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

Medicare's 500 most-billed CPT codes of 2019

In CY2019 Medicare paid $85.2B across these 500 CPT codes. 99214 (Long Follow-Up Office Visit) leads every measure: 27.2M beneficiaries and $10.9B 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
$85.2B
Total Medicare allowed dollars
Services
1.3B
Times these codes were billed
Top 25
55.2%
Share of the allowed dollars
Vintage
CY2019
Medicare fee-for-service only

All 500 codes, ranked Copy link

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

# Code What it is Beneficiaries Services Allowed Per service
1 99214 Long Follow-Up Office Visit 27,207,772 106,696,472 $10,878,541,443 $101.96
2 99213 Routine Follow-Up Office Visit 25,593,705 92,406,908 $6,447,202,661 $69.77
3 36415 Blood Draw 17,364,415 48,349,458 $141,757,808 $2.93
5 80053 Full Metabolic Blood Panel 14,344,000 29,131,428 $334,424,430 $11.48
8 85025 Blood Cell Count With Differential 13,191,052 29,387,656 $247,926,967 $8.44
9 80061 Cholesterol Blood Panel 12,613,392 19,123,364 $278,111,967 $14.54
11 84443 Thyroid Blood Test 9,931,145 15,099,300 $275,945,287 $18.28
13 92014 Full Eye Exam, Returning Patient 9,715,808 12,541,904 $1,576,636,782 $125.71
15 99203 New Patient Office Visit 9,155,245 11,444,230 $1,174,044,172 $102.59
16 93010 Heart Tracing Reading 8,484,257 19,258,409 $164,831,403 $8.56
14 99204 Long New Patient Office Visit 8,444,613 10,686,987 $1,680,005,867 $157.20
19 83036 Average Blood Sugar Test 8,268,744 15,188,018 $159,939,149 $10.53
21 88305 Biopsy Tissue Examination 7,838,920 20,159,855 $999,719,695 $49.59
22 71046 Chest X-Ray, Two Views 7,628,278 11,502,077 $178,442,502 $15.51
23 93000 Heart Tracing 7,551,400 11,614,730 $199,365,789 $17.16
12 99285 Emergency Visit, Highest Urgency 6,722,865 11,495,824 $1,969,988,412 $171.37
24 93306 Heart Ultrasound 6,500,588 7,560,801 $898,003,849 $118.77
27 99212 Brief Follow-Up Office Visit 6,300,898 10,770,676 $452,376,585 $42.00
29 77067 Screening Mammogram 6,158,406 6,435,410 $447,917,091 $69.60
18 99215 Longest Follow-Up Office Visit 5,869,898 10,399,315 $1,412,907,799 $135.87
32 71045 Chest X-Ray, One View 5,773,631 15,962,186 $153,644,937 $9.63
34 82306 Vitamin D Blood Test 4,670,696 6,350,542 $204,236,397 $32.16
4 99232 Daily Hospital Visit 4,598,341 44,627,116 $3,234,727,732 $72.48
37 81001 Urine Test With Microscope Exam 4,488,831 7,117,144 $24,472,804 $3.44
39 77063 3D Screening Mammogram 4,431,825 4,628,452 $173,342,219 $37.45
10 99223 Extended Hospital Admission Visit 4,269,516 10,596,532 $2,140,442,764 $201.99
42 17000 Precancerous Skin Spot Removal 4,084,782 6,020,158 $306,296,036 $50.88
44 80048 Basic Metabolic Blood Panel 4,001,136 7,059,894 $64,846,639 $9.19
47 81003 Automated Urinalysis 3,972,323 6,439,463 $15,633,884 $2.43
36 99284 Emergency Visit, High Urgency 3,892,338 5,409,965 $619,794,068 $114.57
50 70450 Head CT Without Contrast 3,825,794 5,762,560 $256,238,027 $44.47
38 92012 Established Patient Eye Examination, Intermediate 3,627,968 6,622,578 $590,200,907 $89.12
6 99233 Extended Daily Hospital Visit 3,616,200 24,529,093 $2,556,776,334 $104.23
52 84439 Free T4 Thyroid Test 3,556,284 5,338,017 $52,284,747 $9.79
43 99239 Extended Hospital Discharge Visit 3,420,697 5,137,762 $546,310,400 $106.33
55 92134 Retina Scan 3,291,086 7,395,012 $298,241,760 $40.33
25 99222 Hospital Admission Visit 3,265,702 6,453,058 $880,604,749 $136.46
58 82570 Urine Creatinine Test 3,147,405 4,713,227 $26,447,936 $5.61
60 82607 Vitamin B12 Laboratory Test 3,121,926 4,133,954 $67,704,446 $16.38
61 17003 Additional Premalignant Skin Lesion Destruction 3,057,488 19,183,969 $103,435,442 $5.39
63 87086 Urine Culture 3,034,427 5,114,245 $44,887,706 $8.78
65 96372 Therapeutic Injection Administration 2,995,412 9,524,325 $151,763,975 $15.93
67 92250 Fundus Photography 2,970,175 3,554,563 $175,205,774 $49.29
17 97110 Physical Therapy Exercises 2,878,624 60,158,930 $1,548,784,469 $25.74
62 20610 Major Joint Injection or Aspiration 2,870,666 5,729,511 $344,608,981 $60.15
69 82043 Urine Albumin Test 2,833,733 3,774,878 $23,642,483 $6.26
71 77080 Central Bone Density Study 2,653,411 2,760,470 $65,071,138 $23.57
53 74177 Abdomen and Pelvis CT With Contrast 2,584,246 3,498,040 $403,262,448 $115.28
