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Medicare's 500 most-billed CPT codes of 2023

In CY2023 Medicare paid $82.8B across these 500 CPT codes. 99214 (Established Patient Office Visit, Level 4) leads every measure: 24.6M beneficiaries and $11.9B 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
$82.8B
Total Medicare allowed dollars
Services
1.2B
Times these codes were billed
Top 25
56.9%
Share of the allowed dollars
Vintage
CY2023
Medicare fee-for-service only

All 500 codes, ranked

Sorted by services. 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 24,623,643 100,599,347 $11,860,258,923 $117.90
2 99213 Established Patient Office Visit, Level 3 21,534,436 71,461,699 $6,000,733,247 $83.97
15 97110 Therapeutic Exercise, 15 Minutes 3,005,565 64,830,580 $1,516,704,789 $23.39
3 36415 Routine Venipuncture (Blood Draw) 15,132,385 40,464,114 $330,956,315 $8.18
21 97530 Therapeutic Activities, Per 15 Minutes 2,029,963 37,053,764 $1,206,790,791 $32.57
4 99232 Subsequent Hospital Care, Level 2 3,739,047 35,616,679 $2,769,742,185 $77.77
27 97112 Neuromuscular Re-education Therapy 2,003,912 30,035,205 $839,941,399 $27.97
36 97140 Manual Therapy, 15 Minutes 2,174,534 29,525,153 $621,671,851 $21.06
5 80053 Comprehensive Metabolic Panel 13,195,727 27,065,630 $279,533,425 $10.33
8 85025 Complete Blood Count with Differential 11,990,980 26,230,850 $199,150,165 $7.59
6 99233 Subsequent Hospital Care, Level 3 3,075,856 22,310,500 $2,632,695,882 $118.00
61 17003 Destruction of Additional Precancerous Skin Lesions 3,140,100 19,435,463 $121,659,701 $6.26
20 88305 Surgical Pathology Exam, Level IV 7,146,446 18,348,304 $935,455,872 $50.98
9 80061 Lipid Panel 11,561,002 17,350,947 $227,162,912 $13.09
22 93010 Electrocardiogram (ECG), Interpretation Only 7,007,905 15,241,318 $123,299,564 $8.09
14 83036 Hemoglobin A1c 8,052,022 14,066,259 $133,457,645 $9.49
12 84443 Thyroid-Stimulating Hormone (TSH) 9,117,449 13,898,865 $228,487,722 $16.44
32 71045 Chest X-ray, Single View 5,089,161 13,069,562 $119,756,947 $9.16
47 98941 Chiropractic Spinal Manipulation, Three to Four Regions 1,281,412 13,029,754 $506,417,451 $38.87
11 99204 New Patient Office Visit, Level 4 9,341,541 12,509,946 $1,975,674,119 $157.93
19 99309 Subsequent Nursing Facility Visit, Level 3 1,715,904 12,423,229 $1,210,130,123 $97.41
10 99215 Established Patient Office Visit, Level 5 6,285,647 12,143,404 $1,979,928,748 $163.05
33 99308 Subsequent Nursing Facility Visit, Level 2 1,567,147 10,931,348 $769,387,835 $70.38
25 93000 Electrocardiogram (ECG), Complete 6,719,445 10,269,723 $149,038,029 $14.51
13 99223 Initial Hospital Care, Level 3 3,952,726 9,981,028 $1,705,093,960 $170.83
16 92014 Comprehensive Eye Exam, Established Patient 7,535,420 9,356,949 $1,173,821,911 $125.45
18 99203 New Patient Office Visit, Level 3 7,503,547 9,234,655 $971,516,537 $105.20
7 66984 Cataract Surgery with Lens Implant 1,063,248 8,721,345 $2,002,399,970 $229.60
