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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 $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 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 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
4 99232 Subsequent Hospital Care, Level 2 4,598,341 44,627,116 $3,234,727,732 $72.48
6 99233 Subsequent Hospital Care, Level 3 3,616,200 24,529,093 $2,556,776,334 $104.23
7 66984 Cataract Surgery with Lens Implant 1,248,177 10,262,670 $2,236,668,503 $217.94
10 99223 Initial Hospital Care, Level 3 4,269,516 10,596,532 $2,140,442,764 $201.99
12 99285 Emergency Department Visit, Level 5 6,722,865 11,495,824 $1,969,988,412 $171.37
14 99204 New Patient Office Visit, Level 4 8,444,613 10,686,987 $1,680,005,867 $157.20
13 92014 Comprehensive Eye Exam, Established Patient 9,715,808 12,541,904 $1,576,636,782 $125.71
17 97110 Therapeutic Exercise, 15 Minutes 2,878,624 60,158,930 $1,548,784,469 $25.74
18 99215 Established Patient Office Visit, Level 5 5,869,898 10,399,315 $1,412,907,799 $135.87
20 99291 Critical Care, First Time Block 1,904,903 5,885,747 $1,316,600,906 $223.69
15 99203 New Patient Office Visit, Level 3 9,155,245 11,444,230 $1,174,044,172 $102.59
21 88305 Surgical Pathology Exam, Level IV 7,838,920 20,159,855 $999,719,695 $49.59
24 93306 Transthoracic Echocardiogram, Complete with Doppler 6,500,588 7,560,801 $898,003,849 $118.77
25 99222 Initial Hospital Care, Level 2 3,265,702 6,453,058 $880,604,749 $136.46
26 99309 Subsequent Nursing Facility Visit, Level 3 1,848,702 9,911,193 $849,602,276 $85.72
28 99308 Subsequent Nursing Facility Visit, Level 2 1,909,977 11,305,472 $741,640,371 $65.60
30 97530 Therapeutic Activities, Per 15 Minutes 1,406,373 20,044,437 $720,459,437 $35.94
31 90837 Psychotherapy, 60 Minutes 580,732 5,958,402 $686,943,845 $115.29
33 97140 Manual Therapy, 15 Minutes 2,173,703 29,545,674 $660,813,415 $22.37
35 90960 Monthly Dialysis Management, Adult, Four or More Visits 304,826 2,215,013 $633,329,823 $285.93
36 99284 Emergency Department Visit, Level 4 3,892,338 5,409,965 $619,794,068 $114.57
38 92012 Established Patient Eye Exam, Intermediate Level 3,627,968 6,622,578 $590,200,907 $89.12
40 99205 New Patient Office Visit, Level 5 2,578,153 2,916,931 $574,241,494 $196.86
41 97112 Neuromuscular Re-education Therapy 1,445,263 18,003,884 $558,121,525 $31.00
43 99239 Hospital Discharge Day Management, Longer Visit 3,420,697 5,137,762 $546,310,400 $106.33
45 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,398,222 13,545,346 $544,419,955 $40.19
46 45385 Colonoscopy with Lesion Removal (Snare) 965,617 1,416,283 $474,160,710 $334.79
48 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 1,753,855 1,830,643 $467,620,571 $255.44
49 27447 Total Knee Replacement 294,406 508,571 $462,417,830 $909.25
51 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 625,197 823,339 $459,333,357 $557.89
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
53 74177 CT Abdomen and Pelvis, With Contrast 2,584,246 3,498,040 $403,262,448 $115.28
54 78815 PET/CT Scan, Skull Base to Mid-Thigh 485,270 697,175 $395,568,981 $567.39
56 90834 Psychotherapy, 45 Minutes 600,281 4,850,955 $384,112,378 $79.18
57 67028 Intravitreal Injection of Medication 667,505 3,462,128 $377,553,553 $109.05
59 45380 Colonoscopy with Biopsy 1,062,002 1,533,344 $353,546,351 $230.57
62 20610 Major Joint Injection or Aspiration 2,870,666 5,729,511 $344,608,981 $60.15
5 80053 Comprehensive Metabolic Panel 14,344,000 29,131,428 $334,424,430 $11.48
64 92004 Comprehensive Eye Exam, New Patient 2,122,386 2,225,523 $329,000,828 $147.83
66 43239 Upper GI Endoscopy (EGD) with Biopsy 1,341,959 1,956,044 $324,554,618 $165.92
68 11721 Trimming of Six or More Thickened Nails 2,553,256 6,911,264 $310,304,367 $44.90
42 17000 Destruction of Premalignant Skin Lesion, First 4,084,782 6,020,158 $306,296,036 $50.88
55 92134 Retinal OCT Scan 3,291,086 7,395,012 $298,241,760 $40.33
70 37229 Below-Knee Artery Atherectomy, First Vessel Retired after Q4 2025 29,777 40,009 $293,778,050 $7,342.80
73 37225 Thigh Artery Atherectomy Retired after Q4 2025 36,683 45,821 $285,066,077 $6,221.30
77 93880 Carotid Duplex Ultrasound, Complete 2,084,284 2,297,659 $282,249,176 $122.84
76 11102 Skin Biopsy, Tangential 2,564,792 3,256,012 $278,627,498 $85.57
78 66821 YAG Laser Capsulotomy After Cataract Surgery 531,448 1,546,363 $278,307,424 $179.98
9 80061 Lipid Panel 12,613,392 19,123,364 $278,111,967 $14.54
81 63685 Spinal Cord Stimulator Generator Implant 30,432 49,122 $277,827,856 $5,655.87
11 84443 Thyroid-Stimulating Hormone (TSH) 9,931,145 15,099,300 $275,945,287 $18.28
85 99231 Subsequent Hospital Care, Level 1 1,794,475 6,781,975 $262,675,403 $38.73
86 64483 Transforaminal Epidural Injection, Lumbar/Sacral 500,846 1,119,767 $261,725,435 $233.73
87 96413 Chemotherapy Infusion, First Hour 254,246 1,871,604 $259,759,771 $138.79
88 17110 Destruction of Benign Lesions, Up to 14 1,879,316 2,511,529 $257,711,231 $102.61