40 99205 Longest New Patient Office Visit 2,578,153 2,916,931 $574,241,494 $196.86
75 92083 Comprehensive Visual Field Examination 2,567,313 3,015,768 $188,824,975 $62.61
76 11102 Skin Biopsy, Initial Lesion 2,564,792 3,256,012 $278,627,498 $85.57
68 11721 Debridement of Multiple Nails 2,553,256 6,911,264 $310,304,367 $44.90
79 92133 Optic Nerve Imaging by Optical Coherence Tomography 2,474,375 2,795,983 $99,221,967 $35.49
80 85027 Blood Cell Count 2,374,779 3,601,078 $25,292,196 $7.02
82 99202 New Patient Office Visit, Level 2 2,366,608 2,484,281 $175,974,160 $70.84
83 84153 Prostate-Specific Antigen Test 2,293,934 3,324,256 $66,385,923 $19.97
84 81002 Manual Urinalysis 2,212,953 3,404,479 $11,536,139 $3.39
33 97140 Hands-On Physical Therapy 2,173,703 29,545,674 $660,813,415 $22.37
64 92004 New Patient Eye Examination, Comprehensive 2,122,386 2,225,523 $329,000,828 $147.83
89 99283 Emergency Department Visit, Level 3 2,093,642 2,743,497 $163,883,695 $59.74
77 93880 Carotid Artery Duplex Study 2,084,284 2,297,659 $282,249,176 $122.84
91 73502 Hip and Pelvis Radiograph 2,080,165 2,904,678 $69,280,844 $23.85
93 73030 Shoulder Radiograph 2,064,844 2,943,795 $57,413,662 $19.50
94 99238 Hospital Discharge Visit 1,942,089 2,556,018 $184,816,710 $72.31
28 99308 Nursing Home Visit 1,909,977 11,305,472 $741,640,371 $65.60
97 84550 Uric Acid Laboratory Test 1,905,367 3,100,816 $15,176,696 $4.89
20 99291 Critical Care 1,904,903 5,885,747 $1,316,600,906 $223.69
100 83540 Iron Laboratory Test 1,899,788 3,088,939 $21,699,488 $7.02
102 71250 Chest CT Without Contrast 1,898,562 2,427,776 $186,450,599 $76.80
88 17110 Destruction of Benign Skin Lesions 1,879,316 2,511,529 $257,711,231 $102.61
99 74176 Abdomen and Pelvis CT Without Contrast 1,854,461 2,366,412 $231,796,217 $97.95
26 99309 Extended Nursing Home Visit 1,848,702 9,911,193 $849,602,276 $85.72
106 73630 Foot Radiograph 1,844,120 2,923,671 $64,027,149 $21.90
109 83735 Magnesium Laboratory Test 1,803,560 3,344,487 $24,305,025 $7.27
85 99231 Subsequent Hospital Care, Level 1 1,794,475 6,781,975 $262,675,403 $38.73
111 82728 Ferritin Laboratory Test 1,791,919 2,967,548 $43,948,543 $14.81
112 73562 Knee Radiograph 1,760,782 2,573,261 $65,486,459 $25.45
48 78452 Myocardial Perfusion Imaging 1,753,855 1,830,643 $467,620,571 $255.44
115 82746 Folate Laboratory Test 1,726,379 2,259,164 $36,111,296 $15.98
117 87186 Antimicrobial Susceptibility Testing 1,660,733 3,011,476 $28,335,690 $9.41
119 72100 Lumbar Spine Radiograph 1,588,046 1,991,178 $44,194,280 $22.20
121 99497 Advance Care Planning 1,545,555 1,832,887 $148,375,051 $80.95
122 83550 Iron-Binding Capacity Test 1,532,201 2,449,813 $23,259,283 $9.49
124 87088 Urine Culture Identification 1,524,111 2,400,137 $21,111,753 $8.80
125 88342 Immunohistochemistry Study, Initial Antibody 1,523,617 2,286,741 $136,653,806 $59.76
41 97112 Balance and Coordination Therapy 1,445,263 18,003,884 $558,121,525 $31.00
127 93971 Unilateral Extremity Venous Duplex Study 1,435,719 1,837,163 $95,215,786 $51.83
30 97530 Daily-Activity Therapy 1,406,373 20,044,437 $720,459,437 $35.94
129 93970 Bilateral Extremity Venous Duplex Study 1,405,397 1,692,563 $159,580,989 $94.28
45 98941 Chiropractic Spinal Manipulation, Multiple Regions 1,398,222 13,545,346 $544,419,955 $40.19
131 71260 Chest CT With Contrast 1,396,057 1,955,178 $143,570,022 $73.43
133 51798 Bladder Residual Urine Measurement 1,392,396 2,130,940 $27,490,086 $12.90
134 87077 Microorganism Identification From Culture 1,387,131 2,206,614 $19,360,403 $8.77
137 85652 Erythrocyte Sedimentation Rate Test 1,348,101 2,153,991 $6,312,539 $2.93
139 97161 Physical Therapy Evaluation 1,344,284 1,526,175 $130,460,388 $85.48
66 43239 Upper Gastrointestinal Endoscopy With Tissue Sampling 1,341,959 1,956,044 $324,554,618 $165.92
142 86140 C-Reactive Protein Test 1,332,860 2,318,715 $13,008,761 $5.61
72 99220 — Retired after Q4 2022 1,321,939 1,584,869 $289,601,374 $182.73
120 72148 Lumbar Spine MRI Without Contrast 1,319,213 1,508,544 $193,527,649 $128.29
144 74018 Abdominal Radiograph 1,305,991 2,280,596 $26,852,630 $11.77
132 99221 Initial Hospital Care, Level 1 1,297,393 1,765,818 $176,676,504 $100.05
147 99217 — Retired after Q4 2022 1,278,222 1,461,937 $104,418,791 $71.42
