localis
Waitlist

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 $84.6B across these 500 CPT codes. 99214 (Established Patient Office Visit, Level 4) 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
$84.6B
Total Medicare allowed dollars
Services
1.3B
Times these codes were billed
Top 25
55.6%
Share of the allowed dollars
Vintage
CY2019
Medicare fee-for-service only

All 500 codes, ranked

Sorted by beneficiaries. 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 27,207,772 106,696,472 $10,878,541,443 $101.96
2 99213 Established Patient Office Visit, Level 3 25,593,705 92,406,908 $6,447,202,661 $69.77
3 36415 Routine Venipuncture (Blood Draw) 17,364,415 48,349,458 $141,757,808 $2.93
5 80053 Comprehensive Metabolic Panel 14,344,000 29,131,428 $334,424,430 $11.48
8 85025 Complete Blood Count with Differential 13,191,052 29,387,656 $247,926,967 $8.44
9 80061 Lipid Panel 12,613,392 19,123,364 $278,111,967 $14.54
11 84443 Thyroid-Stimulating Hormone (TSH) 9,931,145 15,099,300 $275,945,287 $18.28
13 92014 Comprehensive Eye Exam, Established Patient 9,715,808 12,541,904 $1,576,636,782 $125.71
15 99203 New Patient Office Visit, Level 3 9,155,245 11,444,230 $1,174,044,172 $102.59
16 93010 Electrocardiogram (ECG), Interpretation Only 8,484,257 19,258,409 $164,831,403 $8.56
14 99204 New Patient Office Visit, Level 4 8,444,613 10,686,987 $1,680,005,867 $157.20
19 83036 Hemoglobin A1c 8,268,744 15,188,018 $159,939,149 $10.53
21 88305 Surgical Pathology Exam, Level IV 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 Electrocardiogram (ECG), Complete 7,551,400 11,614,730 $199,365,789 $17.16
12 99285 Emergency Department Visit, Level 5 6,722,865 11,495,824 $1,969,988,412 $171.37
24 93306 Transthoracic Echocardiogram, Complete with Doppler 6,500,588 7,560,801 $898,003,849 $118.77
27 99212 Established Patient Office Visit, Level 2 6,300,898 10,770,676 $452,376,585 $42.00
29 77067 Screening Mammography, Bilateral 6,158,406 6,435,410 $447,917,091 $69.60
18 99215 Established Patient Office Visit, Level 5 5,869,898 10,399,315 $1,412,907,799 $135.87
32 71045 Chest X-ray, Single View 5,773,631 15,962,186 $153,644,937 $9.63
34 82306 Vitamin D, 25-Hydroxy 4,670,696 6,350,542 $204,236,397 $32.16
4 99232 Subsequent Hospital Care, Level 2 4,598,341 44,627,116 $3,234,727,732 $72.48
37 81001 Urinalysis, Automated with Microscopy 4,488,831 7,117,144 $24,472,804 $3.44
39 77063 Screening 3D Breast Tomosynthesis, Both Breasts 4,431,825 4,628,452 $173,342,219 $37.45
10 99223 Initial Hospital Care, Level 3 4,269,516 10,596,532 $2,140,442,764 $201.99
42 17000 Destruction of Premalignant Skin Lesion, First 4,084,782 6,020,158 $306,296,036 $50.88
44 80048 Basic Metabolic Panel 4,001,136 7,059,894 $64,846,639 $9.19
47 81003 Urinalysis, Automated without Microscopy 3,972,323 6,439,463 $15,633,884 $2.43
36 99284 Emergency Department Visit, Level 4 3,892,338 5,409,965 $619,794,068 $114.57
50 70450 CT Head/Brain, without Contrast 3,825,794 5,762,560 $256,238,027 $44.47
38 92012 Established Patient Eye Exam, Intermediate Level 3,627,968 6,622,578 $590,200,907 $89.12
6 99233 Subsequent Hospital Care, Level 3 3,616,200 24,529,093 $2,556,776,334 $104.23
52 84439 Free Thyroxine (Free T4) 3,556,284 5,338,017 $52,284,747 $9.79
43 99239 Hospital Discharge Day Management, Longer Visit 3,420,697 5,137,762 $546,310,400 $106.33
55 92134 Retinal OCT Scan 3,291,086 7,395,012 $298,241,760 $40.33
25 99222 Initial Hospital Care, Level 2 3,265,702 6,453,058 $880,604,749 $136.46
58 82570 Creatinine, Non-Blood Sample 3,147,405 4,713,227 $26,447,936 $5.61
60 82607 Vitamin B12 Level 3,121,926 4,133,954 $67,704,446 $16.38
61 17003 Destruction of Additional Precancerous Skin Lesions 3,057,488 19,183,969 $103,435,442 $5.39
63 87086 Urine Culture, Quantitative 3,034,427 5,114,245 $44,887,706 $8.78
65 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,995,412 9,524,325 $151,763,975 $15.93
67 92250 Retinal Photography with Interpretation 2,970,175 3,554,563 $175,205,774 $49.29
17 97110 Therapeutic Exercise, 15 Minutes 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 Microalbumin, Quantitative 2,833,733 3,774,878 $23,642,483 $6.26
71 77080 DEXA Bone Density, Axial 2,653,411 2,760,470 $65,071,138 $23.57
53 74177 CT Abdomen and Pelvis, With Contrast 2,584,246 3,498,040 $403,262,448 $115.28
40 99205 New Patient Office Visit, Level 5 2,578,153 2,916,931 $574,241,494 $196.86
75 92083 Extended Visual Field Test 2,567,313 3,015,768 $188,824,975 $62.61
76 11102 Skin Biopsy, Tangential 2,564,792 3,256,012 $278,627,498 $85.57
68 11721 Trimming of Six or More Thickened Nails 2,553,256 6,911,264 $310,304,367 $44.90
79 92133 Optic Nerve Imaging (OCT) 2,474,375 2,795,983 $99,221,967 $35.49
80 85027 Complete Blood Count, Automated, No Differential 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 (PSA), Total 2,293,934 3,324,256 $66,385,923 $19.97
