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

Medicare's 500 most-billed CPT codes of 2020

In CY2020 Medicare paid $73.5B across these 500 CPT codes. 99214 (Established Patient Office Visit, Level 4) leads every measure: 25.0M beneficiaries and $9.1B 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
$73.5B
Total Medicare allowed dollars
Services
1.1B
Times these codes were billed
Top 25
55.3%
Share of the allowed dollars
Vintage
CY2020
Medicare fee-for-service only

All 500 codes, ranked

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

# Code What it is Beneficiaries Services Allowed Per service
1 99214 Established Patient Office Visit, Level 4 24,977,726 88,750,316 $9,124,555,169 $102.81
2 99213 Established Patient Office Visit, Level 3 23,189,044 76,060,527 $5,387,507,824 $70.83
3 36415 Routine Venipuncture (Blood Draw) 15,965,174 41,380,550 $123,040,329 $2.97
5 80053 Comprehensive Metabolic Panel 13,354,836 26,182,143 $274,166,772 $10.47
7 85025 Complete Blood Count with Differential 12,185,157 26,164,839 $201,439,532 $7.70
10 80061 Lipid Panel 11,671,134 17,034,099 $226,167,241 $13.28
11 84443 Thyroid-Stimulating Hormone (TSH) 9,097,684 13,433,116 $224,049,845 $16.68
13 92014 Comprehensive Eye Exam, Established Patient 8,166,499 10,350,041 $1,312,199,118 $126.78
15 83036 Hemoglobin A1c 7,706,578 13,268,421 $127,615,574 $9.62
17 99203 New Patient Office Visit, Level 3 7,696,180 9,443,980 $971,589,067 $102.88
18 93010 Electrocardiogram (ECG), Interpretation Only 7,229,595 15,897,585 $137,807,391 $8.67
16 99204 New Patient Office Visit, Level 4 7,021,238 8,714,480 $1,384,474,511 $158.87
21 88305 Surgical Pathology Exam, Level IV 6,570,652 16,846,538 $856,140,785 $50.82
22 93000 Electrocardiogram (ECG), Complete 6,305,971 9,114,177 $158,210,619 $17.36
12 99285 Emergency Department Visit, Level 5 5,647,089 9,264,177 $1,612,707,004 $174.08
24 71045 Chest X-ray, Single View 5,611,503 15,531,228 $151,453,077 $9.75
25 93306 Transthoracic Echocardiogram, Complete with Doppler 5,582,999 6,410,689 $783,070,891 $122.15
28 99212 Established Patient Office Visit, Level 2 5,436,932 8,835,278 $374,244,516 $42.36
29 71046 Chest X-ray, Two Views 5,188,610 7,336,595 $120,488,564 $16.42
31 77067 Screening Mammography, Bilateral 5,162,632 5,412,082 $388,270,000 $71.74
20 99215 Established Patient Office Visit, Level 5 5,023,330 8,686,203 $1,191,595,500 $137.18
34 82306 Vitamin D, 25-Hydroxy 4,366,622 5,801,733 $170,387,455 $29.37
36 77063 Screening 3D Breast Tomosynthesis, Both Breasts 4,190,169 4,396,089 $167,197,629 $38.03
4 99232 Subsequent Hospital Care, Level 2 3,995,847 39,674,662 $2,894,572,763 $72.96
39 81001 Urinalysis, Automated with Microscopy 3,989,976 6,125,254 $19,246,052 $3.14
8 99223 Initial Hospital Care, Level 3 3,826,379 9,478,757 $1,940,126,470 $204.68
44 17000 Destruction of Premalignant Skin Lesion, First 3,586,006 5,075,174 $255,995,165 $50.44
46 81003 Urinalysis, Automated without Microscopy 3,460,542 5,361,713 $11,923,708 $2.22
49 80048 Basic Metabolic Panel 3,401,452 5,820,561 $48,790,602 $8.38
6 99233 Subsequent Hospital Care, Level 3 3,346,125 24,578,565 $2,600,769,197 $105.81
51 84439 Free Thyroxine (Free T4) 3,310,419 4,844,324 $43,336,583 $8.95
53 70450 CT Head/Brain, without Contrast 3,233,599 4,844,019 $218,184,938 $45.04
38 99239 Hospital Discharge Day Management, Longer Visit 3,094,970 4,565,946 $491,142,521 $107.57
55 92134 Retinal OCT Scan 2,980,862 6,542,650 $264,986,002 $40.50
40 99284 Emergency Department Visit, Level 4 2,964,233 4,008,718 $473,192,617 $118.04
58 82570 Creatinine, Non-Blood Sample 2,933,331 4,291,991 $22,026,981 $5.13
47 92012 Established Patient Eye Exam, Intermediate Level 2,891,327 5,015,408 $452,671,975 $90.26
60 82607 Vitamin B12 Level 2,848,155 3,731,342 $55,817,980 $14.96
26 99222 Initial Hospital Care, Level 2 2,788,763 5,381,895 $748,480,320 $139.07
62 17003 Destruction of Additional Precancerous Skin Lesions 2,687,392 16,341,353 $94,273,242 $5.77
65 82043 Urine Microalbumin, Quantitative 2,615,908 3,415,679 $19,537,713 $5.72
67 87086 Urine Culture, Quantitative 2,612,971 4,250,429 $34,035,844 $8.01
68 92250 Retinal Photography with Interpretation 2,538,279 2,983,277 $132,896,929 $44.55
64 20610 Major Joint Injection or Aspiration 2,388,913 4,646,505 $292,847,212 $63.03
19 97110 Therapeutic Exercise, 15 Minutes 2,369,643 48,667,429 $1,260,063,666 $25.89
54 74177 CT Abdomen and Pelvis, With Contrast 2,318,988 3,160,941 $376,773,527 $119.20
72 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,279,458 7,679,239 $105,382,607 $13.72
74 11102 Skin Biopsy, Tangential 2,273,201 2,846,214 $247,414,272 $86.93
75 11721 Trimming of Six or More Thickened Nails 2,223,515 5,311,763 $242,921,441 $45.73
77 85027 Complete Blood Count, Automated, No Differential 2,164,776 3,180,983 $20,404,428 $6.41
79 84153 Prostate-Specific Antigen (PSA), Total 2,129,906 3,053,875 $55,678,540 $18.23
80 77080 DEXA Bone Density, Axial 2,112,992 2,202,300 $51,540,514 $23.40
41 99205 New Patient Office Visit, Level 5 2,105,216 2,363,899 $471,529,577 $199.47
82 99202 New Patient Office Visit, Level 2 2,088,911 2,193,433 $156,438,727 $71.32
85 92133 Optic Nerve Imaging (OCT) 2,085,729 2,332,366 $83,811,031 $35.93
87 92083 Extended Visual Field Test 2,059,948 2,366,303 $147,675,558 $62.41