148 73560 Limited Knee Radiograph Study 1,273,415 1,880,465 $36,590,187 $19.46
7 66984 Cataract Surgery 1,248,177 10,262,670 $2,236,668,503 $217.94
149 76770 Complete Retroperitoneal Ultrasound 1,235,800 1,431,152 $86,883,967 $60.71
151 85610 Prothrombin Time Test 1,232,919 8,395,784 $35,847,214 $4.27
152 97162 Detailed Physical Therapy Evaluation 1,211,734 1,365,853 $116,921,503 $85.60
153 73564 Complete Knee Radiograph Study 1,211,593 1,644,760 $47,321,560 $28.77
155 93018 Cardiovascular Stress Test Interpretation 1,209,790 1,243,280 $18,463,258 $14.85
157 69210 Impacted Earwax Removal 1,199,725 1,569,936 $68,893,546 $43.88
114 80307 Presumptive Drug Screening 1,195,506 3,230,862 $202,921,970 $62.81
158 72125 Cervical Spine CT Without Contrast 1,152,631 1,341,352 $75,933,337 $56.61
146 00811 Anesthesia for Lower Gastrointestinal Endoscopy 1,141,368 1,489,483 $160,654,957 $107.86
160 71275 Chest CT Angiography 1,138,942 1,309,233 $129,320,935 $98.78
163 92557 Comprehensive Hearing Assessment 1,137,557 1,233,397 $47,411,003 $38.44
164 92136 Ophthalmic Biometry for Intraocular Lens Planning 1,136,870 1,885,345 $91,777,441 $48.68
166 70551 Brain MRI Without Contrast 1,093,641 1,220,079 $125,970,009 $103.25
168 82565 Blood Creatinine Test 1,066,445 1,630,159 $9,019,150 $5.53
123 00731 Anesthesia for Upper Gastrointestinal Endoscopy 1,066,146 1,672,544 $188,348,414 $112.61
59 45380 Colonoscopy With Tissue Sampling 1,062,002 1,533,344 $353,546,351 $230.57
173 99211 Established Patient Office Visit, Level 1 1,055,569 2,685,800 $58,087,436 $21.63
104 00142 Anesthesia for Lens Surgery 1,052,827 2,088,157 $212,531,539 $101.78
98 99306 Initial Nursing Facility Care, Level 3 1,028,770 1,393,961 $233,212,341 $167.30
176 94729 Pulmonary Diffusing Capacity Test 1,027,539 1,123,365 $39,287,625 $34.97
178 93016 Cardiovascular Stress Test Supervision 1,020,602 1,046,279 $23,068,006 $22.05
179 82550 Creatine Kinase Test 1,014,769 1,554,322 $10,969,435 $7.06
181 94060 Bronchodilator Responsiveness Testing 997,336 1,170,132 $52,648,317 $44.99
183 84481 Free Triiodothyronine Test 994,750 1,469,010 $27,002,215 $18.38
185 76705 Limited Abdominal Ultrasound 981,856 1,148,804 $44,350,714 $38.61
187 80076 Hepatic Function Panel 973,214 1,549,624 $13,734,087 $8.86
46 45385 Colonoscopy With Polyp Removal 965,617 1,416,283 $474,160,710 $334.79
189 93015 Complete Cardiovascular Stress Test 963,700 990,994 $65,557,889 $66.15
190 84436 Total Thyroxine Test 942,662 1,278,468 $9,548,750 $7.47
192 73130 Hand Radiograph 936,941 1,337,636 $26,949,184 $20.15
195 76942 — 927,214 1,186,592 $48,880,367 $41.19
197 84100 Phosphorus Laboratory Test 924,845 1,784,553 $9,132,554 $5.12
135 99490 Chronic Care Management 911,399 4,324,608 $175,686,865 $40.62
199 73610 Ankle Radiograph 903,450 1,363,643 $27,403,245 $20.10
202 94010 Spirometry 896,118 1,236,006 $36,089,548 $29.20
203 11720 Debridement of Nails 872,959 2,163,102 $71,372,128 $33.00
206 76536 Neck Soft-Tissue Ultrasound 868,755 993,978 $70,845,233 $71.27
207 84460 Alanine Aminotransferase Test 866,764 2,138,638 $12,272,525 $5.74
210 76700 Complete Abdominal Ultrasound 863,414 989,135 $74,114,147 $74.93
128 70553 Brain MRI With and Without Contrast 859,952 1,055,599 $181,981,685 $172.40
212 88304 Surgical Pathology Examination, Level III 838,288 1,017,365 $19,693,449 $19.36
208 88312 Special Stain for Microorganisms 832,059 1,614,826 $107,265,241 $66.43
171 11056 Paring of Multiple Benign Foot Lesions 820,951 2,063,039 $136,945,749 $66.38
169 99305 Initial Nursing Facility Care, Level 2 818,809 1,062,498 $137,620,021 $129.52
200 90791 Psychiatric Diagnostic Evaluation 814,655 910,776 $111,581,106 $122.51
216 11103 Additional Skin Biopsy 810,282 1,428,798 $72,456,768 $50.71
218 92226 — Retired after Q4 2019 806,704 2,138,601 $65,601,507 $30.67
219 92567 Tympanometry 802,236 903,565 $13,675,824 $15.14
220 72110 Multi-View Lumbar Spine Radiograph 792,350 888,426 $28,896,229 $32.53
215 99307 Subsequent Nursing Facility Care, Level 1 790,928 2,409,698 $103,064,850 $42.77
224 81000 — 783,829 1,324,885 $5,187,677 $3.92
226 82248 Direct Bilirubin Test 782,109 1,190,409 $6,380,943 $5.36
228 84403 Total Testosterone Test 768,386 1,176,411 $32,907,283 $27.97
229 92020 Gonioscopy 767,610 881,920 $25,046,795 $28.40