17 99285 Emergency Department Visit, Level 5 5,279,126 8,589,532 $1,481,387,215 $172.46
78 87798 Molecular Test for an Unlisted Organism 554,205 8,431,537 $289,632,323 $34.35
488 95004 Skin Prick Allergy Testing 148,322 8,386,048 $33,899,750 $4.04
46 92134 Retinal OCT Scan 3,655,673 7,966,040 $314,465,414 $39.48
37 99212 Established Patient Office Visit, Level 2 4,759,963 7,437,593 $388,952,514 $52.30
80 96372 Therapeutic or Diagnostic Injection (SubQ/IM) 2,219,657 7,214,773 $96,689,581 $13.40
34 71046 Chest X-ray, Two Views 4,921,305 6,887,837 $115,994,932 $16.84
26 93306 Transthoracic Echocardiogram, Complete with Doppler 5,894,599 6,741,204 $772,148,355 $114.54
42 81001 Urinalysis, Automated with Microscopy 4,061,068 6,355,539 $19,722,890 $3.10
38 82306 Vitamin D, 25-Hydroxy 4,692,215 6,252,582 $181,037,391 $28.95
35 90837 Psychotherapy, 60 Minutes 493,620 6,191,355 $751,519,140 $121.38
40 17000 Destruction of Premalignant Skin Lesion, First 4,188,732 6,113,661 $306,707,848 $50.17
31 99222 Initial Hospital Care, Level 2 3,043,560 6,079,285 $775,986,164 $127.64
29 77067 Screening Mammography, Bilateral 5,735,677 6,071,355 $407,076,420 $67.05
245 95165 Preparation of Allergy Immunotherapy Extracts 164,082 5,940,301 $85,932,092 $14.47
63 99490 Chronic Care Management, First 20 Minutes 1,199,879 5,859,291 $353,846,368 $60.39
48 81003 Urinalysis, Automated without Microscopy 3,564,164 5,731,371 $12,551,146 $2.19
30 77063 Screening 3D Breast Tomosynthesis, Both Breasts 5,391,125 5,706,245 $203,153,385 $35.60
23 99291 Critical Care, First Time Block 1,769,891 5,654,421 $1,198,668,837 $211.99
86 11721 Trimming of Six or More Thickened Nails 2,037,990 5,416,398 $235,866,416 $43.55
51 84439 Free Thyroxine (Free T4) 3,500,617 5,314,865 $46,891,419 $8.82
59 80048 Basic Metabolic Panel 3,146,313 5,288,571 $43,735,733 $8.27
41 99239 Hospital Discharge Day Management, Longer Visit 3,418,915 5,238,652 $587,613,437 $112.17
56 82570 Creatinine, Non-Blood Sample 3,334,248 5,095,883 $25,775,810 $5.06
57 70450 CT Head/Brain, without Contrast 3,267,672 4,973,152 $207,182,607 $41.66
43 99284 Emergency Department Visit, Level 4 3,531,086 4,907,649 $571,412,282 $116.43
70 20610 Major Joint Injection or Aspiration 2,464,947 4,900,995 $317,463,258 $64.78
99 99231 Subsequent Hospital Care, Level 1 1,310,693 4,614,557 $221,275,512 $47.95
202 97116 Gait Training Therapy 355,859 4,608,501 $103,616,501 $22.48
55 82607 Vitamin B12 Level 3,349,493 4,496,573 $66,334,821 $14.75
71 87086 Urine Culture, Quantitative 2,688,174 4,488,478 $35,453,329 $7.90
65 82043 Urine Microalbumin, Quantitative 2,968,032 4,061,516 $22,918,417 $5.64
188 98940 Chiropractic Spinal Manipulation, One to Two Regions 539,843 4,050,728 $110,409,236 $27.26
192 85610 Prothrombin Time (PT/INR) 791,860 3,784,487 $15,853,006 $4.19
221 97535 Self-Care and Home Management Training 592,305 3,619,575 $94,739,537 $26.17
62 74177 CT Abdomen and Pelvis, With Contrast 2,541,078 3,504,059 $389,719,290 $111.22