14 99291 Critical Care, First Time Block 1,822,169 6,268,263 $1,420,178,476 $226.57
90 99211 Established Patient Office Visit, Minimal 1,766,431 3,292,363 $71,825,690 $21.82
92 83540 Serum Iron Level 1,744,586 2,820,742 $18,086,765 $6.41
35 97140 Manual Therapy, 15 Minutes 1,740,700 22,940,899 $526,436,726 $22.95
94 73502 Hip X-Ray, Two or Three Views 1,738,109 2,414,132 $61,756,688 $25.58
95 71250 CT Scan of the Chest, No Contrast 1,729,654 2,192,458 $168,592,224 $76.90
96 73030 Shoulder X-ray, Complete 1,725,949 2,450,578 $53,022,369 $21.64
81 17110 Destruction of Benign Lesions, Up to 14 1,707,337 2,225,357 $232,681,889 $104.56
99 84550 Uric Acid Blood Test 1,704,174 2,748,005 $12,299,296 $4.48
100 81002 Manual Urinalysis, Dipstick Only 1,702,269 2,498,682 $8,585,809 $3.44
105 83735 Magnesium Blood Level 1,681,887 3,125,929 $20,748,134 $6.64
107 82728 Ferritin Blood Test 1,670,294 2,751,613 $37,178,964 $13.51
88 93880 Carotid Duplex Ultrasound, Complete 1,658,066 1,818,269 $229,008,431 $125.95
30 99308 Subsequent Nursing Facility Visit, Level 2 1,654,258 10,700,463 $713,418,866 $66.67
23 99309 Subsequent Nursing Facility Visit, Level 3 1,652,173 9,882,931 $850,413,300 $86.05
111 99497 Advance Care Planning Discussion 1,618,539 1,918,514 $157,680,696 $82.19
76 92004 Comprehensive Eye Exam, New Patient 1,617,485 1,686,087 $251,062,096 $148.90
109 74176 CT Abdomen and Pelvis, Without Contrast 1,587,337 2,017,307 $201,341,243 $99.81
114 82746 Serum Folate Blood Test 1,564,314 2,031,544 $29,637,194 $14.59
117 99238 Hospital Discharge Day Management, 30 Minutes or Less 1,563,502 1,998,492 $146,137,702 $73.12
119 99283 Emergency Department Visit, Level 3 1,534,663 1,984,015 $126,569,265 $63.79
97 99231 Subsequent Hospital Care, Level 1 1,507,125 5,657,296 $221,383,334 $39.13
121 73630 Foot X-ray, Complete Series 1,501,582 2,375,026 $55,599,601 $23.41
122 87186 Antibiotic Susceptibility Panel, MIC 1,413,360 2,552,962 $21,918,168 $8.59
123 83550 Iron Binding Capacity Blood Test 1,412,997 2,241,818 $19,424,476 $8.66
125 73562 Knee X-Ray, Three Views 1,389,496 1,997,125 $54,538,367 $27.31
127 88342 Immunohistochemistry Stain, First Antibody 1,369,408 2,076,982 $123,709,232 $59.56
56 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 1,358,456 1,412,775 $369,882,143 $261.81
129 87088 Urine Culture with Isolate Identification 1,293,223 1,983,998 $15,927,664 $8.03
131 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,266,082 1,582,808 $37,449,649 $23.66
134 71260 CT Scan of the Chest with Contrast 1,263,312 1,791,359 $133,564,729 $74.56
37 97112 Neuromuscular Re-education Therapy 1,256,893 16,192,388 $506,855,808 $31.30
135 86140 C-Reactive Protein, Standard 1,254,594 2,150,747 $11,036,819 $5.13
136 85652 Erythrocyte Sedimentation Rate, Automated 1,244,371 1,996,683 $5,343,758 $2.68
42 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,243,768 11,584,052 $469,161,663 $40.50
141 93970 Complete Duplex Ultrasound of Limb Veins 1,199,157 1,434,689 $135,976,305 $94.78
142 87077 Definitive Identification of Cultured Isolate 1,184,606 1,844,128 $14,780,012 $8.01
144 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,170,529 1,484,953 $79,328,083 $53.42
145 51798 Post-Void Residual Urine, Ultrasound 1,162,626 1,685,696 $17,662,061 $10.48
147 74018 Abdominal X-ray, Single View 1,156,547 2,051,724 $24,541,545 $11.96
33 97530 Therapeutic Activities, Per 15 Minutes 1,150,598 17,001,335 $615,400,666 $36.20
148 71275 CT Angiogram of the Chest 1,098,046 1,263,604 $124,909,259 $98.85
146 99221 Initial Hospital Care, Level 1 1,096,364 1,470,466 $149,609,359 $101.74
132 72148 MRI Lumbar Spine, without Contrast 1,081,277 1,240,856 $161,487,949 $130.14
71 43239 Upper GI Endoscopy (EGD) with Biopsy 1,079,405 1,564,894 $257,267,719 $164.40
153 76770 Complete Retroperitoneal Ultrasound 1,056,079 1,219,597 $75,438,005 $61.85
155 97161 Physical Therapy Evaluation, Low Complexity 1,052,177 1,188,031 $103,828,060 $87.40
156 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 1,023,588 1,191,154 $63,719,340 $53.49
157 85610 Prothrombin Time (PT/INR) 1,008,933 6,317,839 $26,830,482 $4.25
159 73564 Complete Knee X-Ray, Four or More Views 989,028 1,334,736 $41,760,725 $31.29
163 73560 Basic Knee X-Ray, One or Two Views 981,921 1,428,840 $28,710,524 $20.09
143 80307 Presumptive Drug Screen by Analyzer 965,934 2,473,416 $151,316,491 $61.18
110 99490 Chronic Care Management, First 20 Minutes 964,550 4,760,783 $196,794,120 $41.34
166 69210 Impacted Earwax Removal, Instrumentation 961,174 1,236,560 $55,803,154 $45.13
9 66984 Cataract Surgery with Lens Implant 958,817 7,498,575 $1,661,670,850 $221.60
168 97162 Physical Therapy Evaluation, Moderate Complexity 938,815 1,052,324 $92,112,943 $87.53
171 70551 Brain MRI Without Contrast 922,937 1,028,257 $106,169,005 $103.25
172 93018 Cardiac Stress Test, Interpretation and Report Only 917,525 939,324 $14,104,269 $15.02
173 84481 Free Triiodothyronine (T3) Blood Test 916,655 1,331,520 $22,355,592 $16.79
176 92136 Eye Measurement for Cataract Lens Power 900,661 1,479,883 $66,363,613 $44.84
177 82565 Creatinine, Blood 889,819 1,332,694 $6,664,878 $5.00
179 92557 Comprehensive Audiometry 886,558 954,460 $37,098,203 $38.87
164 00811 Anesthesia for Diagnostic or Therapeutic Colonoscopy 885,882 1,150,237 $126,049,599 $109.59