50 70450 CT Head/Brain, without Contrast 3,825,794 5,762,560 $256,238,027 $44.47
90 27130 Total Hip Replacement 163,252 278,020 $253,060,339 $910.22
92 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 19,514 23,271 $249,650,884 $10,727.98
8 85025 Complete Blood Count with Differential 13,191,052 29,387,656 $247,926,967 $8.44
95 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 269,150 277,946 $244,949,562 $881.28
98 99306 Initial Nursing Facility Visit, High Level 1,028,770 1,393,961 $233,212,341 $167.30
99 74176 CT Abdomen and Pelvis, Without Contrast 1,854,461 2,366,412 $231,796,217 $97.95
103 36902 Dialysis Access Angioplasty, Peripheral Segment 125,103 235,061 $221,746,887 $943.36
104 00142 Anesthesia for Cataract and Lens Surgery 1,052,827 2,088,157 $212,531,539 $101.78
105 66982 Complex Cataract Surgery with Lens Implant 142,819 617,997 $212,500,356 $343.85
107 99310 Subsequent Nursing Facility Visit, Level 4 633,773 1,664,428 $207,620,189 $124.74
108 78492 Cardiac PET Perfusion Imaging, Rest and Stress 179,547 197,323 $207,191,217 $1,050.01
34 82306 Vitamin D, 25-Hydroxy 4,670,696 6,350,542 $204,236,397 $32.16
113 77427 Radiation Treatment Management, Per Five Sessions 249,813 1,061,061 $203,123,510 $191.43
114 80307 Presumptive Drug Screen by Analyzer 1,195,506 3,230,862 $202,921,970 $62.81
23 93000 Electrocardiogram (ECG), Complete 7,551,400 11,614,730 $199,365,789 $17.16
118 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 312,827 503,745 $195,929,977 $388.95
120 72148 MRI Lumbar Spine, without Contrast 1,319,213 1,508,544 $193,527,649 $128.29
75 92083 Extended Visual Field Test 2,567,313 3,015,768 $188,824,975 $62.61
123 00731 Anesthesia for Upper GI Endoscopy 1,066,146 1,672,544 $188,348,414 $112.61
102 71250 CT Scan of the Chest, No Contrast 1,898,562 2,427,776 $186,450,599 $76.80
94 99238 Hospital Discharge Day Management, 30 Minutes or Less 1,942,089 2,556,018 $184,816,710 $72.31
128 70553 MRI Brain, With and Without Contrast 859,952 1,055,599 $181,981,685 $172.40
22 71046 Chest X-ray, Two Views 7,628,278 11,502,077 $178,442,502 $15.51
130 64635 Lower Back Facet Nerve Ablation, First Joint 201,797 411,567 $177,788,246 $431.98
132 99221 Initial Hospital Care, Level 1 1,297,393 1,765,818 $176,676,504 $100.05
82 99202 New Patient Office Visit, Level 2 2,366,608 2,484,281 $175,974,160 $70.84
135 99490 Chronic Care Management, First 20 Minutes 911,399 4,324,608 $175,686,865 $40.62
67 92250 Retinal Photography with Interpretation 2,970,175 3,554,563 $175,205,774 $49.29
138 90961 Monthly Dialysis Management, Adult, Two or Three Visits 236,674 731,806 $174,132,762 $237.95
39 77063 Screening 3D Breast Tomosynthesis, Both Breasts 4,431,825 4,628,452 $173,342,219 $37.45
140 11042 Debridement, Subcutaneous Tissue 496,527 1,991,812 $168,205,979 $84.45
141 52000 Diagnostic Cystoscopy 742,417 978,300 $166,628,797 $170.32
143 64493 Lower Back Facet Joint Injection, First Level 353,386 783,161 $165,871,587 $211.80
16 93010 Electrocardiogram (ECG), Interpretation Only 8,484,257 19,258,409 $164,831,403 $8.56
89 99283 Emergency Department Visit, Level 3 2,093,642 2,743,497 $163,883,695 $59.74
145 62323 Lower Back Epidural Steroid Injection with Imaging 444,452 873,124 $162,044,623 $185.59
146 00811 Anesthesia for Diagnostic or Therapeutic Colonoscopy 1,141,368 1,489,483 $160,654,957 $107.86
19 83036 Hemoglobin A1c 8,268,744 15,188,018 $159,939,149 $10.53
129 93970 Complete Duplex Ultrasound of Limb Veins 1,405,397 1,692,563 $159,580,989 $94.28
150 98940 Chiropractic Spinal Manipulation, One to Two Regions 743,651 5,584,264 $156,689,350 $28.06
32 71045 Chest X-ray, Single View 5,773,631 15,962,186 $153,644,937 $9.63
65 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,995,412 9,524,325 $151,763,975 $15.93
154 99496 Transitional Care Management, High Complexity 592,077 684,698 $150,361,952 $219.60
121 99497 Advance Care Planning Discussion 1,545,555 1,832,887 $148,375,051 $80.95
156 29827 Arthroscopic Rotator Cuff Repair 69,987 132,723 $144,032,985 $1,085.21
131 71260 CT Scan of the Chest with Contrast 1,396,057 1,955,178 $143,570,022 $73.43
159 77301 IMRT Treatment Planning 135,509 149,730 $142,530,051 $951.91
3 36415 Routine Venipuncture (Blood Draw) 17,364,415 48,349,458 $141,757,808 $2.93
161 92928 Coronary Stent Placement, Single Major Vessel 204,366 253,224 $141,076,689 $557.12
162 36475 Radiofrequency Vein Ablation, First Vein 58,678 104,778 $139,037,462 $1,326.97
165 99349 Home Visit, Established Patient, Level 3 281,644 1,139,954 $138,402,592 $121.41
167 93458 Left Heart Catheterization with Coronary Angiography 487,687 510,007 $138,390,438 $271.35
169 99305 Initial Nursing Facility Visit, Moderate Level 818,809 1,062,498 $137,620,021 $129.52
171 11056 Paring of Corns or Calluses, 2-4 Lesions 820,951 2,063,039 $136,945,749 $66.38
172 90832 Individual Psychotherapy, 30 Minutes 396,062 2,288,069 $136,825,335 $59.80
125 88342 Immunohistochemistry Stain, First Antibody 1,523,617 2,286,741 $136,653,806 $59.76