230 84165 Serum Protein Electrophoresis 757,499 1,241,689 $18,314,441 $14.75
233 82947 — 745,512 1,428,279 $6,043,423 $4.23
150 98940 Chiropractic Spinal Manipulation 743,651 5,584,264 $156,689,350 $28.06
141 52000 Diagnostic Cystoscopy 742,417 978,300 $166,628,797 $170.32
237 73110 Wrist Radiograph 736,887 1,134,743 $24,679,291 $21.75
239 72170 Pelvis Radiograph 715,269 829,538 $13,422,228 $16.18
241 83615 Lactate Dehydrogenase Test 679,757 1,602,233 $10,465,882 $6.53
243 86038 Antinuclear Antibody Test 677,291 776,861 $10,192,098 $13.12
244 87804 Influenza Antigen Test 677,279 1,305,364 $20,915,891 $16.02
193 99495 Transitional Care After Discharge 672,615 758,364 $116,146,163 $153.15
248 82962 — 669,100 1,582,533 $5,029,949 $3.18
249 88313 Special Histochemical Stain 668,110 1,588,996 $60,787,605 $38.26
57 67028 Intravitreal Medication Injection 667,505 3,462,128 $377,553,553 $109.05
253 84450 — 664,843 1,033,284 $5,752,856 $5.57
255 88112 Cytopathology Examination 658,797 1,000,547 $41,369,852 $41.35
257 77065 Unilateral Diagnostic Mammography 645,977 792,770 $54,335,878 $68.54
259 94726 Pulmonary Lung Volume Study 638,248 687,092 $23,060,412 $33.56
107 99310 Subsequent Nursing Facility Care, Level 4 633,773 1,664,428 $207,620,189 $124.74
262 83880 Natriuretic Peptide Test 630,415 947,336 $36,375,740 $38.40
51 17311 Mohs Skin Cancer Surgery, First Stage 625,197 823,339 $459,333,357 $557.89
265 84156 Urine Protein Test 624,935 1,089,041 $4,333,074 $3.98
204 73721 Lower-Extremity Joint MRI Without Contrast 622,989 774,813 $108,265,595 $139.73
269 76642 Limited Breast Ultrasound 616,394 761,132 $39,082,556 $51.35
238 99219 — Retired after Q4 2022 603,804 672,028 $89,693,400 $133.47
56 90834 Standard Therapy Session 600,281 4,850,955 $384,112,378 $79.18
272 77066 Bilateral Diagnostic Mammography 599,255 630,520 $55,641,225 $88.25
180 93925 Bilateral Lower-Extremity Arterial Duplex Study 597,814 711,906 $126,960,828 $178.34
275 93922 — 596,801 718,567 $40,737,467 $56.69
222 88307 Surgical Pathology Examination, Level V 595,954 1,010,433 $93,158,344 $92.20
256 72141 Cervical Spine MRI Without Contrast 592,359 664,606 $79,604,368 $119.78
154 99496 Transitional Care After Discharge, Prompt Contact 592,077 684,698 $150,361,952 $219.60
279 87070 — 581,261 729,887 $6,837,404 $9.37
31 90837 Extended Therapy Session 580,732 5,958,402 $686,943,845 $115.29
177 17004 Destruction of Multiple Premalignant Skin Lesions 579,187 861,137 $128,058,182 $148.71
282 87880 Streptococcus Antigen Test 574,553 641,127 $10,253,001 $15.99
284 72040 — 563,546 707,660 $15,770,407 $22.29
250 95886 Needle Electromyography Study 552,277 947,697 $82,971,826 $87.55
286 83721 — 551,576 801,160 $8,298,592 $10.36
288 80069 Renal Function Panel 550,197 1,075,639 $10,132,080 $9.42
291 84520 — 533,666 789,459 $3,363,268 $4.26
78 66821 Laser Treatment of the Posterior Lens Capsule 531,448 1,546,363 $278,307,424 $179.98
293 85651 — 528,093 858,649 $3,572,652 $4.16
295 36620 — 522,088 583,647 $26,561,204 $45.51
296 86803 — 521,713 571,230 $8,843,580 $15.48
298 86431 — 520,712 608,554 $3,744,029 $6.15
299 93325 Echocardiographic Color Flow Mapping 519,886 615,053 $4,347,057 $7.07
300 20550 — 518,810 820,227 $39,236,175 $47.84
245 90792 Psychiatric Diagnostic Evaluation With Medical Services 517,563 593,383 $83,689,343 $141.04
301 00812 Anesthesia for Lower Gastrointestinal Screening Endoscopy 516,091 650,255 $56,004,547 $86.13
303 88311 — 515,962 668,856 $9,333,156 $13.95
305 70498 Neck CT Angiography 509,813 555,848 $51,155,026 $92.03
209 74178 Abdomen and Pelvis CT With and Without Contrast 508,720 586,657 $106,453,693 $181.46
307 84479 — 508,537 690,929 $4,856,952 $7.03
285 31575 — 508,455 657,496 $70,442,894 $107.14
310 70486 — 508,273 553,002 $36,094,018 $65.27
311 84480 — 508,213 717,356 $11,047,140 $15.40
313 76937 — 503,956 651,467 $11,016,645 $16.91
86 64483 Lumbar or Sacral Transforaminal Epidural Injection 500,846 1,119,767 $261,725,435 $233.73
140 11042 Subcutaneous Tissue Wound Debridement 496,527 1,991,812 $168,205,979 $84.45
316 92225 — Retired after Q4 2019 489,773 806,085 $25,759,505 $31.96
242 00813 Anesthesia for Combined Upper and Lower Gastrointestinal Endoscopy 487,789 631,983 $84,381,522 $133.52
167 93458 Coronary Angiography and Left Heart Catheterization 487,687 510,007 $138,390,438 $271.35