183 82550 Total Creatine Kinase Blood Test 884,247 1,334,277 $8,602,415 $6.45
137 00731 Anesthesia for Upper GI Endoscopy 871,166 1,355,942 $155,363,383 $114.58
184 84100 Phosphorus (Inorganic Phosphate) Blood Test 862,768 1,714,438 $8,031,905 $4.68
186 76705 Limited Abdominal Ultrasound 833,369 972,053 $38,160,406 $39.26
188 80076 Liver Function Blood Panel 821,862 1,293,820 $10,462,169 $8.09
70 45380 Colonoscopy with Biopsy 818,592 1,183,423 $272,233,624 $230.04
189 76942 Ultrasound Guidance for Needle Placement 811,471 1,043,662 $43,163,457 $41.36
115 99306 Initial Nursing Facility Visit, High Level 809,600 1,082,719 $183,448,804 $169.43
124 00142 Anesthesia for Cataract and Lens Surgery 809,388 1,583,417 $164,203,194 $103.70
194 84436 Total Thyroxine (T4) Blood Test 799,866 1,056,282 $7,201,563 $6.82
195 73130 Full Hand X-Ray Series 785,193 1,122,706 $24,484,840 $21.81
198 93015 Cardiovascular Stress Test, Complete 777,511 797,073 $53,221,086 $66.77
200 93016 Cardiac Stress Test, Supervision Only 765,550 782,417 $17,435,741 $22.28
52 45385 Colonoscopy with Lesion Removal (Snare) 764,840 1,126,678 $380,769,508 $337.96
201 11720 Nail Trimming/Debridement, Up to 5 757,054 1,664,644 $55,375,455 $33.27
203 84460 ALT (Alanine Aminotransferase) Blood Test 745,251 1,949,021 $10,170,011 $5.22
206 94729 Gas Diffusing Capacity Test (DLCO) 740,085 796,195 $28,502,393 $35.80
133 70553 MRI Brain, With and Without Contrast 735,133 912,896 $158,381,458 $173.49
207 76536 Ultrasound of Neck and Head Soft Tissues 735,112 836,206 $61,095,333 $73.06
167 11056 Paring of Corns or Calluses, 2-4 Lesions 731,573 1,675,682 $123,228,856 $73.54
210 73610 Full Ankle X-Ray Series 730,570 1,112,609 $23,992,013 $21.56
212 11103 Additional Shave-Style Skin Biopsy 721,060 1,263,197 $64,657,289 $51.19
216 76700 Abdominal Ultrasound, Complete 694,693 794,350 $62,000,433 $78.05
218 84403 Total Testosterone Blood Test 691,507 1,063,638 $27,165,571 $25.54
220 82248 Direct Bilirubin Blood Test 688,550 1,033,467 $5,087,841 $4.92
204 88312 Special Stain for Microorganisms 683,558 1,347,834 $93,439,191 $69.33
222 84165 Serum Protein Electrophoresis (SPEP) 678,676 1,146,953 $16,625,959 $14.50
225 88304 Surgical Pathology Exam, Level III 675,212 815,774 $16,144,293 $19.79
57 67028 Intravitreal Injection of Medication 652,667 3,287,314 $362,367,651 $110.23
211 99307 Subsequent Nursing Facility Visit, Level 1 640,973 2,079,814 $89,785,168 $43.17
229 94060 Spirometry, Pre- and Post-Bronchodilator 636,703 719,667 $31,593,164 $43.90
138 52000 Diagnostic Cystoscopy 636,519 833,550 $154,238,641 $185.04
231 92567 Eardrum Movement Test (Tympanometry) 635,435 705,165 $11,287,750 $16.01
232 72110 Lower Back (Lumbar) Spine X-ray, Full Series 632,140 707,856 $22,120,415 $31.25
234 83615 Lactate Dehydrogenase (LDH) Blood Test 630,874 1,467,937 $8,756,802 $5.97
214 90791 Psychiatric Diagnostic Evaluation 630,405 707,307 $89,074,953 $125.94
190 99305 Initial Nursing Facility Visit, Moderate Level 621,517 793,327 $103,219,256 $130.11
237 73110 Full Wrist X-Ray Series 618,480 968,632 $23,087,623 $23.84
170 98940 Chiropractic Spinal Manipulation, One to Two Regions 605,651 4,330,552 $123,177,281 $28.44
242 92020 Gonioscopy, Exam of the Eye's Drainage Angle 602,959 685,218 $19,732,670 $28.80
244 72170 Basic Pelvis X-Ray 601,506 694,019 $10,191,493 $14.68
246 84156 Total Protein Measurement, Urine 594,535 1,030,159 $3,745,570 $3.64
248 94010 Spirometry 587,433 740,591 $21,037,113 $28.41
250 81000 Manual Urinalysis with Microscopy 580,640 935,578 $3,713,225 $3.97
48 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 578,395 759,802 $424,163,560 $558.26
101 99310 Subsequent Nursing Facility Visit, Level 4 576,906 1,672,830 $209,635,138 $125.32
253 86038 Antinuclear Antibody Screen 572,784 653,687 $7,834,079 $11.98
254 84450 AST (Aspartate Aminotransferase) Blood Test 567,236 853,783 $4,307,353 $5.05
257 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 565,419 834,749 $32,497,833 $38.93
259 82947 Glucose, Quantitative (Blood) 565,181 1,035,052 $4,014,764 $3.88
260 88112 Non-Gynecologic Enhanced Cytology 557,606 832,074 $34,587,347 $41.57
263 88313 Special Stain for Tissue Elements and Pigments 552,860 1,368,113 $54,343,005 $39.72
264 76642 Limited Breast Ultrasound 549,016 667,331 $35,213,119 $52.77
267 77066 Diagnostic Mammogram, Both Breasts 547,764 575,778 $52,026,776 $90.36
269 77065 Diagnostic Mammogram, One Breast 545,911 665,995 $46,796,423 $70.27
270 87804 Rapid Influenza Antigen Test 539,549 1,035,130 $16,674,827 $16.11
192 99495 Transitional Care Management, Moderate Complexity 534,872 592,378 $102,457,568 $172.96
59 90834 Psychotherapy, 45 Minutes 534,654 4,420,315 $359,988,326 $81.44
223 88307 Surgical Pathology Exam, Level V 527,331 905,524 $85,437,029 $94.35
175 17004 Destruction of Fifteen or More Precancerous Skin Lesions 517,300 745,616 $116,287,855 $155.96
27 90837 Psychotherapy, 60 Minutes 515,688 6,091,824 $720,916,475 $118.34
152 99496 Transitional Care Management, High Complexity 515,614 593,360 $137,303,223 $231.40
181 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 509,266 607,022 $109,793,408 $180.87
283 80069 Renal Function Panel 503,188 959,935 $8,244,955 $8.59
219 73721 MRI of Leg Joint, No Contrast 502,134 623,823 $87,114,408 $139.65