139 97161 Physical Therapy Evaluation, Low Complexity 1,344,284 1,526,175 $130,460,388 $85.48
160 71275 CT Angiogram of the Chest 1,138,942 1,309,233 $129,320,935 $98.78
177 17004 Destruction of Fifteen or More Precancerous Skin Lesions 579,187 861,137 $128,058,182 $148.71
180 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 597,814 711,906 $126,960,828 $178.34
166 70551 Brain MRI Without Contrast 1,093,641 1,220,079 $125,970,009 $103.25
182 31231 Diagnostic Nasal Endoscopy 448,577 655,342 $124,999,606 $190.74
184 00790 Anesthesia for Upper Abdominal Surgery 320,039 476,820 $121,635,916 $255.10
186 01402 Anesthesia for Knee Replacement Surgery 317,316 480,204 $119,074,072 $247.97
152 97162 Physical Therapy Evaluation, Moderate Complexity 1,211,734 1,365,853 $116,921,503 $85.60
191 95811 Sleep Study with CPAP or BiPAP Titration 318,345 366,770 $116,673,302 $318.11
193 99495 Transitional Care Management, Moderate Complexity 672,615 758,364 $116,146,163 $153.15
194 00670 Anesthesia for Major Spine and Spinal Cord Surgery 175,964 265,053 $114,380,114 $431.54
196 33533 Coronary Bypass Using a Single Arterial Graft 59,982 96,885 $113,588,836 $1,172.41
200 90791 Psychiatric Diagnostic Evaluation 814,655 910,776 $111,581,106 $122.51
201 27245 Hip Fracture Repair with Intramedullary Nail 82,478 107,268 $108,475,259 $1,011.25
204 73721 MRI of Leg Joint, No Contrast 622,989 774,813 $108,265,595 $139.73
205 45378 Diagnostic Colonoscopy 382,530 485,358 $107,691,508 $221.88
208 88312 Special Stain for Microorganisms 832,059 1,614,826 $107,265,241 $66.43
209 74178 CT Abdomen and Pelvis, Before and After Contrast 508,720 586,657 $106,453,693 $181.46
211 63047 Lumbar Laminectomy for Spinal Decompression 101,264 166,656 $104,838,546 $629.07
213 23472 Total Shoulder Replacement 64,371 104,863 $104,033,619 $992.09
214 95165 Preparation of Allergy Immunotherapy Extracts 198,962 7,610,819 $103,866,045 $13.65
61 17003 Destruction of Additional Precancerous Skin Lesions 3,057,488 19,183,969 $103,435,442 $5.39
215 99307 Subsequent Nursing Facility Visit, Level 1 790,928 2,409,698 $103,064,850 $42.77
79 92133 Optic Nerve Imaging (OCT) 2,474,375 2,795,983 $99,221,967 $35.49
217 87798 Molecular Test for an Unlisted Organism 320,963 2,600,714 $99,028,003 $38.08
127 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,435,719 1,837,163 $95,215,786 $51.83
222 88307 Surgical Pathology Exam, Level V 595,954 1,010,433 $93,158,344 $92.20
223 11043 Wound Debridement Down to Muscle or Fascia 133,088 476,016 $92,648,141 $194.63
225 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 272,804 320,740 $92,505,602 $288.41
227 36482 Adhesive Closure of a Leg Vein, First Vein 24,612 45,608 $92,114,167 $2,019.69
164 92136 Eye Measurement for Cataract Lens Power 1,136,870 1,885,345 $91,777,441 $48.68
232 96365 Initial IV Infusion, Up to One Hour 297,446 1,269,596 $90,987,149 $71.67
234 90833 Shorter Psychotherapy Session Added to a Medical Visit 387,417 1,379,453 $90,439,920 $65.56
235 95810 Attended Overnight Sleep Study in a Lab 274,120 301,142 $90,290,760 $299.83
236 20611 Major Joint Injection or Aspiration with Ultrasound 460,649 954,011 $89,832,831 $94.16
240 90966 Monthly Home Dialysis Management, Adult 54,698 370,719 $86,981,883 $234.63
149 76770 Complete Retroperitoneal Ultrasound 1,235,800 1,431,152 $86,883,967 $60.71
242 00813 Anesthesia for Combined Upper and Lower Endoscopy 487,789 631,983 $84,381,522 $133.52
245 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 517,563 593,383 $83,689,343 $141.04
247 64721 Carpal Tunnel Release 106,301 169,518 $83,140,196 $490.45
250 95886 Complete Needle EMG of One Limb 552,277 947,697 $82,971,826 $87.55
251 99350 Home Visit, Established Patient, Level 4 160,364 483,831 $80,499,893 $166.38
252 22551 Anterior Cervical Discectomy and Fusion, One Level 39,759 65,219 $80,017,550 $1,226.91
254 36903 Dialysis Access Stent Placement, Peripheral Segment 19,038 24,199 $79,688,146 $3,293.03
256 72141 Neck MRI, No Contrast Dye 592,359 664,606 $79,604,368 $119.78
258 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 111,484 140,514 $78,383,560 $557.83
260 90935 Hemodialysis Session with One Physician Evaluation 204,654 1,065,936 $78,283,074 $73.44
263 73221 Arm Joint MRI, No Contrast Dye 452,751 553,520 $76,887,598 $138.91
264 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 37,577 62,510 $75,978,625 $1,215.46
158 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 1,152,631 1,341,352 $75,933,337 $56.61
266 36905 Dialysis Access Clot Removal with Angioplasty 28,195 47,626 $75,646,682 $1,588.35
268 47562 Laparoscopic Cholecystectomy 100,161 123,399 $74,427,000 $603.14
210 76700 Abdominal Ultrasound, Complete 863,414 989,135 $74,114,147 $74.93
273 74183 MRI Abdomen, Before and After Contrast 308,834 372,360 $73,501,008 $197.39
276 33361 Transcatheter Aortic Valve Replacement, Femoral Puncture 44,107 82,711 $73,251,128 $885.63