84 81002 Manual Urinalysis, Dipstick Only 2,212,953 3,404,479 $11,536,139 $3.39
33 97140 Manual Therapy, 15 Minutes 2,173,703 29,545,674 $660,813,415 $22.37
64 92004 Comprehensive Eye Exam, New Patient 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 Duplex Ultrasound, Complete 2,084,284 2,297,659 $282,249,176 $122.84
91 73502 Hip X-Ray, Two or Three Views 2,080,165 2,904,678 $69,280,844 $23.85
93 73030 Shoulder X-ray, Complete 2,064,844 2,943,795 $57,413,662 $19.50
94 99238 Hospital Discharge Day Management, 30 Minutes or Less 1,942,089 2,556,018 $184,816,710 $72.31
28 99308 Subsequent Nursing Facility Visit, Level 2 1,909,977 11,305,472 $741,640,371 $65.60
97 84550 Uric Acid Blood Test 1,905,367 3,100,816 $15,176,696 $4.89
20 99291 Critical Care, First Time Block 1,904,903 5,885,747 $1,316,600,906 $223.69
100 83540 Serum Iron Level 1,899,788 3,088,939 $21,699,488 $7.02
102 71250 CT Scan of the Chest, No Contrast 1,898,562 2,427,776 $186,450,599 $76.80
88 17110 Destruction of Benign Lesions, Up to 14 1,879,316 2,511,529 $257,711,231 $102.61
99 74176 CT Abdomen and Pelvis, Without Contrast 1,854,461 2,366,412 $231,796,217 $97.95
26 99309 Subsequent Nursing Facility Visit, Level 3 1,848,702 9,911,193 $849,602,276 $85.72
106 73630 Foot X-ray, Complete Series 1,844,120 2,923,671 $64,027,149 $21.90
109 83735 Magnesium Blood Level 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 Blood Test 1,791,919 2,967,548 $43,948,543 $14.81
112 73562 Knee X-Ray, Three Views 1,760,782 2,573,261 $65,486,459 $25.45
48 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 1,753,855 1,830,643 $467,620,571 $255.44
115 82746 Serum Folate Blood Test 1,726,379 2,259,164 $36,111,296 $15.98
117 87186 Antibiotic Susceptibility Panel, MIC 1,660,733 3,011,476 $28,335,690 $9.41
119 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,588,046 1,991,178 $44,194,280 $22.20
121 99497 Advance Care Planning Discussion 1,545,555 1,832,887 $148,375,051 $80.95
122 83550 Iron Binding Capacity Blood Test 1,532,201 2,449,813 $23,259,283 $9.49
124 87088 Urine Culture with Isolate Identification 1,524,111 2,400,137 $21,111,753 $8.80
125 88342 Immunohistochemistry Stain, First Antibody 1,523,617 2,286,741 $136,653,806 $59.76
41 97112 Neuromuscular Re-education Therapy 1,445,263 18,003,884 $558,121,525 $31.00
127 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,435,719 1,837,163 $95,215,786 $51.83
30 97530 Therapeutic Activities, Per 15 Minutes 1,406,373 20,044,437 $720,459,437 $35.94
129 93970 Complete Duplex Ultrasound of Limb Veins 1,405,397 1,692,563 $159,580,989 $94.28
45 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,398,222 13,545,346 $544,419,955 $40.19
131 71260 CT Scan of the Chest with Contrast 1,396,057 1,955,178 $143,570,022 $73.43
133 51798 Post-Void Residual Urine, Ultrasound 1,392,396 2,130,940 $27,490,086 $12.90
134 87077 Definitive Identification of Cultured Isolate 1,387,131 2,206,614 $19,360,403 $8.77
137 85652 Erythrocyte Sedimentation Rate, Automated 1,348,101 2,153,991 $6,312,539 $2.93
139 97161 Physical Therapy Evaluation, Low Complexity 1,344,284 1,526,175 $130,460,388 $85.48
66 43239 Upper GI Endoscopy (EGD) with Biopsy 1,341,959 1,956,044 $324,554,618 $165.92
142 86140 C-Reactive Protein, Standard 1,332,860 2,318,715 $13,008,761 $5.61
120 72148 MRI Lumbar Spine, without Contrast 1,319,213 1,508,544 $193,527,649 $128.29
144 74018 Abdominal X-ray, Single View 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
148 73560 Basic Knee X-Ray, One or Two Views 1,273,415 1,880,465 $36,590,187 $19.46
7 66984 Cataract Surgery with Lens Implant 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 (PT/INR) 1,232,919 8,395,784 $35,847,214 $4.27
152 97162 Physical Therapy Evaluation, Moderate Complexity 1,211,734 1,365,853 $116,921,503 $85.60
153 73564 Complete Knee X-Ray, Four or More Views 1,211,593 1,644,760 $47,321,560 $28.77
155 93018 Cardiac Stress Test, Interpretation and Report Only 1,209,790 1,243,280 $18,463,258 $14.85
157 69210 Impacted Earwax Removal, Instrumentation 1,199,725 1,569,936 $68,893,546 $43.88
114 80307 Presumptive Drug Screen by Analyzer 1,195,506 3,230,862 $202,921,970 $62.81
158 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 1,152,631 1,341,352 $75,933,337 $56.61
146 00811 Anesthesia for Diagnostic or Therapeutic Colonoscopy 1,141,368 1,489,483 $160,654,957 $107.86
160 71275 CT Angiogram of the Chest 1,138,942 1,309,233 $129,320,935 $98.78
163 92557 Comprehensive Audiometry 1,137,557 1,233,397 $47,411,003 $38.44
164 92136 Eye Measurement for Cataract Lens Power 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 Creatinine, Blood 1,066,445 1,630,159 $9,019,150 $5.53
123 00731 Anesthesia for Upper GI Endoscopy 1,066,146 1,672,544 $188,348,414 $112.61
59 45380 Colonoscopy with Biopsy 1,062,002 1,533,344 $353,546,351 $230.57
173 99211 Established Patient Office Visit, Minimal 1,055,569 2,685,800 $58,087,436 $21.63