120 87798 Molecular Test for an Unlisted Organism 501,525 5,174,716 $180,115,604 $34.81
285 93922 Limited Arterial Circulation Study, Arms or Legs 489,789 593,087 $33,429,389 $56.37
287 76937 Ultrasound Guidance for Vascular Access 489,069 639,213 $11,251,253 $17.60
288 70498 CT Angiogram of the Neck 488,771 535,039 $49,213,493 $91.98
291 82962 Blood Sugar Check with Handheld Glucose Meter 483,470 1,001,658 $3,231,533 $3.23
278 72141 Neck MRI, No Contrast Dye 482,752 542,583 $65,544,422 $120.80
293 36620 Arterial Line Placement, Percutaneous 477,703 538,009 $24,721,275 $45.95
294 83721 Direct LDL Cholesterol Measurement 474,731 673,014 $7,002,955 $10.41
295 70496 CT Angiogram of the Head 465,915 513,881 $48,682,209 $94.73
296 94726 Lung Volume Testing by Body Plethysmography 465,491 496,293 $16,729,511 $33.71
128 11042 Debridement, Subcutaneous Tissue 462,129 1,879,615 $163,033,898 $86.74
298 20550 Tendon Sheath, Ligament, or Fascia Injection 459,291 722,624 $35,766,422 $49.50
301 92202 Extended Eye Exam with Drawing, Optic Nerve and Macula 455,801 670,741 $11,352,914 $16.93
50 78815 PET/CT Scan, Skull Base to Mid-Thigh 452,411 650,786 $394,884,849 $606.78
304 86803 Hepatitis C Antibody Test 452,058 496,059 $7,011,786 $14.13
261 95886 Complete Needle EMG of One Limb 448,766 774,865 $70,261,526 $90.68
306 87070 Bacterial Culture, Other Source 448,714 560,547 $4,791,347 $8.55
308 72040 Neck (Cervical) Spine X-ray, Limited Views 447,222 560,871 $13,223,463 $23.58
311 93325 Color Flow Mapping with Heart Ultrasound 443,087 526,198 $3,532,655 $6.71
313 86431 Rheumatoid Factor, Quantitative 442,908 526,450 $2,959,043 $5.62
314 84480 Total Triiodothyronine (T3) Blood Test 440,758 609,779 $8,580,181 $14.07
196 74178 CT Abdomen and Pelvis, Before and After Contrast 440,221 510,259 $96,642,569 $189.40
315 88311 Decalcification of Tissue for Sectioning 436,465 567,539 $8,024,840 $14.14
89 66821 YAG Laser Capsulotomy After Cataract Surgery 436,047 1,167,145 $228,706,999 $195.95
317 84520 Urea Nitrogen (BUN) 433,241 622,198 $2,395,573 $3.85
319 84479 Thyroid Hormone Uptake Test 432,991 571,335 $3,668,355 $6.42
320 86334 Serum Immunofixation Electrophoresis 430,764 764,541 $15,997,328 $20.92
265 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 430,702 493,184 $70,174,556 $142.29
91 64483 Transforaminal Epidural Injection, Lumbar/Sacral 429,160 929,955 $227,851,064 $245.01
151 90832 Individual Psychotherapy, 30 Minutes 427,821 2,261,234 $137,878,055 $60.97
243 00813 Anesthesia for Combined Upper and Lower Endoscopy 425,088 551,010 $74,566,826 $135.33
325 84155 Total Protein, Blood 420,328 569,794 $2,025,543 $3.55
226 20611 Major Joint Injection or Aspiration with Ultrasound 413,020 832,225 $81,868,497 $98.37
326 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 411,796 455,234 $28,585,155 $62.79
330 70486 CT Scan of Sinuses and Facial Bones 405,937 440,930 $28,997,351 $65.76
331 85651 Erythrocyte Sedimentation Rate, Manual 402,756 641,116 $2,707,459 $4.22
332 11055 Paring of a Single Corn or Callus 400,893 717,785 $43,539,971 $60.66
335 76775 Limited Retroperitoneal Ultrasound 399,551 449,593 $19,352,602 $43.04
178 93458 Left Heart Catheterization with Coronary Angiography 393,132 413,060 $113,992,520 $275.97
337 82310 Total Calcium Blood Test 387,442 575,887 $2,802,428 $4.87
338 00812 Anesthesia for Screening Colonoscopy 385,782 486,208 $42,687,589 $87.80
321 31575 Flexible Laryngoscopy, Diagnostic 381,651 479,278 $54,473,151 $113.66
282 73221 Arm Joint MRI, No Contrast Dye 377,378 462,625 $65,066,139 $140.65
297 97535 Self-Care and Home Management Training 371,284 2,035,345 $59,451,079 $29.21
154 62323 Lower Back Epidural Steroid Injection with Imaging 369,960 701,250 $135,972,395 $193.90
342 87635 COVID-19 PCR Test 369,238 461,695 $23,352,642 $50.58
344 93308 Limited or Follow-Up Heart Ultrasound 357,865 441,200 $14,736,875 $33.40
208 90833 Shorter Psychotherapy Session Added to a Medical Visit 356,263 1,360,960 $91,737,157 $67.41
347 76514 Corneal Thickness Measurement by Ultrasound 350,520 374,000 $4,309,939 $11.52
348 36556 Non-Tunneled Central Line Placement, Age 5 and Over 349,963 422,618 $37,020,638 $87.60
350 73552 Thigh Bone X-Ray 349,742 508,391 $7,916,466 $15.57
217 31231 Diagnostic Nasal Endoscopy 340,769 476,605 $88,531,295 $185.75
352 82040 Blood Albumin Test 337,989 503,543 $2,403,360 $4.77
353 93005 Electrocardiogram, Tracing Only 335,395 382,239 $3,195,097 $8.36
356 76641 Complete Breast Ultrasound 333,540 470,869 $44,338,083 $94.16
358 84154 Free PSA Blood Test 333,390 407,123 $7,427,264 $18.24
359 73590 Lower Leg X-Ray 332,121 444,421 $6,111,943 $13.75
362 83690 Lipase Blood Test 329,527 411,891 $2,809,587 $6.82
364 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 327,408 521,470 $3,701,295 $7.10
365 87880 Rapid Strep A Antigen Test 326,556 358,954 $5,786,584 $16.12
367 86141 High-Sensitivity C-Reactive Protein 325,833 429,640 $5,520,376 $12.85
368 76830 Transvaginal Pelvic Ultrasound 325,582 373,571 $32,862,847 $87.97
371 82044 316,584 397,427 $2,435,544 $6.13
372 73620 Foot X-ray, Two Views 313,055 463,967 $9,707,135 $20.92
373 86376 Thyroid Microsomal Antibody 312,162 374,987 $5,409,750 $14.43
376 93923 Complete Arterial Circulation Study, Arms or Legs 311,508 369,044 $33,695,574 $91.31
