 86706 — 208,523 223,680 $2,893,689 $12.94
324 84155 Total Protein, Blood 463,603 644,869 $2,799,380 $4.34
498 84295 — 238,905 404,047 $2,317,730 $5.74
469 87205 — 260,520 334,235 $1,721,376 $5.15
471 85045 Automated Reticulocyte Count 259,137 353,237 $1,702,201 $4.82
435 85018 — 294,524 525,530 $1,499,216 $2.85
491 86592 — 243,793 278,412 $1,434,926 $5.15
405 82270 — 333,346 333,843 $1,423,665 $4.26

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?

Spending concentrates hard. The top 25 codes carry 55.9% of the $82.2B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $10.4B
  2. 2 99213 Established Patient Office Visit, Level 3 $6.4B
  3. 3 99232 Subsequent Hospital Care, Level 2 $3.3B
  4. 4 99233 Subsequent Hospital Care, Level 3 $2.5B
  5. 5 66984 Cataract Surgery with Lens Implant $2.3B
  6. 6 99223 Initial Hospital Care, Level 3 $2.1B
  7. 7 99285 Emergency Department Visit, Level 5 $2.0B
  8. 8 99204 New Patient Office Visit, Level 4 $1.6B
  9. 9 92014 Comprehensive Eye Exam, Established Patient $1.5B
  10. 10 97110 Therapeutic Exercise, 15 Minutes $1.5B

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
81003 Urinalysis, Automated without Microscopy
By beneficiaries
#29
By allowed dollars
#390
Per service
$2.70
Few patients, lots of money
63685 Spinal Cord Stimulator Generator Implant
By beneficiaries
#475
By allowed dollars
#53
Per service
$5,457.65

What this data covers — and what it doesn't

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 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 CY2018 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 7,826 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.

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