104 00142 Anesthesia for Cataract and Lens Surgery 1,052,827 2,088,157 $212,531,539 $101.78
98 99306 Initial Nursing Facility Visit, High Level 1,028,770 1,393,961 $233,212,341 $167.30
176 94729 Gas Diffusing Capacity Test (DLCO) 1,027,539 1,123,365 $39,287,625 $34.97
178 93016 Cardiac Stress Test, Supervision Only 1,020,602 1,046,279 $23,068,006 $22.05
179 82550 Total Creatine Kinase Blood Test 1,014,769 1,554,322 $10,969,435 $7.06
181 94060 Spirometry, Pre- and Post-Bronchodilator 997,336 1,170,132 $52,648,317 $44.99
183 84481 Free Triiodothyronine (T3) Blood 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 Liver Function Blood Panel 973,214 1,549,624 $13,734,087 $8.86
46 45385 Colonoscopy with Lesion Removal (Snare) 965,617 1,416,283 $474,160,710 $334.79
189 93015 Cardiovascular Stress Test, Complete 963,700 990,994 $65,557,889 $66.15
190 84436 Total Thyroxine (T4) Blood Test 942,662 1,278,468 $9,548,750 $7.47
192 73130 Full Hand X-Ray Series 936,941 1,337,636 $26,949,184 $20.15
195 76942 Ultrasound Guidance for Needle Placement 927,214 1,186,592 $48,880,367 $41.19
197 84100 Phosphorus (Inorganic Phosphate) Blood Test 924,845 1,784,553 $9,132,554 $5.12
135 99490 Chronic Care Management, First 20 Minutes 911,399 4,324,608 $175,686,865 $40.62
199 73610 Full Ankle X-Ray Series 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 Nail Trimming/Debridement, Up to 5 872,959 2,163,102 $71,372,128 $33.00
206 76536 Ultrasound of Neck and Head Soft Tissues 868,755 993,978 $70,845,233 $71.27
207 84460 ALT (Alanine Aminotransferase) Blood Test 866,764 2,138,638 $12,272,525 $5.74
210 76700 Abdominal Ultrasound, Complete 863,414 989,135 $74,114,147 $74.93
128 70553 MRI Brain, With and Without Contrast 859,952 1,055,599 $181,981,685 $172.40
212 88304 Surgical Pathology Exam, 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 Corns or Calluses, 2-4 Lesions 820,951 2,063,039 $136,945,749 $66.38
169 99305 Initial Nursing Facility Visit, Moderate Level 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 Shave-Style Skin Biopsy 810,282 1,428,798 $72,456,768 $50.71
219 92567 Eardrum Movement Test (Tympanometry) 802,236 903,565 $13,675,824 $15.14
220 72110 Lower Back (Lumbar) Spine X-ray, Full Series 792,350 888,426 $28,896,229 $32.53
215 99307 Subsequent Nursing Facility Visit, Level 1 790,928 2,409,698 $103,064,850 $42.77
224 81000 Manual Urinalysis with Microscopy 783,829 1,324,885 $5,187,677 $3.92
226 82248 Direct Bilirubin Blood Test 782,109 1,190,409 $6,380,943 $5.36
228 84403 Total Testosterone Blood Test 768,386 1,176,411 $32,907,283 $27.97
229 92020 Gonioscopy, Exam of the Eye's Drainage Angle 767,610 881,920 $25,046,795 $28.40
230 84165 Serum Protein Electrophoresis (SPEP) 757,499 1,241,689 $18,314,441 $14.75
233 82947 Glucose, Quantitative (Blood) 745,512 1,428,279 $6,043,423 $4.23
150 98940 Chiropractic Spinal Manipulation, One to Two Regions 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 Full Wrist X-Ray Series 736,887 1,134,743 $24,679,291 $21.75
239 72170 Basic Pelvis X-Ray 715,269 829,538 $13,422,228 $16.18
241 83615 Lactate Dehydrogenase (LDH) Blood Test 679,757 1,602,233 $10,465,882 $6.53
243 86038 Antinuclear Antibody Screen 677,291 776,861 $10,192,098 $13.12
244 87804 Rapid Influenza Antigen Test 677,279 1,305,364 $20,915,891 $16.02
193 99495 Transitional Care Management, Moderate Complexity 672,615 758,364 $116,146,163 $153.15
248 82962 Blood Sugar Check with Handheld Glucose Meter 669,100 1,582,533 $5,029,949 $3.18
249 88313 Special Stain for Tissue Elements and Pigments 668,110 1,588,996 $60,787,605 $38.26
57 67028 Intravitreal Injection of Medication 667,505 3,462,128 $377,553,553 $109.05
253 84450 AST (Aspartate Aminotransferase) Blood Test 664,843 1,033,284 $5,752,856 $5.57
255 88112 Non-Gynecologic Enhanced Cytology 658,797 1,000,547 $41,369,852 $41.35
257 77065 Diagnostic Mammogram, One Breast 645,977 792,770 $54,335,878 $68.54
259 94726 Lung Volume Testing by Body Plethysmography 638,248 687,092 $23,060,412 $33.56
107 99310 Subsequent Nursing Facility Visit, Level 4 633,773 1,664,428 $207,620,189 $124.74
262 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 630,415 947,336 $36,375,740 $38.40
51 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 625,197 823,339 $459,333,357 $557.89
265 84156 Total Protein Measurement, Urine 624,935 1,089,041 $4,333,074 $3.98
204 73721 MRI of Leg Joint, No Contrast 622,989 774,813 $108,265,595 $139.73
269 76642 Limited Breast Ultrasound 616,394 761,132 $39,082,556 $51.35
56 90834 Psychotherapy, 45 Minutes 600,281 4,850,955 $384,112,378 $79.18
272 77066 Diagnostic Mammogram, Both Breasts 599,255 630,520 $55,641,225 $88.25
180 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 597,814 711,906 $126,960,828 $178.34
275 93922 Limited Arterial Circulation Study, Arms or Legs 596,801 718,567 $40,737,467 $56.69