320 72131 Lumbar Spine CT Without Contrast 486,994 537,629 $33,827,518 $62.92
54 78815 PET/CT Scan, Skull Base to Thigh 485,270 697,175 $395,568,981 $567.39
323 76775 — 485,044 548,713 $22,968,243 $41.86
324 70496 Head CT Angiography 484,552 532,818 $50,334,916 $94.47
327 94640 — 479,624 617,789 $10,609,456 $17.17
328 86334 Immunofixation Electrophoresis 473,821 804,813 $17,622,958 $21.90
329 11055 — 470,908 910,932 $49,016,294 $53.81
331 84155 — 469,162 646,047 $2,525,225 $3.91
334 76514 — 462,469 496,471 $5,943,620 $11.97
236 20611 Ultrasound-Guided Major Joint Injection or Aspiration 460,649 954,011 $89,832,831 $94.16
263 73221 Upper-Extremity Joint MRI Without Contrast 452,751 553,520 $76,887,598 $138.91
182 31231 Diagnostic Nasal Endoscopy 448,577 655,342 $124,999,606 $190.74
145 62323 Lumbar or Sacral Epidural Injection 444,452 873,124 $162,044,623 $185.59
340 99225 — Retired after Q4 2022 422,968 639,104 $45,718,950 $71.54
342 82310 — 421,030 601,463 $3,331,270 $5.54
332 97535 Self-Care and Home Management Training 406,303 1,953,494 $56,599,862 $28.97
345 73590 — 406,090 542,284 $7,110,436 $13.11
346 73620 — 403,858 604,778 $12,420,524 $20.54
347 76830 — 400,631 462,288 $39,482,235 $85.41
348 73552 — 400,397 585,980 $8,772,616 $14.97
351 93005 — 400,050 458,743 $3,796,927 $8.28
352 93923 — 398,965 472,611 $42,333,985 $89.57
354 99316 — 397,239 442,614 $43,429,125 $98.12
172 90832 Brief Therapy Session 396,062 2,288,069 $136,825,335 $59.80
356 76856 — 391,282 455,664 $34,628,063 $75.99
234 90833 Psychotherapy With Evaluation and Management 387,417 1,379,453 $90,439,920 $65.56
359 83690 — 385,061 480,997 $3,594,883 $7.47
205 45378 Diagnostic Colonoscopy 382,530 485,358 $107,691,508 $221.88
360 82977 — 381,143 633,283 $4,901,589 $7.74
363 82040 — 378,082 565,852 $2,996,088 $5.29
364 82044 — 376,955 482,012 $2,911,205 $6.04
365 80305 — 376,859 871,208 $10,618,267 $12.19
368 86141 — 372,932 497,013 $6,992,575 $14.07
369 72050 — 370,823 413,243 $12,918,629 $31.26
372 97164 — 366,999 581,749 $33,837,936 $58.17
373 76641 — 365,448 532,288 $48,268,911 $90.68
374 84132 — 362,526 539,749 $2,679,479 $4.96
376 93308 — 360,514 446,494 $15,159,961 $33.95
377 82274 — 359,288 385,132 $6,637,158 $17.23
379 74019 — 355,575 454,294 $6,728,694 $14.81
381 86376 — 355,390 428,419 $6,772,593 $15.81
382 11104 — 354,646 382,429 $41,744,959 $109.16
385 36556 — 354,388 424,413 $36,646,442 $86.35
386 84154 — 354,273 439,110 $8,767,673 $19.97
143 64493 Lumbar or Sacral Facet Joint Injection 353,386 783,161 $165,871,587 $211.80
388 82150 — 347,420 460,712 $3,241,659 $7.04
390 73080 — 346,219 430,637 $6,912,235 $16.05
392 83516 — 344,300 719,599 $8,994,767 $12.50
394 99406 — 343,039 536,081 $7,437,395 $13.87
396 92285 — 339,567 416,010 $8,223,965 $19.77
398 85730 — 339,010 447,625 $2,923,974 $6.53
399 92235 — 336,931 429,248 $39,554,581 $92.15
402 93320 — 335,664 373,653 $9,904,026 $26.51
404 51741 — 334,169 427,654 $4,904,722 $11.47
405 84075 — 334,052 485,952 $2,673,699 $5.50
406 10060 — 327,559 375,803 $41,999,107 $111.76
409 94727 — 326,871 352,154 $12,269,297 $34.84
411 93227 — 324,873 345,057 $9,129,097 $26.46
413 74230 — 322,841 380,475 $12,298,534 $32.32
414 11719 — 321,527 859,469 $9,472,524 $11.02
217 87798 Infectious-Agent Molecular Detection 320,963 2,600,714 $99,028,003 $38.08
184 00790 Anesthesia for Upper Abdominal Surgery 320,039 476,820 $121,635,916 $255.10
191 95811 — 318,345 366,770 $116,673,302 $318.11
186 01402 Anesthesia for Knee Arthroplasty 317,316 480,204 $119,074,072 $247.97
412 64494 — 315,158 487,978 $44,581,657 $91.36
118 17312 Mohs Surgery, Additional Stage 312,827 503,745 $195,929,977 $388.95
419 20605 — 312,617 439,245 $20,408,955 $46.46
421 97035 — 310,135 2,009,978 $22,100,972 $11.00
423 73140 — 309,556 418,376 $9,231,766 $22.07
273 74183 Abdominal MRI With and Without Contrast 308,834 372,360 $73,501,008 $197.39
344 43235 — 308,743 385,085 $55,331,255 $143.69
427 73700 — 306,231 352,871 $23,796,757 $67.44
35 90960 Monthly Dialysis Care, Frequent Visits 304,826 2,215,013 $633,329,823 $285.93
429 71101 — 304,327 338,032 $6,602,967 $19.53
432 99304 — 304,288 343,175 $30,974,470 $90.26
337 97597 — 303,562 904,613 $55,982,615 $61.89
434 99282 — 299,844 353,194 $14,148,084 $40.06