377 76856 Complete Pelvic Ultrasound, Non-Pregnancy 309,183 356,318 $27,955,422 $78.46
379 99316 Nursing Facility Discharge Visit, Longer Session 306,717 337,162 $33,368,831 $98.97
381 87640 Staphylococcus Aureus DNA Test 304,778 511,609 $17,850,428 $34.89
386 92201 Extended Retinal Exam with Drawing, Peripheral Retina 302,875 410,236 $10,953,485 $26.70
32 90960 Monthly Dialysis Management, Adult, Four or More Visits 296,371 2,174,866 $633,394,811 $291.23
387 11104 Punch Biopsy of Skin 295,840 318,244 $35,424,524 $111.31
390 84075 Total Alkaline Phosphatase Blood Test 293,201 408,664 $2,026,484 $4.96
266 74183 MRI Abdomen, Before and After Contrast 292,933 353,586 $70,097,395 $198.25
161 99349 Home Visit, Established Patient, Level 3 291,140 1,089,811 $132,693,950 $121.76
150 64493 Lower Back Facet Joint Injection, First Level 290,606 629,849 $137,968,007 $219.05
227 45378 Diagnostic Colonoscopy 289,440 368,421 $81,633,950 $221.58
395 83516 289,142 601,086 $6,860,179 $11.41
397 82150 Amylase Blood Test 287,367 381,885 $2,450,722 $6.42
398 73080 Full Elbow X-Ray Series 286,040 359,323 $6,179,230 $17.20
118 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 285,945 457,614 $180,485,398 $394.41
402 80305 Presumptive Drug Screen, Visually Read 284,463 609,408 $7,517,095 $12.34
404 97164 Physical Therapy Re-evaluation 284,075 443,032 $26,620,341 $60.09
406 72050 Neck (Cervical) Spine X-ray, Extended Views 283,913 316,355 $10,018,458 $31.67
408 99406 Smoking Cessation Counseling, Intermediate 282,872 437,530 $6,253,033 $14.29
410 84132 Potassium Blood Level 276,653 405,281 $1,902,489 $4.69
412 85730 Partial Thromboplastin Time (PTT) Blood Test 275,579 360,482 $2,149,909 $5.96
221 96365 Initial IV Infusion, Up to One Hour 274,175 1,195,982 $85,584,301 $71.56
414 82274 Fecal Immunochemical Test for Blood 274,064 294,353 $4,634,821 $15.75
417 92285 External Photography of the Eye and Lids 272,439 333,940 $6,814,086 $20.41
418 73700 CT Scan of Leg or Foot, No Contrast 271,930 311,692 $21,086,704 $67.65
271 99292 Critical Care, Additional Time 271,877 596,963 $66,991,056 $112.22
78 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 271,667 281,691 $249,743,310 $886.59
187 00790 Anesthesia for Upper Abdominal Surgery 270,042 403,398 $104,803,810 $259.80
423 74019 Abdominal X-ray, Two Views 266,831 341,452 $5,299,263 $15.52
424 10060 Incision and Drainage of Abscess, Simple 266,142 302,314 $34,923,108 $115.52
427 93320 Full Doppler Flow Measurement with Heart Ultrasound 264,796 292,054 $7,811,799 $26.75
428 83520 Quantitative Immunoassay, Substance Not Otherwise Specified 264,277 640,080 $10,952,505 $17.11
430 82247 Total Bilirubin Blood Test 263,947 434,550 $2,096,306 $4.82
432 92235 Fluorescein Angiography of the Retina 262,825 328,954 $34,644,217 $105.32
433 51741 Complex Urine Flow Study 260,809 327,183 $3,768,289 $11.52
435 11719 260,739 618,816 $6,700,764 $10.83
436 96127 Brief Emotional/Behavioral Screening, Per Instrument 260,726 436,801 $2,145,863 $4.91
357 31500 260,373 298,745 $44,372,417 $148.53
312 97597 Selective Wound Debridement, Smaller Area 260,201 768,174 $55,866,034 $72.73
438 86200 Cyclic Citrullinated Peptide Antibody 259,390 284,546 $3,644,539 $12.81
440 20605 Intermediate Joint Injection or Aspiration 259,365 363,071 $17,617,498 $48.52
340 77263 Complex Radiation Therapy Treatment Planning 258,949 280,273 $48,796,521 $174.10
429 64494 Lower Back Facet Joint Injection, Second Level 258,818 397,924 $37,399,134 $93.99
309 77300 Basic Radiation Dose Calculation 255,999 1,261,817 $57,305,565 $45.42
413 77002 Fluoroscopic Guidance for Needle Placement 255,226 469,205 $39,054,820 $83.24
247 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 254,434 285,648 $73,294,623 $256.59
197 01402 Anesthesia for Knee Replacement Surgery 253,251 381,053 $95,206,694 $249.85
276 97116 Gait Training Therapy 250,388 2,665,678 $65,835,712 $24.70
450 73140 Finger X-Ray 250,264 338,786 $8,073,306 $23.83
73 96413 Chemotherapy Infusion, First Hour 249,025 1,833,851 $256,236,631 $139.73
451 74230 Swallowing Study with Video X-ray 246,916 286,629 $9,239,407 $32.23
454 93227 245,112 258,629 $6,916,108 $26.74
453 11730 243,105 325,812 $34,910,606 $107.15
456 93312 Transesophageal Heart Ultrasound, Complete Service 241,375 281,293 $31,843,711 $113.20
382 43235 Upper GI Endoscopy, Diagnostic 241,124 297,791 $42,505,763 $142.74
459 99282 239,456 283,792 $12,092,774 $42.61
460 87340 Hepatitis B Surface Antigen Test 238,314 259,287 $2,646,860 $10.21
461 20600 Arthrocentesis, Small Joint 237,577 358,427 $16,255,270 $45.35
452 88360 Manual Scoring of Tumor Immunostain 237,286 554,650 $34,913,504 $62.95
464 85018 234,760 396,097 $927,137 $2.34
45 27447 Total Knee Replacement 233,984 418,901 $460,772,568 $1,099.96
466 73060 Upper Arm Bone X-Ray 232,170 317,654 $4,748,817 $14.95
470 77001 231,518 287,221 $7,225,149 $25.16
471 82378 230,971 510,596 $9,590,790 $18.78
113 77427 Radiation Treatment Management, Per Five Sessions 230,389 959,205 $188,171,878 $196.17
474 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 230,252 269,865 $5,320,961 $19.72
475 84402 Free Testosterone Blood Test 230,249 319,953 $8,064,641 $25.21
477 86235 Extractable Nuclear Antigen Antibody 230,170 1,376,614 $24,356,692 $17.69