222 88307 Surgical Pathology Exam, Level V 595,954 1,010,433 $93,158,344 $92.20
256 72141 Neck MRI, No Contrast Dye 592,359 664,606 $79,604,368 $119.78
154 99496 Transitional Care Management, High Complexity 592,077 684,698 $150,361,952 $219.60
279 87070 Bacterial Culture, Other Source 581,261 729,887 $6,837,404 $9.37
31 90837 Psychotherapy, 60 Minutes 580,732 5,958,402 $686,943,845 $115.29
177 17004 Destruction of Fifteen or More Precancerous Skin Lesions 579,187 861,137 $128,058,182 $148.71
282 87880 Rapid Strep A Antigen Test 574,553 641,127 $10,253,001 $15.99
284 72040 Neck (Cervical) Spine X-ray, Limited Views 563,546 707,660 $15,770,407 $22.29
250 95886 Complete Needle EMG of One Limb 552,277 947,697 $82,971,826 $87.55
286 83721 Direct LDL Cholesterol Measurement 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 Urea Nitrogen (BUN) 533,666 789,459 $3,363,268 $4.26
78 66821 YAG Laser Capsulotomy After Cataract Surgery 531,448 1,546,363 $278,307,424 $179.98
293 85651 Erythrocyte Sedimentation Rate, Manual 528,093 858,649 $3,572,652 $4.16
295 36620 Arterial Line Placement, Percutaneous 522,088 583,647 $26,561,204 $45.51
296 86803 Hepatitis C Antibody Test 521,713 571,230 $8,843,580 $15.48
298 86431 Rheumatoid Factor, Quantitative 520,712 608,554 $3,744,029 $6.15
299 93325 Color Flow Mapping with Heart Ultrasound 519,886 615,053 $4,347,057 $7.07
300 20550 Tendon Sheath, Ligament, or Fascia Injection 518,810 820,227 $39,236,175 $47.84
245 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 517,563 593,383 $83,689,343 $141.04
301 00812 Anesthesia for Screening Colonoscopy 516,091 650,255 $56,004,547 $86.13
303 88311 Decalcification of Tissue for Sectioning 515,962 668,856 $9,333,156 $13.95
305 70498 CT Angiogram of the Neck 509,813 555,848 $51,155,026 $92.03
209 74178 CT Abdomen and Pelvis, Before and After Contrast 508,720 586,657 $106,453,693 $181.46
307 84479 Thyroid Hormone Uptake Test 508,537 690,929 $4,856,952 $7.03
285 31575 Flexible Laryngoscopy, Diagnostic 508,455 657,496 $70,442,894 $107.14
310 70486 CT Scan of Sinuses and Facial Bones 508,273 553,002 $36,094,018 $65.27
311 84480 Total Triiodothyronine (T3) Blood Test 508,213 717,356 $11,047,140 $15.40
313 76937 Ultrasound Guidance for Vascular Access 503,956 651,467 $11,016,645 $16.91
86 64483 Transforaminal Epidural Injection, Lumbar/Sacral 500,846 1,119,767 $261,725,435 $233.73
140 11042 Debridement, Subcutaneous Tissue 496,527 1,991,812 $168,205,979 $84.45
242 00813 Anesthesia for Combined Upper and Lower Endoscopy 487,789 631,983 $84,381,522 $133.52
167 93458 Left Heart Catheterization with Coronary Angiography 487,687 510,007 $138,390,438 $271.35
320 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 486,994 537,629 $33,827,518 $62.92
54 78815 PET/CT Scan, Skull Base to Mid-Thigh 485,270 697,175 $395,568,981 $567.39
323 76775 Limited Retroperitoneal Ultrasound 485,044 548,713 $22,968,243 $41.86
324 70496 CT Angiogram of the Head 484,552 532,818 $50,334,916 $94.47
327 94640 Inhalation Treatment for Airway Obstruction 479,624 617,789 $10,609,456 $17.17
328 86334 Serum Immunofixation Electrophoresis 473,821 804,813 $17,622,958 $21.90
329 11055 Paring of a Single Corn or Callus 470,908 910,932 $49,016,294 $53.81
331 84155 Total Protein, Blood 469,162 646,047 $2,525,225 $3.91
334 76514 Corneal Thickness Measurement by Ultrasound 462,469 496,471 $5,943,620 $11.97
236 20611 Major Joint Injection or Aspiration with Ultrasound 460,649 954,011 $89,832,831 $94.16
263 73221 Arm Joint MRI, No Contrast Dye 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 Lower Back Epidural Steroid Injection with Imaging 444,452 873,124 $162,044,623 $185.59
342 82310 Total Calcium Blood Test 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 Lower Leg X-Ray 406,090 542,284 $7,110,436 $13.11
346 73620 Foot X-ray, Two Views 403,858 604,778 $12,420,524 $20.54
347 76830 Transvaginal Pelvic Ultrasound 400,631 462,288 $39,482,235 $85.41
348 73552 Thigh Bone X-Ray 400,397 585,980 $8,772,616 $14.97
351 93005 Electrocardiogram, Tracing Only 400,050 458,743 $3,796,927 $8.28
352 93923 Complete Arterial Circulation Study, Arms or Legs 398,965 472,611 $42,333,985 $89.57
354 99316 Nursing Facility Discharge Visit, Longer Session 397,239 442,614 $43,429,125 $98.12
172 90832 Individual Psychotherapy, 30 Minutes 396,062 2,288,069 $136,825,335 $59.80
356 76856 Complete Pelvic Ultrasound, Non-Pregnancy 391,282 455,664 $34,628,063 $75.99
234 90833 Shorter Psychotherapy Session Added to a Medical Visit 387,417 1,379,453 $90,439,920 $65.56
359 83690 Lipase Blood Test 385,061 480,997 $3,594,883 $7.47
205 45378 Diagnostic Colonoscopy 382,530 485,358 $107,691,508 $221.88
360 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 381,143 633,283 $4,901,589 $7.74
363 82040 Blood Albumin Test 378,082 565,852 $2,996,088 $5.29
364 82044 — 376,955 482,012 $2,911,205 $6.04