232 96365 Intravenous Therapeutic Infusion Administration 297,446 1,269,596 $90,987,149 $71.67
436 93312 — 296,596 349,529 $38,991,251 $111.55
438 86200 — 295,795 326,966 $4,588,291 $14.03
439 77002 — 295,567 532,203 $40,370,833 $75.86
49 27447 Knee Replacement 294,406 508,571 $462,417,830 $909.25
442 85018 — 292,026 506,771 $1,300,115 $2.57
444 82247 — 289,297 470,570 $2,515,284 $5.35
446 97163 — 287,484 313,753 $26,753,850 $85.27
447 72070 — 286,276 334,040 $6,906,635 $20.68
450 11730 — 284,442 390,381 $40,709,292 $104.28
452 87340 — 284,303 311,212 $3,486,217 $11.20
453 83861 — 282,270 742,927 $16,309,292 $21.95
165 99349 Established Patient Home or Residence Visit, Level 3 281,644 1,139,954 $138,402,592 $121.41
302 97116 Gait Training 281,508 2,676,479 $65,330,198 $24.41
358 77263 — 280,207 303,164 $51,213,635 $168.93
458 82270 — 278,319 278,674 $1,188,893 $4.27
460 73060 — 276,851 377,760 $5,391,178 $14.27
461 20600 — 276,300 416,348 $18,003,900 $43.24
235 95810 — 274,120 301,142 $90,290,760 $299.83
308 77300 — 273,999 1,406,731 $64,144,615 $45.60
225 13132 Complex Skin Wound Repair 272,804 320,740 $92,505,602 $288.41
314 99292 — 272,159 571,734 $63,236,537 $110.60
95 93229 Mobile Cardiac Telemetry Analysis 269,150 277,946 $244,949,562 $881.28
466 99226 — Retired after Q4 2022 266,297 350,894 $36,216,483 $103.21
467 90471 — 264,691 282,136 $4,414,644 $15.65
469 93224 — 262,675 280,684 $23,455,807 $83.57
470 86235 — 262,185 1,525,412 $29,446,077 $19.30
417 93978 — 262,131 300,714 $43,536,892 $144.78
424 95816 Electroencephalography Study 259,074 287,602 $42,892,579 $149.14
475 86800 — 258,488 329,325 $5,688,162 $17.27
477 85045 — 257,226 357,718 $1,552,761 $4.34
479 87205 — 256,914 328,693 $1,525,777 $4.64
480 88173 — 256,883 372,068 $32,898,862 $88.42
483 82378 — 255,751 559,624 $11,524,851 $20.59
87 96413 Intravenous Antineoplastic Infusion Administration 254,246 1,871,604 $259,759,771 $138.79
486 88331 — 252,519 457,927 $33,225,131 $72.56
487 77001 — 251,262 313,122 $7,615,218 $24.32
278 12032 Intermediate Skin Wound Repair 251,240 280,415 $72,487,815 $258.50
488 96127 — 250,521 485,452 $2,512,346 $5.18
113 77427 Radiation Treatment Management 249,813 1,061,061 $203,123,510 $191.43
490 84402 — 247,909 335,368 $9,259,472 $27.61
491 76376 — 247,563 284,132 $3,679,668 $12.95
492 82670 — 245,765 349,058 $10,576,159 $30.30
494 83090 — 245,231 308,904 $5,668,261 $18.35
495 70544 — 243,942 259,401 $24,908,851 $96.02
496 83520 — 243,104 562,076 $9,468,496 $16.85
498 73501 — 242,353 304,663 $5,357,055 $17.58
500 74022 — 241,661 288,191 $5,195,545 $18.03
502 87624 — 240,310 247,395 $9,432,003 $38.13
391 00400 — 239,543 386,464 $47,145,537 $121.99
503 88360 — 239,365 563,489 $35,234,169 $62.53
506 70491 — 238,616 293,805 $25,462,886 $86.67
384 27096 — 237,504 337,631 $47,613,455 $141.02
408 93351 — 237,157 242,756 $44,769,288 $184.42
510 86225 — 237,149 290,823 $4,328,144 $14.88
138 90961 Monthly Dialysis Care, Fewer Visits 236,674 731,806 $174,132,762 $237.95
512 86592 — 236,509 270,780 $1,257,681 $4.64
514 64484 — 234,288 383,098 $30,448,996 $79.48
468 31500 — 234,095 268,756 $38,693,871 $143.97
517 76882 — 233,389 299,567 $12,060,092 $40.26
518 99315 — 231,636 252,540 $17,557,121 $69.52
519 64447 — 231,111 264,269 $17,256,925 $65.30
473 00910 — 229,429 389,692 $38,346,423 $98.40
521 78306 — 228,817 266,788 $22,236,553 $83.35
397 72158 — 228,317 260,641 $45,403,023 $174.20
525 20552 — 227,204 358,873 $17,151,371 $47.79
420 17262 — 226,774 285,623 $43,007,396 $150.57
529 72146 — 218,036 243,641 $29,106,519 $119.46
530 93042 — 215,502 366,623 $2,648,928 $7.23
532 80051 — 214,722 305,014 $2,313,551 $7.59
534 92025 — 214,473 251,424 $9,040,532 $35.96
535 92550 — 213,350 229,709 $5,236,766 $22.80
536 92002 — 210,837 213,548 $17,616,918 $82.50
538 93926 — 210,685 277,028 $19,234,417 $69.43
540 84270 — 210,436 289,531 $6,782,088 $23.42
542 84295 — 210,100 322,153 $1,651,341 $5.13
543 73090 — 209,791 257,161 $3,249,181 $12.63
548 82533 — 208,840 300,073 $5,309,250 $17.69
260 90935 — 204,654 1,065,936 $78,283,074 $73.44
283 00840 — 204,549 299,160 $70,743,261 $236.47
161 92928 Coronary Artery Stent Procedure 204,366 253,224 $141,076,689 $557.12
395 01480 — 202,397 324,323 $45,953,786 $141.69
130 64635 Lumbar or Sacral Facet Nerve Ablation 201,797 411,567 $177,788,246 $431.98