277 27236 Surgical Repair of Femoral Neck Fracture 56,751 78,829 $72,757,167 $922.97
278 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 251,240 280,415 $72,487,815 $258.50
216 11103 Additional Shave-Style Skin Biopsy 810,282 1,428,798 $72,456,768 $50.71
280 77280 Simple Radiation Therapy Simulation 135,829 373,495 $71,947,484 $192.63
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
283 00840 Anesthesia for Lower Abdominal Surgery 204,549 299,160 $70,743,261 $236.47
285 31575 Flexible Laryngoscopy, Diagnostic 508,455 657,496 $70,442,894 $107.14
91 73502 Hip X-Ray, Two or Three Views 2,080,165 2,904,678 $69,280,844 $23.85
287 33208 Dual-Chamber Pacemaker Insertion 103,057 105,275 $68,904,503 $654.52
157 69210 Impacted Earwax Removal, Instrumentation 1,199,725 1,569,936 $68,893,546 $43.88
60 82607 Vitamin B12 Level 3,121,926 4,133,954 $67,704,446 $16.38
292 36906 Dialysis Access Clot Removal with Stent Placement 12,039 16,277 $67,589,209 $4,152.44
294 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 182,353 216,239 $67,207,023 $310.80
83 84153 Prostate-Specific Antigen (PSA), Total 2,293,934 3,324,256 $66,385,923 $19.97
297 01214 Anesthesia for Hip Replacement Surgery 169,895 249,472 $66,054,278 $264.78
189 93015 Cardiovascular Stress Test, Complete 963,700 990,994 $65,557,889 $66.15
112 73562 Knee X-Ray, Three Views 1,760,782 2,573,261 $65,486,459 $25.45
302 97116 Gait Training Therapy 281,508 2,676,479 $65,330,198 $24.41
71 77080 DEXA Bone Density, Axial 2,653,411 2,760,470 $65,071,138 $23.57
304 33249 Implantable Defibrillator System Placement 42,468 43,639 $64,918,334 $1,487.62
44 80048 Basic Metabolic Panel 4,001,136 7,059,894 $64,846,639 $9.19
306 36478 Laser Vein Ablation, First Vein 32,620 59,213 $64,180,909 $1,083.90
308 77300 Basic Radiation Dose Calculation 273,999 1,406,731 $64,144,615 $45.60
106 73630 Foot X-ray, Complete Series 1,844,120 2,923,671 $64,027,149 $21.90
312 65778 Amniotic Membrane Placement on the Eye Surface 27,596 45,242 $63,784,727 $1,409.86
314 99292 Critical Care, Additional Time 272,159 571,734 $63,236,537 $110.60
317 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 51,272 53,059 $61,243,304 $1,154.25
249 88313 Special Stain for Tissue Elements and Pigments 668,110 1,588,996 $60,787,605 $38.26
318 68761 Punctal Plug Insertion for Dry Eye 186,215 428,337 $60,667,870 $141.64
321 96401 Chemotherapy Injection Under the Skin or into Muscle 142,886 755,907 $59,790,681 $79.10
322 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 12,500 16,023 $59,062,317 $3,686.10
173 99211 Established Patient Office Visit, Minimal 1,055,569 2,685,800 $58,087,436 $21.63
325 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 53,763 63,283 $57,706,427 $911.88
326 67042 Vitrectomy with Internal Limiting Membrane Peel 27,474 45,987 $57,617,705 $1,252.91
93 73030 Shoulder X-ray, Complete 2,064,844 2,943,795 $57,413,662 $19.50
330 64490 Neck or Mid-Back Facet Joint Injection, First Level 116,257 259,783 $57,349,730 $220.76
332 97535 Self-Care and Home Management Training 406,303 1,953,494 $56,599,862 $28.97
333 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 130,823 139,061 $56,486,447 $406.20
335 97113 Aquatic Therapy with Exercise 68,403 1,789,961 $56,205,923 $31.40
301 00812 Anesthesia for Screening Colonoscopy 516,091 650,255 $56,004,547 $86.13
337 97597 Selective Wound Debridement, Smaller Area 303,562 904,613 $55,982,615 $61.89
272 77066 Diagnostic Mammogram, Both Breasts 599,255 630,520 $55,641,225 $88.25
338 62321 Neck or Upper Back Epidural Injection with Imaging 145,858 284,065 $55,629,044 $195.83
341 77338 Multi-Leaf Collimator Design for IMRT 135,281 172,275 $55,455,367 $321.90
343 22514 Lumbar Vertebral Augmentation (Kyphoplasty) 25,002 27,446 $55,333,564 $2,016.09
344 43235 Upper GI Endoscopy, Diagnostic 308,743 385,085 $55,331,255 $143.69
257 77065 Diagnostic Mammogram, One Breast 645,977 792,770 $54,335,878 $68.54
350 26055 Trigger Finger Release (Tendon Sheath Incision) 78,269 149,938 $52,841,395 $352.42
181 94060 Spirometry, Pre- and Post-Bronchodilator 997,336 1,170,132 $52,648,317 $44.99
353 64636 Lower Back Facet Nerve Ablation, Additional Joint 184,985 455,690 $52,356,533 $114.90
52 84439 Free Thyroxine (Free T4) 3,556,284 5,338,017 $52,284,747 $9.79
355 29881 Knee Arthroscopy with Meniscectomy 52,058 77,527 $51,763,534 $667.68
358 77263 Complex Radiation Therapy Treatment Planning 280,207 303,164 $51,213,635 $168.93
305 70498 CT Angiogram of the Neck 509,813 555,848 $51,155,026 $92.03
361 98942 Chiropractic Spinal Manipulation, Five Regions 111,589 956,522 $50,449,957 $52.74
362 22513 Thoracic Vertebral Augmentation (Kyphoplasty) 22,096 25,107 $50,358,903 $2,005.77
324 70496 CT Angiogram of the Head 484,552 532,818 $50,334,916 $94.47
366 88185 Flow Cytometry, Additional Marker, Technical Work 88,228 1,948,385 $50,231,778 $25.78
367 55700 Prostate Needle Biopsy Retired after Q4 2025 152,980 180,126 $49,998,435 $277.57