365 80305 Presumptive Drug Screen, Visually Read 376,859 871,208 $10,618,267 $12.19
368 86141 High-Sensitivity C-Reactive Protein 372,932 497,013 $6,992,575 $14.07
369 72050 Neck (Cervical) Spine X-ray, Extended Views 370,823 413,243 $12,918,629 $31.26
372 97164 Physical Therapy Re-evaluation 366,999 581,749 $33,837,936 $58.17
373 76641 Complete Breast Ultrasound 365,448 532,288 $48,268,911 $90.68
374 84132 Potassium Blood Level 362,526 539,749 $2,679,479 $4.96
376 93308 Limited or Follow-Up Heart Ultrasound 360,514 446,494 $15,159,961 $33.95
377 82274 Fecal Immunochemical Test for Blood 359,288 385,132 $6,637,158 $17.23
379 74019 Abdominal X-ray, Two Views 355,575 454,294 $6,728,694 $14.81
381 86376 Thyroid Microsomal Antibody 355,390 428,419 $6,772,593 $15.81
382 11104 Punch Biopsy of Skin 354,646 382,429 $41,744,959 $109.16
385 36556 Non-Tunneled Central Line Placement, Age 5 and Over 354,388 424,413 $36,646,442 $86.35
386 84154 Free PSA Blood Test 354,273 439,110 $8,767,673 $19.97
143 64493 Lower Back Facet Joint Injection, First Level 353,386 783,161 $165,871,587 $211.80
388 82150 Amylase Blood Test 347,420 460,712 $3,241,659 $7.04
390 73080 Full Elbow X-Ray Series 346,219 430,637 $6,912,235 $16.05
392 83516 — 344,300 719,599 $8,994,767 $12.50
394 99406 Smoking Cessation Counseling, Intermediate 343,039 536,081 $7,437,395 $13.87
396 92285 External Photography of the Eye and Lids 339,567 416,010 $8,223,965 $19.77
398 85730 Partial Thromboplastin Time (PTT) Blood Test 339,010 447,625 $2,923,974 $6.53
399 92235 Fluorescein Angiography of the Retina 336,931 429,248 $39,554,581 $92.15
402 93320 Full Doppler Flow Measurement with Heart Ultrasound 335,664 373,653 $9,904,026 $26.51
404 51741 Complex Urine Flow Study 334,169 427,654 $4,904,722 $11.47
405 84075 Total Alkaline Phosphatase Blood Test 334,052 485,952 $2,673,699 $5.50
406 10060 Incision and Drainage of Abscess, Simple 327,559 375,803 $41,999,107 $111.76
409 94727 Lung Volume Testing by Gas Dilution or Washout 326,871 352,154 $12,269,297 $34.84
411 93227 — 324,873 345,057 $9,129,097 $26.46
413 74230 Swallowing Study with Video X-ray 322,841 380,475 $12,298,534 $32.32
414 11719 — 321,527 859,469 $9,472,524 $11.02
217 87798 Molecular Test for an Unlisted Organism 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 Sleep Study with CPAP or BiPAP Titration 318,345 366,770 $116,673,302 $318.11
186 01402 Anesthesia for Knee Replacement Surgery 317,316 480,204 $119,074,072 $247.97
412 64494 Lower Back Facet Joint Injection, Second Level 315,158 487,978 $44,581,657 $91.36
118 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 312,827 503,745 $195,929,977 $388.95
419 20605 Intermediate Joint Injection or Aspiration 312,617 439,245 $20,408,955 $46.46
421 97035 — 310,135 2,009,978 $22,100,972 $11.00
423 73140 Finger X-Ray 309,556 418,376 $9,231,766 $22.07
273 74183 MRI Abdomen, Before and After Contrast 308,834 372,360 $73,501,008 $197.39
344 43235 Upper GI Endoscopy, Diagnostic 308,743 385,085 $55,331,255 $143.69
427 73700 CT Scan of Leg or Foot, No Contrast 306,231 352,871 $23,796,757 $67.44
35 90960 Monthly Dialysis Management, Adult, Four or More Visits 304,826 2,215,013 $633,329,823 $285.93
429 71101 Rib X-ray, One Side, with Chest View 304,327 338,032 $6,602,967 $19.53
432 99304 Initial Nursing Facility Visit, Level 1 304,288 343,175 $30,974,470 $90.26
337 97597 Selective Wound Debridement, Smaller Area 303,562 904,613 $55,982,615 $61.89
434 99282 — 299,844 353,194 $14,148,084 $40.06
232 96365 Initial IV Infusion, Up to One Hour 297,446 1,269,596 $90,987,149 $71.67
436 93312 Transesophageal Heart Ultrasound, Complete Service 296,596 349,529 $38,991,251 $111.55
438 86200 Cyclic Citrullinated Peptide Antibody 295,795 326,966 $4,588,291 $14.03
439 77002 Fluoroscopic Guidance for Needle Placement 295,567 532,203 $40,370,833 $75.86
49 27447 Total Knee Replacement 294,406 508,571 $462,417,830 $909.25
442 85018 — 292,026 506,771 $1,300,115 $2.57
444 82247 Total Bilirubin Blood Test 289,297 470,570 $2,515,284 $5.35
446 97163 Physical Therapy Evaluation, High Complexity 287,484 313,753 $26,753,850 $85.27
447 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 286,276 334,040 $6,906,635 $20.68
450 11730 — 284,442 390,381 $40,709,292 $104.28
452 87340 Hepatitis B Surface Antigen Test 284,303 311,212 $3,486,217 $11.20
453 83861 — 282,270 742,927 $16,309,292 $21.95
165 99349 Home Visit, Established Patient, Level 3 281,644 1,139,954 $138,402,592 $121.41
302 97116 Gait Training Therapy 281,508 2,676,479 $65,330,198 $24.41
358 77263 Complex Radiation Therapy Treatment Planning 280,207 303,164 $51,213,635 $168.93
458 82270 — 278,319 278,674 $1,188,893 $4.27
460 73060 Upper Arm Bone X-Ray 276,851 377,760 $5,391,178 $14.27
461 20600 Arthrocentesis, Small Joint 276,300 416,348 $18,003,900 $43.24
235 95810 Attended Overnight Sleep Study in a Lab 274,120 301,142 $90,290,760 $299.83