493 93975 — 201,108 231,888 $36,114,794 $155.74
375 72197 Pelvic MRI With and Without Contrast 201,069 226,645 $48,550,200 $214.21
214 95165 Allergen Immunotherapy Preparation 198,962 7,610,819 $103,866,045 $13.65
547 11602 — 197,639 231,365 $32,120,483 $138.83
371 01936 — Retired after Q4 2021 193,204 375,299 $49,426,824 $131.70
400 95004 — 191,654 10,616,253 $45,191,353 $4.26
435 99348 Established Patient Home or Residence Visit, Level 2 190,009 507,626 $41,915,702 $82.57
481 95819 — 189,100 205,968 $37,697,891 $183.03
318 68761 Lacrimal Punctum Closure 186,215 428,337 $60,667,870 $141.64
353 64636 — 184,985 455,690 $52,356,533 $114.90
294 13121 — 182,353 216,239 $67,207,023 $310.80
108 78492 Cardiac PET Scan, Multiple Studies 179,547 197,323 $207,191,217 $1,050.01
194 00670 Anesthesia for Spine Surgery 175,964 265,053 $114,380,114 $431.54
416 01922 — 172,613 270,381 $43,673,929 $161.53
383 77290 — 171,057 217,297 $47,755,935 $219.77
297 01214 — 169,895 249,472 $66,054,278 $264.78
471 95911 — 169,101 175,498 $38,630,595 $220.12
90 27130 Total Hip Arthroplasty 163,252 278,020 $253,060,339 $910.22
251 99350 Established Patient Home or Residence Visit, Level 4 160,364 483,831 $80,499,893 $166.38
459 00300 — 155,560 240,140 $39,917,959 $166.23
367 55700 — Retired after Q4 2025 152,980 180,126 $49,998,435 $277.57
489 01992 — 151,976 305,661 $36,229,617 $118.53
338 62321 — 145,858 284,065 $55,629,044 $195.83
454 96367 — 144,345 1,296,413 $40,406,058 $31.17
321 96401 Subcutaneous or Intramuscular Antineoplastic Injection Administration 142,886 755,907 $59,790,681 $79.10
105 66982 Complex Cataract Surgery With Lens Implant 142,819 617,997 $212,500,356 $343.85
280 77280 Radiation Treatment Simulation 135,829 373,495 $71,947,484 $192.63
159 77301 Intensity-Modulated Radiation Treatment Planning 135,509 149,730 $142,530,051 $951.91
341 77338 — 135,281 172,275 $55,455,367 $321.90
223 11043 Muscle and Fascia Wound Debridement 133,088 476,016 $92,648,141 $194.63
333 36561 — 130,823 139,061 $56,486,447 $406.20
428 77295 — 128,152 147,855 $42,408,802 $286.83
520 96133 — 127,823 348,847 $33,870,119 $97.09
103 36902 Dialysis Circuit Endovascular Treatment 125,103 235,061 $221,746,887 $943.36
482 01230 — 121,083 172,875 $37,222,905 $215.32
330 64490 — 116,257 259,783 $57,349,730 $220.76
476 19083 — 114,950 118,765 $37,787,048 $318.17
549 01630 — 113,904 160,577 $31,942,317 $198.92
465 36558 — 112,482 133,614 $38,999,746 $291.88
361 98942 — 111,589 956,522 $50,449,957 $52.74
258 17313 Mohs Surgery on Trunk or Extremities, First Stage 111,484 140,514 $78,383,560 $557.83
441 43249 — 109,267 160,316 $41,423,633 $258.39
247 64721 Open Carpal Tunnel Release 106,301 169,518 $83,140,196 $490.45
410 90836 — 105,867 509,821 $44,592,883 $87.47
527 00320 — 105,296 164,948 $33,381,017 $202.37
545 52332 — 104,257 147,504 $32,210,116 $218.37
287 33208 — 103,057 105,275 $68,904,503 $654.52
211 63047 Lumbar Spine Decompression Surgery 101,264 166,656 $104,838,546 $629.07
268 47562 — 100,161 123,399 $74,427,000 $603.14
516 43248 — 99,524 161,262 $34,138,628 $211.70
474 65855 — 96,926 174,878 $38,204,717 $218.46
513 13101 — 94,011 106,877 $34,428,979 $322.14
511 00630 — 91,667 133,028 $34,523,135 $259.52
455 90962 — 91,272 219,096 $40,344,944 $184.14
497 01844 — 88,852 166,926 $35,913,398 $215.15
515 93460 — 88,341 89,649 $34,204,875 $381.54
366 88185 — 88,228 1,948,385 $50,231,778 $25.78
456 00537 — 85,626 129,248 $40,271,992 $311.59
201 27245 Surgical Fixation of a Proximal Femur Fracture 82,478 107,268 $108,475,259 $1,011.25
350 26055 — 78,269 149,938 $52,841,395 $352.42
175 95951 — Retired after Q4 2019 73,597 215,774 $129,741,274 $601.28
156 29827 Arthroscopic Rotator Cuff Repair 69,987 132,723 $144,032,985 $1,085.21
335 97113 — 68,403 1,789,961 $56,205,923 $31.40
501 88377 — 66,720 174,825 $35,549,004 $203.34
213 23472 Total Shoulder Arthroplasty 64,371 104,863 $104,033,619 $992.09
196 33533 Coronary Artery Bypass Grafting 59,982 96,885 $113,588,836 $1,172.41
162 36475 Radiofrequency Treatment of an Incompetent Extremity Vein 58,678 104,778 $139,037,462 $1,326.97
522 00560 — 58,278 75,797 $33,588,041 $443.13
277 27236 — 56,751 78,829 $72,757,167 $922.97
430 78816 Whole-Body PET/CT Imaging 56,559 76,864 $42,321,704 $550.61
