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