308 77300 Basic Radiation Dose Calculation 273,999 1,406,731 $64,144,615 $45.60
225 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 272,804 320,740 $92,505,602 $288.41
314 99292 Critical Care, Additional Time 272,159 571,734 $63,236,537 $110.60
95 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 269,150 277,946 $244,949,562 $881.28
467 90471 Immunization Administration, First 264,691 282,136 $4,414,644 $15.65
469 93224 — 262,675 280,684 $23,455,807 $83.57
470 86235 Extractable Nuclear Antigen Antibody 262,185 1,525,412 $29,446,077 $19.30
417 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 262,131 300,714 $43,536,892 $144.78
424 95816 EEG, Awake and Drowsy 259,074 287,602 $42,892,579 $149.14
475 86800 Thyroglobulin Antibody 258,488 329,325 $5,688,162 $17.27
477 85045 Automated Reticulocyte Count 257,226 357,718 $1,552,761 $4.34
479 87205 — 256,914 328,693 $1,525,777 $4.64
480 88173 Fine Needle Aspiration Interpretation 256,883 372,068 $32,898,862 $88.42
483 82378 — 255,751 559,624 $11,524,851 $20.59
87 96413 Chemotherapy Infusion, First Hour 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 Layered Wound Repair, Trunk or Limbs (Mid-Length) 251,240 280,415 $72,487,815 $258.50
488 96127 Brief Emotional/Behavioral Screening, Per Instrument 250,521 485,452 $2,512,346 $5.18
113 77427 Radiation Treatment Management, Per Five Sessions 249,813 1,061,061 $203,123,510 $191.43
490 84402 Free Testosterone Blood Test 247,909 335,368 $9,259,472 $27.61
491 76376 3D Image Reconstruction and Interpretation 247,563 284,132 $3,679,668 $12.95
492 82670 Estradiol Blood Test 245,765 349,058 $10,576,159 $30.30
494 83090 Homocysteine Blood Test 245,231 308,904 $5,668,261 $18.35
495 70544 — 243,942 259,401 $24,908,851 $96.02
496 83520 Quantitative Immunoassay, Substance Not Otherwise Specified 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 High-Risk HPV DNA Test 240,310 247,395 $9,432,003 $38.13
391 00400 Anesthesia for Skin Surgery on Limbs and Trunk 239,543 386,464 $47,145,537 $121.99
503 88360 Manual Scoring of Tumor Immunostain 239,365 563,489 $35,234,169 $62.53
506 70491 CT Scan of Neck Soft Tissue with Contrast 238,616 293,805 $25,462,886 $86.67
384 27096 Sacroiliac Joint Injection with Imaging Guidance 237,504 337,631 $47,613,455 $141.02
408 93351 Stress Echocardiogram, Complete with Supervision 237,157 242,756 $44,769,288 $184.42
510 86225 Double-Stranded DNA Antibody 237,149 290,823 $4,328,144 $14.88
138 90961 Monthly Dialysis Management, Adult, Two or Three 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 Limited Ultrasound of an Arm or Leg 233,389 299,567 $12,060,092 $40.26
518 99315 — 231,636 252,540 $17,557,121 $69.52
519 64447 Femoral Nerve Block, Single Injection 231,111 264,269 $17,256,925 $65.30
473 00910 Anesthesia for Transurethral Bladder Procedures 229,429 389,692 $38,346,423 $98.40
521 78306 — 228,817 266,788 $22,236,553 $83.35
397 72158 Low-Back MRI, Before and After Contrast 228,317 260,641 $45,403,023 $174.20
525 20552 Trigger Point Injection, One or Two Muscles 227,204 358,873 $17,151,371 $47.79
420 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 226,774 285,623 $43,007,396 $150.57
529 72146 Mid-Back MRI, No Contrast Dye 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 Computerized Corneal Mapping (Topography) 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 Sex Hormone Binding Globulin Blood Test 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 Total Cortisol Blood Test 208,840 300,073 $5,309,250 $17.69
260 90935 Hemodialysis Session with One Physician Evaluation 204,654 1,065,936 $78,283,074 $73.44
283 00840 Anesthesia for Lower Abdominal Surgery 204,549 299,160 $70,743,261 $236.47
161 92928 Coronary Stent Placement, Single Major Vessel 204,366 253,224 $141,076,689 $557.12
555 84466 Transferrin Blood Test 202,996 297,192 $4,108,651 $13.82
557 83883 — 202,995 584,108 $8,619,151 $14.76
559 76872 — 202,419 237,554 $22,844,212 $96.16
395 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 202,397 324,323 $45,953,786 $141.69
130 64635 Lower Back Facet Nerve Ablation, First Joint 201,797 411,567 $177,788,246 $431.98
493 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 201,108 231,888 $36,114,794 $155.74
375 72197 Pelvis MRI, Before and After Contrast 201,069 226,645 $48,550,200 $214.21
214 95165 Preparation of Allergy Immunotherapy Extracts 198,962 7,610,819 $103,866,045 $13.65
547 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 197,639 231,365 $32,120,483 $138.83
400 95004 Skin Prick Allergy Testing 191,654 10,616,253 $45,191,353 $4.26
435 99348 Home Visit, Established Patient, Level 2 190,009 507,626 $41,915,702 $82.57
481 95819 EEG Recording Both Awake and Asleep 189,100 205,968 $37,697,891 $183.03
318 68761 Punctal Plug Insertion for Dry Eye 186,215 428,337 $60,667,870 $141.64