418 19301 — 56,360 68,609 $43,409,293 $632.71
533 87633 — 55,222 73,389 $32,994,909 $449.59
389 22842 — 55,066 88,515 $47,165,082 $532.85
240 90966 Monthly Home Dialysis Services 54,698 370,719 $86,981,883 $234.63
325 15260 — 53,763 63,283 $57,706,427 $911.88
393 64633 — 53,715 107,060 $46,115,745 $430.75
551 91110 — 52,105 54,468 $31,707,120 $582.12
355 29881 — 52,058 77,527 $51,763,534 $667.68
401 00567 — 51,644 64,763 $45,090,758 $696.24
317 93656 Atrial Fibrillation Catheter Ablation 51,272 53,059 $61,243,304 $1,154.25
508 49505 — 47,969 60,861 $34,875,122 $573.03
403 50590 — 46,679 64,863 $44,949,701 $692.99
464 52601 — 45,273 48,131 $39,243,332 $815.34
457 28285 — 44,227 98,017 $40,037,264 $408.47
276 33361 Transcatheter Aortic Valve Replacement 44,107 82,711 $73,251,128 $885.63
304 33249 — 42,468 43,639 $64,918,334 $1,487.62
509 22840 — 41,245 67,498 $34,661,043 $513.51
252 22551 Anterior Cervical Spine Fusion 39,759 65,219 $80,017,550 $1,226.91
433 29880 — 38,602 59,357 $42,177,546 $710.57
264 22633 — 37,577 62,510 $75,978,625 $1,215.46
73 37225 Leg Artery Plaque Removal With Balloon Widening Retired after Q4 2025 36,683 45,821 $285,066,077 $6,221.30
505 00562 — 36,646 45,452 $35,072,589 $771.64
422 35301 — 34,248 47,918 $42,949,474 $896.31
306 36478 — 32,620 59,213 $64,180,909 $1,083.90
380 67904 — 31,365 68,837 $47,946,690 $696.52
81 63685 Spinal Cord Stimulator Battery Placement 30,432 49,122 $277,827,856 $5,655.87
451 37228 — Retired after Q4 2025 30,048 35,107 $40,435,651 $1,151.78
70 37229 Leg Artery Plaque Removal Retired after Q4 2025 29,777 40,009 $293,778,050 $7,342.80
523 37221 — Retired after Q4 2025 28,311 30,437 $33,577,201 $1,103.17
266 36905 — 28,195 47,626 $75,646,682 $1,588.35
312 65778 Ocular Surface Amniotic Membrane Placement 27,596 45,242 $63,784,727 $1,409.86
326 67042 — 27,474 45,987 $57,617,705 $1,252.91
463 52442 — 26,621 103,675 $39,333,554 $379.39
343 22514 — 25,002 27,446 $55,333,564 $2,016.09
227 36482 Adhesive Treatment of an Incompetent Extremity Vein 24,612 45,608 $92,114,167 $2,019.69
504 37226 — Retired after Q4 2025 23,129 25,379 $35,180,334 $1,386.20
362 22513 — 22,096 25,107 $50,358,903 $2,005.77
92 37227 Leg Artery Plaque Removal With Stent Retired after Q4 2025 19,514 23,271 $249,650,884 $10,727.98
254 36903 — 19,038 24,199 $79,688,146 $3,293.03
472 25609 — 18,237 28,298 $38,485,374 $1,360.00
478 33405 — 17,210 27,198 $37,714,891 $1,386.68
440 99183 — 16,447 382,779 $41,502,954 $108.43
407 36465 Foam Sclerotherapy of an Incompetent Extremity Vein 16,446 28,801 $44,845,775 $1,557.09
528 67108 — 16,376 27,001 $33,317,432 $1,233.93
322 64590 Peripheral Nerve Stimulator Battery Placement 12,500 16,023 $59,062,317 $3,686.10
292 36906 — 12,039 16,277 $67,589,209 $4,152.44
537 64561 Sacral Nerve Stimulation Electrode Placement 8,477 14,695 $32,654,904 $2,222.18
526 90868 — 7,451 204,909 $33,498,536 $163.48
443 77373 — 6,805 32,171 $41,262,161 $1,282.59
370 77523 — 1,947 47,605 $49,977,649 $1,049.84

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 7,854 CPT codes billed to Medicare in CY2019, 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 55.2% of the $85.2B these 500 codes account for.

  1. 1 99214 Long Follow-Up Office Visit $10.9B
  2. 2 99213 Routine Follow-Up Office Visit $6.4B
  3. 3 99232 Daily Hospital Visit $3.2B
  4. 4 99233 Extended Daily Hospital Visit $2.6B
  5. 5 66984 Cataract Surgery $2.2B
  6. 6 99223 Extended Hospital Admission Visit $2.1B
  7. 7 99285 Emergency Visit, Highest Urgency $2.0B
  8. 8 99204 Long New Patient Office Visit $1.7B
  9. 9 92014 Full Eye Exam, Returning Patient $1.6B
  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
#397
Per service
$2.43
Few patients, lots of money
37229 Leg Artery Plaque Removal
By beneficiaries
#478
By allowed dollars
#47
Per service
$7,342.80

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

These are CY2019 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 CY2019 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 7,854 CPT codes billed to Medicare in CY2019; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners—by Geography and Service, national rows, CY2019. 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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