370 77523 Proton Beam Radiation Treatment, Intermediate Delivery 1,947 47,605 $49,977,649 $1,049.84
329 11055 Paring of a Single Corn or Callus 470,908 910,932 $49,016,294 $53.81
195 76942 Ultrasound Guidance for Needle Placement 927,214 1,186,592 $48,880,367 $41.19
375 72197 Pelvis MRI, Before and After Contrast 201,069 226,645 $48,550,200 $214.21
373 76641 Complete Breast Ultrasound 365,448 532,288 $48,268,911 $90.68
380 67904 Droopy Eyelid Repair, External Levator Approach 31,365 68,837 $47,946,690 $696.52
383 77290 Complex Radiation Therapy Simulation 171,057 217,297 $47,755,935 $219.77
384 27096 Sacroiliac Joint Injection with Imaging Guidance 237,504 337,631 $47,613,455 $141.02
163 92557 Comprehensive Audiometry 1,137,557 1,233,397 $47,411,003 $38.44
153 73564 Complete Knee X-Ray, Four or More Views 1,211,593 1,644,760 $47,321,560 $28.77
389 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 55,066 88,515 $47,165,082 $532.85
391 00400 Anesthesia for Skin Surgery on Limbs and Trunk 239,543 386,464 $47,145,537 $121.99
393 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 53,715 107,060 $46,115,745 $430.75
395 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 202,397 324,323 $45,953,786 $141.69
397 72158 Low-Back MRI, Before and After Contrast 228,317 260,641 $45,403,023 $174.20
400 95004 Skin Prick Allergy Testing 191,654 10,616,253 $45,191,353 $4.26
401 00567 Anesthesia for On-Pump Coronary Bypass Surgery 51,644 64,763 $45,090,758 $696.24
403 50590 Extracorporeal Shock Wave Lithotripsy 46,679 64,863 $44,949,701 $692.99
63 87086 Urine Culture, Quantitative 3,034,427 5,114,245 $44,887,706 $8.78
407 36465 Foam Sclerotherapy of a Main Leg Vein 16,446 28,801 $44,845,775 $1,557.09
408 93351 Stress Echocardiogram, Complete with Supervision 237,157 242,756 $44,769,288 $184.42
410 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 105,867 509,821 $44,592,883 $87.47
412 64494 Lower Back Facet Joint Injection, Second Level 315,158 487,978 $44,581,657 $91.36
185 76705 Limited Abdominal Ultrasound 981,856 1,148,804 $44,350,714 $38.61
119 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,588,046 1,991,178 $44,194,280 $22.20
111 82728 Ferritin Blood Test 1,791,919 2,967,548 $43,948,543 $14.81
416 01922 Anesthesia for Imaging or Radiation Therapy 172,613 270,381 $43,673,929 $161.53
417 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 262,131 300,714 $43,536,892 $144.78
354 99316 Nursing Facility Discharge Visit, Longer Session 397,239 442,614 $43,429,125 $98.12
418 19301 Partial Mastectomy (Lumpectomy) 56,360 68,609 $43,409,293 $632.71
420 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 226,774 285,623 $43,007,396 $150.57
422 35301 — 34,248 47,918 $42,949,474 $896.31
424 95816 EEG, Awake and Drowsy 259,074 287,602 $42,892,579 $149.14
428 77295 3D Conformal Radiotherapy Planning 128,152 147,855 $42,408,802 $286.83
352 93923 Complete Arterial Circulation Study, Arms or Legs 398,965 472,611 $42,333,985 $89.57
430 78816 PET/CT Scan, Whole Body 56,559 76,864 $42,321,704 $550.61
433 29880 Knee Arthroscopy, Meniscectomy Both Compartments 38,602 59,357 $42,177,546 $710.57
406 10060 Incision and Drainage of Abscess, Simple 327,559 375,803 $41,999,107 $111.76
435 99348 Home Visit, Established Patient, Level 2 190,009 507,626 $41,915,702 $82.57
382 11104 Punch Biopsy of Skin 354,646 382,429 $41,744,959 $109.16
440 99183 Physician Supervision of Hyperbaric Oxygen Therapy 16,447 382,779 $41,502,954 $108.43
441 43249 Upper Endoscopy with Esophageal Balloon Dilation 109,267 160,316 $41,423,633 $258.39
255 88112 Non-Gynecologic Enhanced Cytology 658,797 1,000,547 $41,369,852 $41.35
443 77373 Stereotactic Body Radiation Therapy Delivery 6,805 32,171 $41,262,161 $1,282.59
275 93922 Limited Arterial Circulation Study, Arms or Legs 596,801 718,567 $40,737,467 $56.69
450 11730 — 284,442 390,381 $40,709,292 $104.28
451 37228 — Retired after Q4 2025 30,048 35,107 $40,435,651 $1,151.78
454 96367 — 144,345 1,296,413 $40,406,058 $31.17
439 77002 Fluoroscopic Guidance for Needle Placement 295,567 532,203 $40,370,833 $75.86
455 90962 — 91,272 219,096 $40,344,944 $184.14
456 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 85,626 129,248 $40,271,992 $311.59
457 28285 Hammertoe Correction 44,227 98,017 $40,037,264 $408.47
459 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 155,560 240,140 $39,917,959 $166.23
399 92235 Fluorescein Angiography of the Retina 336,931 429,248 $39,554,581 $92.15
347 76830 Transvaginal Pelvic Ultrasound 400,631 462,288 $39,482,235 $85.41
463 52442 — 26,621 103,675 $39,333,554 $379.39
176 94729 Gas Diffusing Capacity Test (DLCO) 1,027,539 1,123,365 $39,287,625 $34.97
464 52601 TURP - Transurethral Prostate Resection 45,273 48,131 $39,243,332 $815.34
300 20550 Tendon Sheath, Ligament, or Fascia Injection 518,810 820,227 $39,236,175 $47.84
269 76642 Limited Breast Ultrasound 616,394 761,132 $39,082,556 $51.35
465 36558 — 112,482 133,614 $38,999,746 $291.88
436 93312 Transesophageal Heart Ultrasound, Complete Service 296,596 349,529 $38,991,251 $111.55