353 64636 Lower Back Facet Nerve Ablation, Additional Joint 184,985 455,690 $52,356,533 $114.90
294 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 182,353 216,239 $67,207,023 $310.80
108 78492 Cardiac PET Perfusion Imaging, Rest and Stress 179,547 197,323 $207,191,217 $1,050.01
194 00670 Anesthesia for Major Spine and Spinal Cord Surgery 175,964 265,053 $114,380,114 $431.54
416 01922 Anesthesia for Imaging or Radiation Therapy 172,613 270,381 $43,673,929 $161.53
383 77290 Complex Radiation Therapy Simulation 171,057 217,297 $47,755,935 $219.77
297 01214 Anesthesia for Hip Replacement Surgery 169,895 249,472 $66,054,278 $264.78
471 95911 Nerve Conduction Studies, 9-10 Studies 169,101 175,498 $38,630,595 $220.12
90 27130 Total Hip Replacement 163,252 278,020 $253,060,339 $910.22
251 99350 Home Visit, Established Patient, Level 4 160,364 483,831 $80,499,893 $166.38
459 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 155,560 240,140 $39,917,959 $166.23
367 55700 Prostate Needle Biopsy 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 Neck or Upper Back Epidural Injection with Imaging 145,858 284,065 $55,629,044 $195.83
454 96367 — 144,345 1,296,413 $40,406,058 $31.17
321 96401 Chemotherapy Injection Under the Skin or into Muscle 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 Simple Radiation Therapy Simulation 135,829 373,495 $71,947,484 $192.63
159 77301 IMRT Treatment Planning 135,509 149,730 $142,530,051 $951.91
341 77338 Multi-Leaf Collimator Design for IMRT 135,281 172,275 $55,455,367 $321.90
223 11043 Wound Debridement Down to Muscle or Fascia 133,088 476,016 $92,648,141 $194.63
333 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 130,823 139,061 $56,486,447 $406.20
428 77295 3D Conformal Radiotherapy Planning 128,152 147,855 $42,408,802 $286.83
520 96133 Neuropsychological Test Interpretation, Extra Time 127,823 348,847 $33,870,119 $97.09
103 36902 Dialysis Access Angioplasty, Peripheral Segment 125,103 235,061 $221,746,887 $943.36
482 01230 Anesthesia for Upper Thigh Bone Surgery 121,083 172,875 $37,222,905 $215.32
330 64490 Neck or Mid-Back Facet Joint Injection, First Level 116,257 259,783 $57,349,730 $220.76
476 19083 Breast Needle Biopsy with Ultrasound Guidance 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 Chiropractic Spinal Manipulation, Five Regions 111,589 956,522 $50,449,957 $52.74
258 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 111,484 140,514 $78,383,560 $557.83
441 43249 Upper Endoscopy with Esophageal Balloon Dilation 109,267 160,316 $41,423,633 $258.39
247 64721 Carpal Tunnel Release 106,301 169,518 $83,140,196 $490.45
410 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 105,867 509,821 $44,592,883 $87.47
527 00320 — 105,296 164,948 $33,381,017 $202.37
545 52332 Cystoscopy with Ureteral Stent Placement 104,257 147,504 $32,210,116 $218.37
287 33208 Dual-Chamber Pacemaker Insertion 103,057 105,275 $68,904,503 $654.52
211 63047 Lumbar Laminectomy for Spinal Decompression 101,264 166,656 $104,838,546 $629.07
268 47562 Laparoscopic Cholecystectomy 100,161 123,399 $74,427,000 $603.14
516 43248 — 99,524 161,262 $34,138,628 $211.70
474 65855 Laser Trabeculoplasty for Glaucoma 96,926 174,878 $38,204,717 $218.46
513 13101 Complex Wound Repair of the Trunk (Mid-Length) 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 Flow Cytometry, Additional Marker, Technical Work 88,228 1,948,385 $50,231,778 $25.78
456 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 85,626 129,248 $40,271,992 $311.59
201 27245 Hip Fracture Repair with Intramedullary Nail 82,478 107,268 $108,475,259 $1,011.25
350 26055 Trigger Finger Release (Tendon Sheath Incision) 78,269 149,938 $52,841,395 $352.42
156 29827 Arthroscopic Rotator Cuff Repair 69,987 132,723 $144,032,985 $1,085.21
335 97113 Aquatic Therapy with Exercise 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 Replacement 64,371 104,863 $104,033,619 $992.09
196 33533 Coronary Bypass Using a Single Arterial Graft 59,982 96,885 $113,588,836 $1,172.41
162 36475 Radiofrequency Vein Ablation, First Vein 58,678 104,778 $139,037,462 $1,326.97
522 00560 Anesthesia for Heart Surgery Without Bypass Machine 58,278 75,797 $33,588,041 $443.13
277 27236 Surgical Repair of Femoral Neck Fracture 56,751 78,829 $72,757,167 $922.97
430 78816 PET/CT Scan, Whole Body 56,559 76,864 $42,321,704 $550.61
418 19301 Partial Mastectomy (Lumpectomy) 56,360 68,609 $43,409,293 $632.71
533 87633 — 55,222 73,389 $32,994,909 $449.59
389 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 55,066 88,515 $47,165,082 $532.85
240 90966 Monthly Home Dialysis Management, Adult 54,698 370,719 $86,981,883 $234.63
325 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 53,763 63,283 $57,706,427 $911.88
393 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 53,715 107,060 $46,115,745 $430.75
551 91110 Capsule Endoscopy, Esophagus Through Ileum 52,105 54,468 $31,707,120 $582.12