479 99304 Initial Nursing Facility Visit, Level 1 229,204 253,336 $23,271,009 $91.86
481 71101 Rib X-ray, One Side, with Chest View 228,966 255,274 $5,211,172 $20.41
485 86800 Thyroglobulin Antibody 225,995 286,325 $4,517,134 $15.78
488 76376 3D Image Reconstruction and Interpretation 224,659 256,332 $3,256,724 $12.71
490 85045 Automated Reticulocyte Count 223,776 312,249 $1,235,359 $3.96
492 82670 Estradiol Blood Test 222,360 323,197 $8,945,413 $27.68
130 90961 Monthly Dialysis Management, Adult, Two or Three Visits 221,427 667,792 $161,535,515 $241.89
494 94727 Lung Volume Testing by Gas Dilution or Washout 221,004 234,541 $8,251,461 $35.18
443 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 220,422 250,799 $36,780,473 $146.65
245 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 218,680 255,782 $73,975,979 $289.21
497 97035 218,156 1,417,777 $16,261,456 $11.47
499 97163 Physical Therapy Evaluation, High Complexity 215,494 234,554 $20,448,463 $87.18
501 87651 Group A Strep Molecular Test 214,912 349,808 $12,171,511 $34.79
503 88173 Fine Needle Aspiration Interpretation 212,470 308,909 $27,833,332 $90.10
504 88331 212,231 382,791 $28,150,133 $73.54
506 90471 Immunization Administration, First 211,482 222,586 $2,986,725 $13.42
507 70491 CT Scan of Neck Soft Tissue with Contrast 210,978 262,670 $23,201,077 $88.33
457 95816 EEG, Awake and Drowsy 209,306 229,626 $34,890,890 $151.95
401 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 209,193 264,997 $39,990,553 $150.91
511 86225 Double-Stranded DNA Antibody 207,989 253,752 $3,446,323 $13.58
513 83861 206,952 535,785 $11,931,989 $22.27
514 64447 Femoral Nerve Block, Single Injection 206,231 238,887 $12,350,500 $51.70
517 87581 205,989 347,209 $12,045,607 $34.69
388 87801 Multi-Organism Molecular Screen 205,139 596,303 $41,494,763 $69.59
519 84295 204,881 299,573 $1,367,446 $4.56
520 87486 204,070 343,174 $11,913,085 $34.71
523 83090 Homocysteine Blood Test 203,878 257,629 $4,583,444 $17.79
525 87205 203,545 260,597 $1,102,427 $4.23
527 82270 203,421 203,686 $882,335 $4.33
374 99348 Home Visit, Established Patient, Level 2 202,705 522,469 $43,144,761 $82.58
530 64484 200,589 322,870 $27,186,236 $84.20
394 27096 Sacroiliac Joint Injection with Imaging Guidance 199,145 278,904 $40,695,988 $145.91
532 73501 195,513 243,370 $4,352,767 $17.89
534 76882 Limited Ultrasound of an Arm or Leg 195,261 252,723 $10,319,231 $40.83
484 00910 Anesthesia for Transurethral Bladder Procedures 195,195 328,381 $33,019,438 $100.55
349 72197 Pelvis MRI, Before and After Contrast 194,978 220,420 $47,109,463 $213.73
538 93321 Focused Doppler Flow Measurement with Heart Ultrasound 193,895 233,619 $2,115,703 $9.06
539 78306 193,820 228,048 $19,799,363 $86.82
541 93228 Mobile Cardiac Telemetry, Physician Review and Report 193,440 198,638 $5,418,646 $27.28
543 84466 Transferrin Blood Test 193,381 294,729 $3,722,326 $12.63
416 00400 Anesthesia for Skin Surgery on Limbs and Trunk 193,041 312,184 $38,833,381 $124.39
255 90935 Hemodialysis Session with One Physician Evaluation 191,868 955,460 $71,282,664 $74.61
545 87624 High-Risk HPV DNA Test 191,353 196,734 $6,850,108 $34.82
425 72158 Low-Back MRI, Before and After Contrast 191,122 218,647 $38,150,592 $174.48
547 70544 189,911 202,647 $18,782,453 $92.69
550 94640 Inhalation Treatment for Airway Obstruction 186,978 234,517 $3,991,392 $17.02
551 93224 186,725 198,393 $16,672,612 $84.04
552 86592 185,721 212,956 $902,078 $4.24
555 20552 Trigger Point Injection, One or Two Muscles 183,973 285,028 $13,826,886 $48.51
557 72146 Mid-Back MRI, No Contrast Dye 183,734 206,259 $22,405,753 $108.63
558 93926 183,020 239,015 $17,110,973 $71.59
560 84270 Sex Hormone Binding Globulin Blood Test 182,548 262,560 $5,633,054 $21.45
562 82533 Total Cortisol Blood Test 182,413 269,876 $4,359,588 $16.15
202 95165 Preparation of Allergy Immunotherapy Extracts 182,221 6,672,102 $94,194,479 $14.12
284 00840 Anesthesia for Lower Abdominal Surgery 182,067 267,242 $63,565,258 $237.86
540 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 181,701 213,671 $28,624,977 $133.97
272 95811 Sleep Study with CPAP or BiPAP Titration 181,165 207,630 $66,959,932 $322.50
140 64635 Lower Back Facet Nerve Ablation, First Joint 174,514 346,473 $153,804,067 $443.91
307 95810 Attended Overnight Sleep Study in a Lab 173,513 190,300 $57,565,777 $302.50
498 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 173,077 199,063 $31,968,719 $160.60
472 93351 Stress Echocardiogram, Complete with Supervision 172,839 177,077 $33,592,636 $189.71
407 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 170,945 275,231 $39,718,076 $144.31
174 92928 Coronary Stent Placement, Single Major Vessel 166,893 206,550 $116,691,500 $564.96
343 64636 Lower Back Facet Nerve Ablation, Additional Joint 162,983 403,361 $47,771,204 $118.43
329 68761 Punctal Plug Insertion for Dry Eye 160,139 361,095 $51,625,961 $142.97
238 99350 Home Visit, Established Patient, Level 4 156,277 454,159 $76,369,875 $168.16
310 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 154,781 183,541 $57,018,642 $310.66
193 00670 Anesthesia for Major Spine and Spinal Cord Surgery 151,472 229,142 $100,276,628 $437.62
385 77290 Complex Radiation Therapy Simulation 151,237 189,119 $41,844,972 $221.26
478 95819 EEG Recording Both Awake and Asleep 148,418 164,431 $33,308,674 $202.57