468 31500 — 234,095 268,756 $38,693,871 $143.97
471 95911 Nerve Conduction Studies, 9-10 Studies 169,101 175,498 $38,630,595 $220.12
472 25609 Open Repair of Complex Distal Radius Fracture 18,237 28,298 $38,485,374 $1,360.00
473 00910 Anesthesia for Transurethral Bladder Procedures 229,429 389,692 $38,346,423 $98.40
474 65855 Laser Trabeculoplasty for Glaucoma 96,926 174,878 $38,204,717 $218.46
476 19083 Breast Needle Biopsy with Ultrasound Guidance 114,950 118,765 $37,787,048 $318.17
478 33405 — 17,210 27,198 $37,714,891 $1,386.68
481 95819 EEG Recording Both Awake and Asleep 189,100 205,968 $37,697,891 $183.03
482 01230 Anesthesia for Upper Thigh Bone Surgery 121,083 172,875 $37,222,905 $215.32
385 36556 Non-Tunneled Central Line Placement, Age 5 and Over 354,388 424,413 $36,646,442 $86.35
148 73560 Basic Knee X-Ray, One or Two Views 1,273,415 1,880,465 $36,590,187 $19.46
262 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 630,415 947,336 $36,375,740 $38.40
489 01992 — 151,976 305,661 $36,229,617 $118.53
493 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 201,108 231,888 $36,114,794 $155.74
115 82746 Serum Folate Blood Test 1,726,379 2,259,164 $36,111,296 $15.98
310 70486 CT Scan of Sinuses and Facial Bones 508,273 553,002 $36,094,018 $65.27
202 94010 Spirometry 896,118 1,236,006 $36,089,548 $29.20
497 01844 — 88,852 166,926 $35,913,398 $215.15
151 85610 Prothrombin Time (PT/INR) 1,232,919 8,395,784 $35,847,214 $4.27
501 88377 — 66,720 174,825 $35,549,004 $203.34
503 88360 Manual Scoring of Tumor Immunostain 239,365 563,489 $35,234,169 $62.53
504 37226 — Retired after Q4 2025 23,129 25,379 $35,180,334 $1,386.20
505 00562 — 36,646 45,452 $35,072,589 $771.64
508 49505 Inguinal Hernia Repair, Age 5 or Older 47,969 60,861 $34,875,122 $573.03
509 22840 Posterior Spinal Instrumentation, Non-Segmental 41,245 67,498 $34,661,043 $513.51
356 76856 Complete Pelvic Ultrasound, Non-Pregnancy 391,282 455,664 $34,628,063 $75.99
511 00630 — 91,667 133,028 $34,523,135 $259.52
513 13101 Complex Wound Repair of the Trunk (Mid-Length) 94,011 106,877 $34,428,979 $322.14
515 93460 — 88,341 89,649 $34,204,875 $381.54
516 43248 — 99,524 161,262 $34,138,628 $211.70
520 96133 Neuropsychological Test Interpretation, Extra Time 127,823 348,847 $33,870,119 $97.09
372 97164 Physical Therapy Re-evaluation 366,999 581,749 $33,837,936 $58.17
320 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 486,994 537,629 $33,827,518 $62.92
522 00560 Anesthesia for Heart Surgery Without Bypass Machine 58,278 75,797 $33,588,041 $443.13
523 37221 — Retired after Q4 2025 28,311 30,437 $33,577,201 $1,103.17
526 90868 Transcranial Magnetic Stimulation, Follow-Up Treatment Session 7,451 204,909 $33,498,536 $163.48
527 00320 — 105,296 164,948 $33,381,017 $202.37
528 67108 Retinal Detachment Repair by Vitrectomy 16,376 27,001 $33,317,432 $1,233.93
486 88331 — 252,519 457,927 $33,225,131 $72.56
533 87633 — 55,222 73,389 $32,994,909 $449.59
228 84403 Total Testosterone Blood Test 768,386 1,176,411 $32,907,283 $27.97
480 88173 Fine Needle Aspiration Interpretation 256,883 372,068 $32,898,862 $88.42
537 64561 Sacral Nerve Stimulator Electrode Placement 8,477 14,695 $32,654,904 $2,222.18
545 52332 Cystoscopy with Ureteral Stent Placement 104,257 147,504 $32,210,116 $218.37
547 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 197,639 231,365 $32,120,483 $138.83
549 01630 — 113,904 160,577 $31,942,317 $198.92
551 91110 Capsule Endoscopy, Esophagus Through Ileum 52,105 54,468 $31,707,120 $582.12
552 65756 Endothelial Corneal Transplant 12,368 25,249 $31,573,739 $1,250.49
554 36907 — 42,637 67,826 $31,564,780 $465.38
556 67036 Vitrectomy Through the Pars Plana 18,062 30,049 $31,426,656 $1,045.85
558 27487 Total Knee Replacement Revision, Both Components 16,302 26,422 $31,406,479 $1,188.65
560 67210 — 36,719 61,099 $31,035,721 $507.96
561 20680 — 50,615 70,987 $30,990,979 $436.57
432 99304 Initial Nursing Facility Visit, Level 1 304,288 343,175 $30,974,470 $90.26
514 64484 — 234,288 383,098 $30,448,996 $79.48
470 86235 Extractable Nuclear Antigen Antibody 262,185 1,525,412 $29,446,077 $19.30
529 72146 Mid-Back MRI, No Contrast Dye 218,036 243,641 $29,106,519 $119.46
220 72110 Lower Back (Lumbar) Spine X-ray, Full Series 792,350 888,426 $28,896,229 $32.53
117 87186 Antibiotic Susceptibility Panel, MIC 1,660,733 3,011,476 $28,335,690 $9.41
133 51798 Post-Void Residual Urine, Ultrasound 1,392,396 2,130,940 $27,490,086 $12.90
199 73610 Full Ankle X-Ray Series 903,450 1,363,643 $27,403,245 $20.10
183 84481 Free Triiodothyronine (T3) Blood Test 994,750 1,469,010 $27,002,215 $18.38
192 73130 Full Hand X-Ray Series 936,941 1,337,636 $26,949,184 $20.15
144 74018 Abdominal X-ray, Single View 1,305,991 2,280,596 $26,852,630 $11.77
446 97163 Physical Therapy Evaluation, High Complexity 287,484 313,753 $26,753,850 $85.27
295 36620 Arterial Line Placement, Percutaneous 522,088 583,647 $26,561,204 $45.51