53 67028 Intravitreal Injection of Medication 680,574 3,503,458 $424,569,439 $121.19
69 92012 Established Patient Eye Exam, Intermediate Level 2,045,588 3,485,273 $319,525,483 $91.68
60 99349 Home Visit, Established Patient, Level 3 668,131 3,426,713 $390,148,968 $113.86
67 92250 Retinal Photography with Interpretation 2,911,657 3,397,318 $123,939,136 $36.48
72 11102 Skin Biopsy, Tangential 2,665,826 3,391,420 $290,154,017 $85.56
79 90834 Psychotherapy, 45 Minutes 405,798 3,387,381 $288,737,879 $85.24
89 83540 Serum Iron Level 2,024,323 3,374,089 $21,335,372 $6.32
81 85027 Complete Blood Count, Automated, No Differential 2,207,644 3,300,484 $20,885,743 $6.33
101 83735 Magnesium Blood Level 1,769,888 3,295,365 $21,595,890 $6.55
93 82728 Ferritin Blood Test 1,936,853 3,262,889 $43,484,246 $13.33
82 84153 Prostate-Specific Antigen (PSA), Total 2,177,250 3,197,288 $57,487,050 $17.98
73 17110 Destruction of Benign Lesions, Up to 14 2,269,120 3,037,164 $316,773,577 $104.30
39 99205 New Patient Office Visit, Level 5 2,590,068 2,985,958 $616,161,766 $206.35
68 77080 DEXA Bone Density, Axial 2,698,185 2,831,498 $61,448,716 $21.70
94 73030 Shoulder X-ray, Complete 1,901,078 2,770,412 $62,107,864 $22.42
104 83550 Iron Binding Capacity Blood Test 1,680,357 2,757,678 $23,580,419 $8.55
76 92133 Optic Nerve Imaging (OCT) 2,384,662 2,727,752 $94,890,163 $34.79
77 92083 Extended Visual Field Test 2,306,929 2,705,427 $165,379,291 $61.13
106 84550 Uric Acid Blood Test 1,644,178 2,699,569 $11,926,907 $4.42
120 87186 Antibiotic Susceptibility Panel, MIC 1,429,231 2,648,787 $22,427,569 $8.47
107 73630 Foot X-ray, Complete Series 1,644,144 2,645,833 $65,128,830 $24.62
96 73502 Hip X-Ray, Two or Three Views 1,877,552 2,624,670 $70,588,995 $26.89
98 82746 Serum Folate Blood Test 1,856,909 2,455,671 $35,332,242 $14.39
95 71250 CT Scan of the Chest, No Contrast 1,893,488 2,435,404 $166,967,533 $68.56
91 99497 Advance Care Planning Discussion 1,955,103 2,409,466 $180,450,667 $74.89
115 88342 Immunohistochemistry Stain, First Antibody 1,538,367 2,407,479 $137,722,163 $57.21
112 81002 Manual Urinalysis, Dipstick Only 1,573,816 2,373,865 $8,050,943 $3.39
110 73562 Knee X-Ray, Three Views 1,600,409 2,348,311 $65,437,101 $27.87
124 86140 C-Reactive Protein, Standard 1,356,088 2,344,687 $11,877,788 $5.07
419 97150 Group Therapy Session 292,940 2,288,291 $31,711,702 $13.86
122 87088 Urine Culture with Isolate Identification 1,402,781 2,216,192 $17,548,646 $7.92
136 85652 Erythrocyte Sedimentation Rate, Automated 1,272,359 2,156,548 $5,700,944 $2.64
108 74176 CT Abdomen and Pelvis, Without Contrast 1,600,814 2,047,975 $191,624,901 $93.57
359 88185 Flow Cytometry, Additional Marker, Technical Work 77,190 2,030,871 $50,762,451 $25.00
211 99457 Remote Monitoring Management, First 20 Minutes 370,371 2,030,143 $98,539,216 $48.54
171 80307 Presumptive Drug Screen by Analyzer 812,207 2,020,720 $121,871,724 $60.31