305 01214 Anesthesia for Hip Replacement Surgery 148,228 216,741 $57,651,052 $265.99
437 01922 Anesthesia for Imaging or Radiation Therapy 145,538 227,593 $37,058,435 $162.83
93 27130 Total Hip Replacement 142,566 244,949 $224,220,434 $915.38
476 95004 Skin Prick Allergy Testing 139,790 7,780,230 $33,408,862 $4.29
508 95911 Nerve Conduction Studies, 9-10 Studies 138,915 144,201 $31,485,788 $218.35
112 78492 Cardiac PET Perfusion Imaging, Rest and Stress 138,398 153,323 $188,925,994 $1,232.21
299 96401 Chemotherapy Injection Under the Skin or into Muscle 136,521 750,702 $59,411,455 $79.14
420 96367 135,532 1,231,971 $38,371,772 $31.15
149 77301 IMRT Treatment Planning 132,862 147,736 $138,627,619 $938.35
191 11043 Wound Debridement Down to Muscle or Fascia 132,282 513,374 $102,510,874 $199.68
323 77338 Multi-Leaf Collimator Design for IMRT 131,901 166,718 $53,463,400 $320.68
510 01992 130,672 256,835 $30,798,449 $119.92
380 55700 Prostate Needle Biopsy Retired after Q4 2025 130,535 153,040 $42,508,467 $277.76
489 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 124,941 192,458 $32,758,106 $170.21
345 62321 Neck or Upper Back Epidural Injection with Imaging 123,643 233,281 $47,515,842 $203.69
252 77280 Simple Radiation Therapy Simulation 121,048 355,505 $71,639,321 $201.51
327 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 116,882 124,285 $51,716,704 $416.11
98 36902 Dialysis Access Angioplasty, Peripheral Segment 114,150 219,696 $218,784,735 $995.85
426 77295 3D Conformal Radiotherapy Planning 113,761 130,351 $38,004,431 $291.55
448 01230 Anesthesia for Upper Thigh Bone Surgery 113,536 162,842 $35,287,216 $216.70
230 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 111,136 141,380 $78,885,358 $557.97
126 66982 Complex Cataract Surgery with Lens Implant 110,785 478,349 $163,724,745 $342.27
421 36558 106,961 126,513 $38,366,864 $303.26
548 96133 Neuropsychological Test Interpretation, Extra Time 104,502 286,552 $28,247,574 $98.58
333 87633 101,591 124,013 $51,218,774 $413.01
487 19083 Breast Needle Biopsy with Ultrasound Guidance 101,152 104,503 $32,836,044 $314.21
354 98942 Chiropractic Spinal Manipulation, Five Regions 99,370 836,759 $44,812,638 $53.56
566 99454 Remote Monitoring Device Supply, 30 Days 99,067 430,439 $27,372,478 $63.59
567 01630 96,743 135,847 $27,316,235 $201.08
341 64490 Neck or Mid-Back Facet Joint Injection, First Level 96,294 209,275 $47,794,071 $228.38
533 52332 Cystoscopy with Ureteral Stent Placement 94,318 132,845 $28,926,832 $217.75
444 43249 Upper Endoscopy with Esophageal Balloon Dilation 91,558 134,102 $36,284,251 $270.57
526 00320 90,648 141,166 $29,041,087 $205.72
366 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 90,188 477,600 $43,409,227 $90.89
286 33208 Dual-Chamber Pacemaker Insertion 89,117 91,523 $63,333,605 $692.00
262 64721 Carpal Tunnel Release 87,770 140,138 $70,190,088 $500.86
434 90962 85,682 198,902 $37,241,846 $187.24
482 65855 Laser Trabeculoplasty for Glaucoma 83,524 149,485 $33,086,672 $221.34
215 63047 Lumbar Laminectomy for Spinal Decompression 83,488 139,372 $88,952,620 $638.24
292 47562 Laparoscopic Cholecystectomy 81,737 101,301 $62,162,685 $613.64
375 88185 Flow Cytometry, Additional Marker, Technical Work 81,679 1,818,838 $42,817,407 $23.54
491 01844 80,206 150,045 $32,745,424 $218.24
431 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 79,991 120,599 $37,367,302 $309.85
185 27245 Hip Fracture Repair with Intramedullary Nail 78,609 103,694 $104,822,730 $1,010.89
536 00630 76,086 109,278 $28,793,558 $263.49
564 13101 Complex Wound Repair of the Trunk (Mid-Length) 74,608 84,317 $27,549,597 $326.74
521 93460 74,554 75,884 $29,298,116 $386.09
415 87150 Organism Identification by Amplified Nucleic Acid Probe 72,509 1,115,838 $38,853,397 $34.82
351 26055 Trigger Finger Release (Tendon Sheath Incision) 69,090 133,461 $46,310,552 $347.00
537 49083 64,787 253,363 $28,781,572 $113.60
162 29827 Arthroscopic Rotator Cuff Repair 60,390 117,443 $130,551,686 $1,111.62
515 88377 57,755 153,489 $30,225,252 $196.92
199 90966 Monthly Home Dialysis Management, Adult 57,394 393,967 $94,541,988 $239.97
205 23472 Total Shoulder Replacement 56,711 92,932 $92,898,936 $999.64
369 78816 PET/CT Scan, Whole Body 55,640 75,599 $43,213,848 $571.62
509 00560 Anesthesia for Heart Surgery Without Bypass Machine 54,972 71,750 $31,405,799 $437.71
251 27236 Surgical Repair of Femoral Neck Fracture 54,941 77,544 $71,674,003 $924.30
405 19301 Partial Mastectomy (Lumpectomy) 49,946 61,272 $39,789,816 $649.40
378 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 49,409 79,923 $42,533,059 $532.18
302 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 48,959 50,491 $58,870,365 $1,165.96
391 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 47,974 93,711 $41,348,879 $441.24
334 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 47,521 55,507 $50,919,411 $917.35
213 33533 Coronary Bypass Using a Single Arterial Graft 46,832 75,839 $89,758,736 $1,183.54
182 36475 Radiofrequency Vein Ablation, First Vein 45,171 81,149 $106,346,142 $1,310.50
559 11044 45,138 104,519 $27,825,295 $266.22
279 33361 Transcatheter Aortic Valve Replacement, Femoral Puncture 43,662 82,260 $65,330,182 $794.19
419 97113 Aquatic Therapy with Exercise 43,355 1,219,801 $38,582,994 $31.63