58 82570 Creatinine, Non-Blood Sample 3,147,405 4,713,227 $26,447,936 $5.61
506 70491 CT Scan of Neck Soft Tissue with Contrast 238,616 293,805 $25,462,886 $86.67
80 85027 Complete Blood Count, Automated, No Differential 2,374,779 3,601,078 $25,292,196 $7.02
229 92020 Gonioscopy, Exam of the Eye's Drainage Angle 767,610 881,920 $25,046,795 $28.40
495 70544 — 243,942 259,401 $24,908,851 $96.02
237 73110 Full Wrist X-Ray Series 736,887 1,134,743 $24,679,291 $21.75
37 81001 Urinalysis, Automated with Microscopy 4,488,831 7,117,144 $24,472,804 $3.44
109 83735 Magnesium Blood Level 1,803,560 3,344,487 $24,305,025 $7.27
427 73700 CT Scan of Leg or Foot, No Contrast 306,231 352,871 $23,796,757 $67.44
69 82043 Urine Microalbumin, Quantitative 2,833,733 3,774,878 $23,642,483 $6.26
469 93224 — 262,675 280,684 $23,455,807 $83.57
122 83550 Iron Binding Capacity Blood Test 1,532,201 2,449,813 $23,259,283 $9.49
178 93016 Cardiac Stress Test, Supervision Only 1,020,602 1,046,279 $23,068,006 $22.05
259 94726 Lung Volume Testing by Body Plethysmography 638,248 687,092 $23,060,412 $33.56
323 76775 Limited Retroperitoneal Ultrasound 485,044 548,713 $22,968,243 $41.86
559 76872 — 202,419 237,554 $22,844,212 $96.16
521 78306 — 228,817 266,788 $22,236,553 $83.35
421 97035 — 310,135 2,009,978 $22,100,972 $11.00
100 83540 Serum Iron Level 1,899,788 3,088,939 $21,699,488 $7.02
124 87088 Urine Culture with Isolate Identification 1,524,111 2,400,137 $21,111,753 $8.80
244 87804 Rapid Influenza Antigen Test 677,279 1,305,364 $20,915,891 $16.02
419 20605 Intermediate Joint Injection or Aspiration 312,617 439,245 $20,408,955 $46.46
212 88304 Surgical Pathology Exam, Level III 838,288 1,017,365 $19,693,449 $19.36
134 87077 Definitive Identification of Cultured Isolate 1,387,131 2,206,614 $19,360,403 $8.77
538 93926 — 210,685 277,028 $19,234,417 $69.43
155 93018 Cardiac Stress Test, Interpretation and Report Only 1,209,790 1,243,280 $18,463,258 $14.85
230 84165 Serum Protein Electrophoresis (SPEP) 757,499 1,241,689 $18,314,441 $14.75
461 20600 Arthrocentesis, Small Joint 276,300 416,348 $18,003,900 $43.24
328 86334 Serum Immunofixation Electrophoresis 473,821 804,813 $17,622,958 $21.90
536 92002 — 210,837 213,548 $17,616,918 $82.50
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
525 20552 Trigger Point Injection, One or Two Muscles 227,204 358,873 $17,151,371 $47.79
453 83861 — 282,270 742,927 $16,309,292 $21.95
284 72040 Neck (Cervical) Spine X-ray, Limited Views 563,546 707,660 $15,770,407 $22.29
47 81003 Urinalysis, Automated without Microscopy 3,972,323 6,439,463 $15,633,884 $2.43
97 84550 Uric Acid Blood Test 1,905,367 3,100,816 $15,176,696 $4.89
376 93308 Limited or Follow-Up Heart Ultrasound 360,514 446,494 $15,159,961 $33.95
434 99282 — 299,844 353,194 $14,148,084 $40.06
187 80076 Liver Function Blood Panel 973,214 1,549,624 $13,734,087 $8.86
219 92567 Eardrum Movement Test (Tympanometry) 802,236 903,565 $13,675,824 $15.14
239 72170 Basic Pelvis X-Ray 715,269 829,538 $13,422,228 $16.18
142 86140 C-Reactive Protein, Standard 1,332,860 2,318,715 $13,008,761 $5.61
369 72050 Neck (Cervical) Spine X-ray, Extended Views 370,823 413,243 $12,918,629 $31.26
346 73620 Foot X-ray, Two Views 403,858 604,778 $12,420,524 $20.54
413 74230 Swallowing Study with Video X-ray 322,841 380,475 $12,298,534 $32.32
207 84460 ALT (Alanine Aminotransferase) Blood Test 866,764 2,138,638 $12,272,525 $5.74
409 94727 Lung Volume Testing by Gas Dilution or Washout 326,871 352,154 $12,269,297 $34.84
517 76882 Limited Ultrasound of an Arm or Leg 233,389 299,567 $12,060,092 $40.26
84 81002 Manual Urinalysis, Dipstick Only 2,212,953 3,404,479 $11,536,139 $3.39
483 82378 — 255,751 559,624 $11,524,851 $20.59
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
179 82550 Total Creatine Kinase Blood Test 1,014,769 1,554,322 $10,969,435 $7.06
365 80305 Presumptive Drug Screen, Visually Read 376,859 871,208 $10,618,267 $12.19
327 94640 Inhalation Treatment for Airway Obstruction 479,624 617,789 $10,609,456 $17.17
492 82670 Estradiol Blood Test 245,765 349,058 $10,576,159 $30.30
241 83615 Lactate Dehydrogenase (LDH) Blood Test 679,757 1,602,233 $10,465,882 $6.53
282 87880 Rapid Strep A Antigen Test 574,553 641,127 $10,253,001 $15.99
243 86038 Antinuclear Antibody Screen 677,291 776,861 $10,192,098 $13.12
288 80069 Renal Function Panel 550,197 1,075,639 $10,132,080 $9.42
402 93320 Full Doppler Flow Measurement with Heart Ultrasound 335,664 373,653 $9,904,026 $26.51
190 84436 Total Thyroxine (T4) Blood Test 942,662 1,278,468 $9,548,750 $7.47
414 11719 — 321,527 859,469 $9,472,524 $11.02
496 83520 Quantitative Immunoassay, Substance Not Otherwise Specified 243,104 562,076 $9,468,496 $16.85
502 87624 High-Risk HPV DNA Test 240,310 247,395 $9,432,003 $38.13
303 88311 Decalcification of Tissue for Sectioning 515,962 668,856 $9,333,156 $13.95
490 84402 Free Testosterone Blood Test 247,909 335,368 $9,259,472 $27.61
423 73140 Finger X-Ray 309,556 418,376 $9,231,766 $22.07