355 29881 Knee Arthroscopy with Meniscectomy 52,058 77,527 $51,763,534 $667.68
401 00567 Anesthesia for On-Pump Coronary Bypass Surgery 51,644 64,763 $45,090,758 $696.24
317 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 51,272 53,059 $61,243,304 $1,154.25
561 20680 — 50,615 70,987 $30,990,979 $436.57
508 49505 Inguinal Hernia Repair, Age 5 or Older 47,969 60,861 $34,875,122 $573.03
403 50590 Extracorporeal Shock Wave Lithotripsy 46,679 64,863 $44,949,701 $692.99
464 52601 TURP - Transurethral Prostate Resection 45,273 48,131 $39,243,332 $815.34
457 28285 Hammertoe Correction 44,227 98,017 $40,037,264 $408.47
276 33361 Transcatheter Aortic Valve Replacement, Femoral Puncture 44,107 82,711 $73,251,128 $885.63
554 36907 — 42,637 67,826 $31,564,780 $465.38
304 33249 Implantable Defibrillator System Placement 42,468 43,639 $64,918,334 $1,487.62
509 22840 Posterior Spinal Instrumentation, Non-Segmental 41,245 67,498 $34,661,043 $513.51
252 22551 Anterior Cervical Discectomy and Fusion, One Level 39,759 65,219 $80,017,550 $1,226.91
433 29880 Knee Arthroscopy, Meniscectomy Both Compartments 38,602 59,357 $42,177,546 $710.57
264 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 37,577 62,510 $75,978,625 $1,215.46
560 67210 — 36,719 61,099 $31,035,721 $507.96
73 37225 Thigh Artery Atherectomy 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 Laser Vein Ablation, First Vein 32,620 59,213 $64,180,909 $1,083.90
380 67904 Droopy Eyelid Repair, External Levator Approach 31,365 68,837 $47,946,690 $696.52
81 63685 Spinal Cord Stimulator Generator Implant 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 Below-Knee Artery Atherectomy, First Vessel 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 Dialysis Access Clot Removal with Angioplasty 28,195 47,626 $75,646,682 $1,588.35
312 65778 Amniotic Membrane Placement on the Eye Surface 27,596 45,242 $63,784,727 $1,409.86
326 67042 Vitrectomy with Internal Limiting Membrane Peel 27,474 45,987 $57,617,705 $1,252.91
463 52442 — 26,621 103,675 $39,333,554 $379.39
343 22514 Lumbar Vertebral Augmentation (Kyphoplasty) 25,002 27,446 $55,333,564 $2,016.09
227 36482 Adhesive Closure of a Leg Vein, First 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 Thoracic Vertebral Augmentation (Kyphoplasty) 22,096 25,107 $50,358,903 $2,005.77
92 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 19,514 23,271 $249,650,884 $10,727.98
254 36903 Dialysis Access Stent Placement, Peripheral Segment 19,038 24,199 $79,688,146 $3,293.03
472 25609 Open Repair of Complex Distal Radius Fracture 18,237 28,298 $38,485,374 $1,360.00
556 67036 Vitrectomy Through the Pars Plana 18,062 30,049 $31,426,656 $1,045.85
478 33405 — 17,210 27,198 $37,714,891 $1,386.68
440 99183 Physician Supervision of Hyperbaric Oxygen Therapy 16,447 382,779 $41,502,954 $108.43
407 36465 Foam Sclerotherapy of a Main Leg Vein 16,446 28,801 $44,845,775 $1,557.09
528 67108 Retinal Detachment Repair by Vitrectomy 16,376 27,001 $33,317,432 $1,233.93
558 27487 Total Knee Replacement Revision, Both Components 16,302 26,422 $31,406,479 $1,188.65
322 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 12,500 16,023 $59,062,317 $3,686.10
552 65756 Endothelial Corneal Transplant 12,368 25,249 $31,573,739 $1,250.49
292 36906 Dialysis Access Clot Removal with Stent Placement 12,039 16,277 $67,589,209 $4,152.44
537 64561 Sacral Nerve Stimulator Electrode Placement 8,477 14,695 $32,654,904 $2,222.18
526 90868 Transcranial Magnetic Stimulation, Follow-Up Treatment Session 7,451 204,909 $33,498,536 $163.48
443 77373 Stereotactic Body Radiation Therapy Delivery 6,805 32,171 $41,262,161 $1,282.59
370 77523 Proton Beam Radiation Treatment, Intermediate Delivery 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?

Spending concentrates hard. The top 25 codes carry 55.6% of the $84.6B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $10.9B
  2. 2 99213 Established Patient Office Visit, Level 3 $6.4B
  3. 3 99232 Subsequent Hospital Care, Level 2 $3.2B
  4. 4 99233 Subsequent Hospital Care, Level 3 $2.6B
  5. 5 66984 Cataract Surgery with Lens Implant $2.2B
  6. 6 99223 Initial Hospital Care, Level 3 $2.1B
  7. 7 99285 Emergency Department Visit, Level 5 $2.0B
  8. 8 99204 New Patient Office Visit, Level 4 $1.7B
  9. 9 92014 Comprehensive Eye Exam, Established Patient $1.6B
  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
#395
Per service
$2.43
Few patients, lots of money
37229 Below-Knee Artery Atherectomy, First Vessel
By beneficiaries
#475
By allowed dollars
#47
Per service
$7,342.80

What this data covers — and what it doesn't

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 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 CY2019 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 7,854 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.

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?