363 29881 Knee Arthroscopy with Meniscectomy 41,659 63,291 $43,452,737 $686.55
529 49650 Laparoscopic Repair of First-Time Inguinal Hernia 41,612 55,433 $29,003,829 $523.22
447 00567 Anesthesia for On-Pump Coronary Bypass Surgery 40,249 50,549 $35,600,691 $704.28
556 36907 39,702 62,223 $27,893,566 $448.28
442 50590 Extracorporeal Shock Wave Lithotripsy 38,281 52,569 $36,850,646 $701.00
473 52601 TURP - Transurethral Prostate Resection 37,588 40,195 $33,566,567 $835.09
544 49505 Inguinal Hernia Repair, Age 5 or Older 37,410 48,399 $28,343,722 $585.63
518 22840 Posterior Spinal Instrumentation, Non-Segmental 35,102 57,643 $29,676,059 $514.83
303 33249 Implantable Defibrillator System Placement 34,901 35,957 $58,340,565 $1,622.51
256 22551 Anterior Cervical Discectomy and Fusion, One Level 33,548 55,888 $71,199,921 $1,273.98
512 28285 Hammertoe Correction 33,100 73,923 $30,570,618 $413.55
84 37225 Thigh Artery Atherectomy Retired after Q4 2025 32,722 41,729 $231,339,118 $5,543.85
273 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 32,594 54,291 $66,194,610 $1,219.26
455 29880 Knee Arthroscopy, Meniscectomy Both Compartments 30,769 48,121 $34,909,368 $725.45
63 37229 Below-Knee Artery Atherectomy, First Vessel Retired after Q4 2025 28,510 39,686 $322,833,315 $8,134.69
392 37228 Retired after Q4 2025 28,303 33,262 $40,964,542 $1,231.57
480 35301 26,127 36,592 $33,251,712 $908.72
241 36905 Dialysis Access Clot Removal with Angioplasty 25,739 44,693 $74,660,264 $1,670.51
69 63685 Spinal Cord Stimulator Generator Implant 25,358 41,909 $272,569,802 $6,503.85
370 52442 24,353 97,583 $43,173,368 $442.43
563 37221 Retired after Q4 2025 23,546 25,553 $27,793,135 $1,087.67
336 67042 Vitrectomy with Internal Limiting Membrane Peel 23,174 39,083 $50,709,937 $1,297.49
324 65778 Amniotic Membrane Placement on the Eye Surface 22,666 37,660 $53,367,062 $1,417.08
233 36482 Adhesive Closure of a Leg Vein, First Vein 21,472 40,356 $76,945,451 $1,906.67
422 36478 Laser Vein Ablation, First Vein 21,276 37,194 $38,240,045 $1,028.12
465 67904 Droopy Eyelid Repair, External Levator Approach 21,170 47,434 $33,874,906 $714.15
339 22514 Lumbar Vertebral Augmentation (Kyphoplasty) 20,460 22,463 $49,941,719 $2,223.29
493 37226 Retired after Q4 2025 20,232 22,319 $32,556,840 $1,458.71
318 36465 Foam Sclerotherapy of a Main Leg Vein 19,211 35,027 $54,627,609 $1,559.59
542 55866 18,751 25,041 $28,614,574 $1,142.71
86 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 17,890 21,700 $229,480,992 $10,575.16
355 22513 Thoracic Vertebral Augmentation (Kyphoplasty) 17,842 20,287 $44,730,890 $2,204.90
403 25609 Open Repair of Complex Distal Radius Fracture 17,795 28,409 $39,966,597 $1,406.83
531 29828 Arthroscopic Biceps Tenodesis 17,756 33,589 $28,940,102 $861.59
239 36903 Dialysis Access Stent Placement, Peripheral Segment 17,641 22,876 $75,790,505 $3,313.10
502 67108 Retinal Detachment Repair by Vitrectomy 14,787 24,863 $31,654,728 $1,273.17
565 27487 Total Knee Replacement Revision, Both Components 13,819 22,981 $27,421,250 $1,193.21
446 99183 Physician Supervision of Hyperbaric Oxygen Therapy 13,613 325,788 $36,219,692 $111.18
258 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 11,980 15,998 $70,514,966 $4,407.74
268 36906 Dialysis Access Clot Removal with Stent Placement 11,670 16,271 $68,431,589 $4,205.74
463 64561 Sacral Nerve Stimulator Electrode Placement 8,256 14,505 $34,149,195 $2,354.31
495 90868 Transcranial Magnetic Stimulation, Follow-Up Treatment Session 7,250 195,150 $32,298,791 $165.51
399 77373 Stereotactic Body Radiation Therapy Delivery 6,972 33,307 $40,024,815 $1,201.69
280 77523 Proton Beam Radiation Treatment, Intermediate Delivery 2,611 62,151 $65,134,644 $1,048.01
535 37231 Retired after Q4 2025 2,408 2,927 $28,896,292 $9,872.32

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 7,870 CPT codes billed to Medicare in CY2020, 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 55.3% of the $73.5B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $9.1B
  2. 2 99213 Established Patient Office Visit, Level 3 $5.4B
  3. 3 99232 Subsequent Hospital Care, Level 2 $2.9B
  4. 4 99233 Subsequent Hospital Care, Level 3 $2.6B
  5. 5 99223 Initial Hospital Care, Level 3 $1.9B
  6. 6 66984 Cataract Surgery with Lens Implant $1.7B
  7. 7 99285 Emergency Department Visit, Level 5 $1.6B
  8. 8 99291 Critical Care, First Time Block $1.4B
  9. 9 99204 New Patient Office Visit, Level 4 $1.4B
  10. 10 92014 Comprehensive Eye Exam, Established Patient $1.3B

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
#28
By allowed dollars
#400
Per service
$2.22
Few patients, lots of money
63685 Spinal Cord Stimulator Generator Implant
By beneficiaries
#474
By allowed dollars
#42
Per service
$6,503.85

What this data covers — and what it doesn't

These are CY2020 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.

8 codes on this list have since left the fee schedule. CMS billed them heavily in CY2020 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 7,870 CPT codes billed to Medicare in CY2020; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners — by Geography and Service, national rows, CY2020. 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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