83 99310 Subsequent Nursing Facility Visit, Level 4 680,059 2,003,136 $276,769,305 $138.17
125 11042 Debridement, Subcutaneous Tissue 464,672 1,970,162 $170,201,867 $86.39
152 74018 Abdominal X-ray, Single View 1,108,068 1,965,669 $22,943,565 $11.67
139 87077 Definitive Identification of Cultured Isolate 1,236,652 1,947,707 $15,399,197 $7.91
170 90832 Individual Psychotherapy, 30 Minutes 347,555 1,933,807 $123,210,061 $63.71
130 51798 Post-Void Residual Urine, Ultrasound 1,282,504 1,904,811 $20,630,633 $10.83
203 11720 Nail Trimming/Debridement, Up to 5 762,639 1,886,062 $61,238,353 $32.47
128 71260 CT Scan of the Chest with Contrast 1,284,887 1,816,094 $117,042,680 $64.45
116 99238 Hospital Discharge Day Management, 30 Minutes or Less 1,447,846 1,811,889 $142,711,548 $78.76
138 11056 Paring of Corns or Calluses, 2-4 Lesions 727,215 1,797,374 $146,914,682 $81.74
117 00142 Anesthesia for Cataract and Lens Surgery 899,684 1,775,884 $173,291,945 $97.58
167 99348 Home Visit, Established Patient, Level 2 499,137 1,773,240 $125,289,940 $70.66
134 73564 Complete Knee X-Ray, Four or More Views 1,274,884 1,759,232 $59,724,131 $33.95
233 99454 Remote Monitoring Device Supply, 30 Days 327,416 1,757,558 $88,897,026 $50.58
158 92136 Eye Measurement for Cataract Lens Power 1,060,662 1,736,852 $62,221,450 $35.82
180 84100 Phosphorus (Inorganic Phosphate) Blood Test 862,510 1,723,132 $7,978,978 $4.63
100 93880 Carotid Duplex Ultrasound, Complete 1,571,255 1,721,858 $216,412,239 $125.69
90 92004 Comprehensive Eye Exam, New Patient 1,645,853 1,710,186 $251,848,617 $147.26
126 72100 Lower Back (Lumbar) Spine X-ray, Limited Views 1,334,193 1,679,681 $41,047,243 $24.44
118 97161 Physical Therapy Evaluation, Low Complexity 1,444,884 1,664,833 $167,552,623 $100.64
102 96413 Chemotherapy Infusion, First Hour 238,573 1,660,556 $213,131,458 $128.35
85 43239 Upper GI Endoscopy (EGD) with Biopsy 1,115,937 1,635,987 $261,477,687 $159.83
276 99307 Subsequent Nursing Facility Visit, Level 1 565,156 1,620,702 $62,129,751 $38.34
387 97113 Aquatic Therapy with Exercise 49,711 1,611,087 $45,483,295 $28.23
452 86235 Extractable Nuclear Antigen Antibody 267,813 1,556,647 $27,200,695 $17.47
210 99211 Established Patient Office Visit, Minimal 742,395 1,553,005 $34,757,911 $22.38
145 93971 Limited or One-Sided Duplex Ultrasound of Limb Veins 1,197,559 1,542,561 $81,962,815 $53.13
340 87150 Organism Identification by Amplified Nucleic Acid Probe 97,348 1,538,901 $52,808,238 $34.32
44 45385 Colonoscopy with Lesion Removal (Snare) 1,025,298 1,522,156 $528,191,610 $347.00
322 99458 Remote Monitoring Management, Extra Time 216,631 1,491,651 $58,553,013 $39.25
137 71275 CT Angiogram of the Chest 1,269,220 1,491,293 $137,836,906 $92.43
163 84481 Free Triiodothyronine (T3) Blood Test 996,181 1,486,987 $24,624,056 $16.56
143 93970 Complete Duplex Ultrasound of Limb Veins 1,222,678 1,477,246 $143,562,479 $97.18
153 69210 Impacted Earwax Removal, Instrumentation 1,098,782 1,467,968 $62,913,223 $42.86