197 84100 Phosphorus (Inorganic Phosphate) Blood Test 924,845 1,784,553 $9,132,554 $5.12
411 93227 — 324,873 345,057 $9,129,097 $26.46
534 92025 Computerized Corneal Mapping (Topography) 214,473 251,424 $9,040,532 $35.96
168 82565 Creatinine, Blood 1,066,445 1,630,159 $9,019,150 $5.53
392 83516 — 344,300 719,599 $8,994,767 $12.50
296 86803 Hepatitis C Antibody Test 521,713 571,230 $8,843,580 $15.48
348 73552 Thigh Bone X-Ray 400,397 585,980 $8,772,616 $14.97
386 84154 Free PSA Blood Test 354,273 439,110 $8,767,673 $19.97
557 83883 — 202,995 584,108 $8,619,151 $14.76
286 83721 Direct LDL Cholesterol Measurement 551,576 801,160 $8,298,592 $10.36
396 92285 External Photography of the Eye and Lids 339,567 416,010 $8,223,965 $19.77
487 77001 — 251,262 313,122 $7,615,218 $24.32
394 99406 Smoking Cessation Counseling, Intermediate 343,039 536,081 $7,437,395 $13.87
345 73590 Lower Leg X-Ray 406,090 542,284 $7,110,436 $13.11
368 86141 High-Sensitivity C-Reactive Protein 372,932 497,013 $6,992,575 $14.07
390 73080 Full Elbow X-Ray Series 346,219 430,637 $6,912,235 $16.05
447 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 286,276 334,040 $6,906,635 $20.68
279 87070 Bacterial Culture, Other Source 581,261 729,887 $6,837,404 $9.37
540 84270 Sex Hormone Binding Globulin Blood Test 210,436 289,531 $6,782,088 $23.42
381 86376 Thyroid Microsomal Antibody 355,390 428,419 $6,772,593 $15.81
379 74019 Abdominal X-ray, Two Views 355,575 454,294 $6,728,694 $14.81
377 82274 Fecal Immunochemical Test for Blood 359,288 385,132 $6,637,158 $17.23
429 71101 Rib X-ray, One Side, with Chest View 304,327 338,032 $6,602,967 $19.53
226 82248 Direct Bilirubin Blood Test 782,109 1,190,409 $6,380,943 $5.36
137 85652 Erythrocyte Sedimentation Rate, Automated 1,348,101 2,153,991 $6,312,539 $2.93
233 82947 Glucose, Quantitative (Blood) 745,512 1,428,279 $6,043,423 $4.23
334 76514 Corneal Thickness Measurement by Ultrasound 462,469 496,471 $5,943,620 $11.97
253 84450 AST (Aspartate Aminotransferase) Blood Test 664,843 1,033,284 $5,752,856 $5.57
475 86800 Thyroglobulin Antibody 258,488 329,325 $5,688,162 $17.27
494 83090 Homocysteine Blood Test 245,231 308,904 $5,668,261 $18.35
460 73060 Upper Arm Bone X-Ray 276,851 377,760 $5,391,178 $14.27
498 73501 — 242,353 304,663 $5,357,055 $17.58
548 82533 Total Cortisol Blood Test 208,840 300,073 $5,309,250 $17.69
535 92550 — 213,350 229,709 $5,236,766 $22.80
500 74022 — 241,661 288,191 $5,195,545 $18.03
224 81000 Manual Urinalysis with Microscopy 783,829 1,324,885 $5,187,677 $3.92
248 82962 Blood Sugar Check with Handheld Glucose Meter 669,100 1,582,533 $5,029,949 $3.18
404 51741 Complex Urine Flow Study 334,169 427,654 $4,904,722 $11.47
360 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 381,143 633,283 $4,901,589 $7.74
307 84479 Thyroid Hormone Uptake Test 508,537 690,929 $4,856,952 $7.03
438 86200 Cyclic Citrullinated Peptide Antibody 295,795 326,966 $4,588,291 $14.03
467 90471 Immunization Administration, First 264,691 282,136 $4,414,644 $15.65
299 93325 Color Flow Mapping with Heart Ultrasound 519,886 615,053 $4,347,057 $7.07
265 84156 Total Protein Measurement, Urine 624,935 1,089,041 $4,333,074 $3.98
510 86225 Double-Stranded DNA Antibody 237,149 290,823 $4,328,144 $14.88
555 84466 Transferrin Blood Test 202,996 297,192 $4,108,651 $13.82
351 93005 Electrocardiogram, Tracing Only 400,050 458,743 $3,796,927 $8.28
298 86431 Rheumatoid Factor, Quantitative 520,712 608,554 $3,744,029 $6.15
491 76376 3D Image Reconstruction and Interpretation 247,563 284,132 $3,679,668 $12.95
359 83690 Lipase Blood Test 385,061 480,997 $3,594,883 $7.47
293 85651 Erythrocyte Sedimentation Rate, Manual 528,093 858,649 $3,572,652 $4.16
452 87340 Hepatitis B Surface Antigen Test 284,303 311,212 $3,486,217 $11.20
291 84520 Urea Nitrogen (BUN) 533,666 789,459 $3,363,268 $4.26
342 82310 Total Calcium Blood Test 421,030 601,463 $3,331,270 $5.54
543 73090 — 209,791 257,161 $3,249,181 $12.63
388 82150 Amylase Blood Test 347,420 460,712 $3,241,659 $7.04
363 82040 Blood Albumin Test 378,082 565,852 $2,996,088 $5.29
398 85730 Partial Thromboplastin Time (PTT) Blood Test 339,010 447,625 $2,923,974 $6.53
364 82044 — 376,955 482,012 $2,911,205 $6.04
374 84132 Potassium Blood Level 362,526 539,749 $2,679,479 $4.96
405 84075 Total Alkaline Phosphatase Blood Test 334,052 485,952 $2,673,699 $5.50
530 93042 — 215,502 366,623 $2,648,928 $7.23
331 84155 Total Protein, Blood 469,162 646,047 $2,525,225 $3.91
444 82247 Total Bilirubin Blood Test 289,297 470,570 $2,515,284 $5.35
488 96127 Brief Emotional/Behavioral Screening, Per Instrument 250,521 485,452 $2,512,346 $5.18
532 80051 — 214,722 305,014 $2,313,551 $7.59
542 84295 — 210,100 322,153 $1,651,341 $5.13
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
442 85018 — 292,026 506,771 $1,300,115 $2.57
512 86592 — 236,509 270,780 $1,257,681 $4.64
458 82270 — 278,319 278,674 $1,188,893 $4.27

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.

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