271 88313 Special Stain for Tissue Elements and Pigments 567,577 1,465,653 $64,332,315 $43.89
140 72125 CT Scan of the Neck (Cervical) Spine, No Contrast 1,226,613 1,464,887 $71,344,153 $48.70
129 97162 Physical Therapy Evaluation, Moderate Complexity 1,283,790 1,462,450 $146,786,328 $100.37
184 11103 Additional Shave-Style Skin Biopsy 824,074 1,443,456 $68,442,248 $47.42
166 73560 Basic Knee X-Ray, One or Two Views 988,787 1,433,976 $28,082,563 $19.58
123 72148 MRI Lumbar Spine, without Contrast 1,224,909 1,421,759 $171,098,745 $120.34
220 87804 Rapid Influenza Antigen Test 688,823 1,418,754 $22,825,550 $16.09
236 90833 Shorter Psychotherapy Session Added to a Medical Visit 356,197 1,406,940 $88,475,907 $62.89
198 88312 Special Stain for Microorganisms 689,985 1,405,607 $106,636,786 $75.87
238 96365 Initial IV Infusion, Up to One Hour 328,121 1,404,495 $88,466,434 $62.99
147 00811 Anesthesia for Diagnostic or Therapeutic Colonoscopy 1,061,610 1,385,717 $140,716,951 $101.55
142 00731 Anesthesia for Upper GI Endoscopy 878,186 1,373,346 $145,769,917 $106.14
193 84165 Serum Protein Electrophoresis (SPEP) 779,906 1,356,346 $18,522,746 $13.66
88 66821 YAG Laser Capsulotomy After Cataract Surgery 479,997 1,341,975 $253,022,017 $188.54
74 45380 Colonoscopy with Biopsy 919,170 1,337,772 $312,111,886 $233.31
66 78452 Nuclear Stress Test, Heart Perfusion SPECT, Rest and Stress 1,294,991 1,336,466 $322,548,979 $241.34
187 82550 Total Creatine Kinase Blood Test 818,222 1,331,586 $8,470,810 $6.36
265 83615 Lactate Dehydrogenase (LDH) Blood Test 579,443 1,303,484 $7,673,482 $5.89
174 73130 Full Hand X-Ray Series 892,418 1,288,864 $29,910,049 $23.21
155 76770 Complete Retroperitoneal Ultrasound 1,087,972 1,279,272 $77,015,688 $60.20
97 99306 Initial Nursing Facility Visit, High Level 884,394 1,271,973 $225,809,166 $177.53
224 84156 Total Protein Measurement, Urine 683,863 1,270,689 $4,565,750 $3.59
267 84460 ALT (Alanine Aminotransferase) Blood Test 573,597 1,264,995 $6,503,975 $5.14
52 90960 Monthly Dialysis Management, Adult, Four or More Visits 185,846 1,238,729 $436,519,788 $352.39
146 92557 Comprehensive Audiometry 1,149,083 1,235,593 $45,752,331 $37.03
201 84403 Total Testosterone Blood Test 766,067 1,222,072 $30,790,853 $25.20
356 77300 Basic Radiation Dose Calculation 269,091 1,193,713 $50,996,990 $42.72
217 80076 Liver Function Blood Panel 710,187 1,190,051 $9,501,497 $7.98
109 99350 Home Visit, Established Patient, Level 4 346,132 1,186,665 $196,227,149 $165.36
200 73610 Full Ankle X-Ray Series 772,634 1,173,255 $26,666,571 $22.73
196 82565 Creatinine, Blood 776,123 1,162,898 $5,737,277 $4.93
169 99283 Emergency Department Visit, Level 3 932,487 1,146,289 $78,829,025 $68.77
160 70551 Brain MRI Without Contrast 1,003,033 1,124,148 $109,431,834 $97.35
285 80069 Renal Function Panel 538,326 1,043,532 $8,851,121 $8.48
237 73110 Full Wrist X-Ray Series 657,760 1,041,790 $25,968,446 $24.93
131 70553 MRI Brain, With and Without Contrast 821,962 1,030,414 $165,264,874 $160.39
178 76705 Limited Abdominal Ultrasound 874,581 1,028,788 $39,223,087 $38.13
199 20611 Major Joint Injection or Aspiration with Ultrasound 519,014 1,017,893 $105,255,544 $103.41
255 87635 COVID-19 PCR Test 608,458 1,012,988 $50,725,887 $50.08
168 99202 New Patient Office Visit, Level 2 979,034 1,002,239 $67,160,267 $67.01
161 99305 Initial Nursing Facility Visit, Moderate Level 735,685 995,429 $128,803,893 $129.40
175 94729 Gas Diffusing Capacity Test (DLCO) 887,415 971,477 $34,272,462 $35.28
182 76536 Ultrasound of Neck and Head Soft Tissues 848,376 969,811 $67,723,699 $69.83
215 84436 Total Thyroxine (T4) Blood Test 711,278 956,387 $6,431,133 $6.72
206 99221 Initial Hospital Care, Level 1 757,564 953,766 $76,742,110 $80.46
181 92567 Eardrum Movement Test (Tympanometry) 858,517 952,448 $15,504,730 $16.28
253 82248 Direct Bilirubin Blood Test 618,994 946,335 $4,590,618 $4.85
373 98942 Chiropractic Spinal Manipulation, Five Regions 101,153 918,307 $46,900,287 $51.07
172 93018 Cardiac Stress Test, Interpretation and Report Only 895,828 915,320 $12,519,297 $13.68
292 86334 Serum Immunofixation Electrophoresis 505,175 910,463 $18,171,118 $19.96
251 88307 Surgical Pathology Exam, Level V 516,583 909,222 $80,095,866 $88.09
327 99489 Complex Chronic Care Management, Extra Time 107,449 905,966 $58,015,070 $64.04
92 64483 Transforaminal Epidural Injection, Lumbar/Sacral 458,856 903,960 $229,631,698 $254.03
119 77427 Radiation Treatment Management, Per Five Sessions 226,326 900,495 $172,232,555 $191.26
45 17311 Mohs Surgery, Face and High-Risk Sites, First Stage 687,696 897,123 $510,235,146 $568.75
258 83880 Natriuretic Peptide (BNP or NT-proBNP) Blood Test 598,348 877,803 $33,710,466 $38.40
263 95886 Complete Needle EMG of One Limb 488,779 858,053 $77,133,714 $89.89
319 82947 Glucose, Quantitative (Blood) 446,613 849,914 $3,237,195 $3.81
149 17004 Destruction of Fifteen or More Precancerous Skin Lesions 573,375 845,600 $138,182,867 $163.41
339 82962 Blood Sugar Check with Handheld Glucose Meter 404,291 845,560 $2,689,453 $3.18
247 94010 Spirometry 633,223 844,050 $18,124,491 $21.47
127 52000 Diagnostic Cystoscopy 638,543 842,247 $167,736,609 $199.15
277 88112 Non-Gynecologic Enhanced Cytology 558,228 838,001 $32,776,691 $39.11
313 96401 Chemotherapy Injection Under the Skin or into Muscle 143,951 830,980 $60,190,438 $72.43
190 93015 Cardiovascular Stress Test, Complete 797,149 816,403 $53,501,292 $65.53
230 88304 Surgical Pathology Exam, Level III 677,439 814,378 $17,071,702 $20.96
315 87811 Rapid COVID-19 Antigen Test 453,681 813,962 $32,675,425 $40.14
214 94060 Spirometry, Pre- and Post-Bronchodilator 713,077 801,754 $22,530,633 $28.10
218 72110 Lower Back (Lumbar) Spine X-ray, Full Series 698,535 790,496 $26,683,040 $33.75
338 11055 Paring of a Single Corn or Callus 402,988 774,036 $53,235,776 $68.78
207 93016 Cardiac Stress Test, Supervision Only 755,982 771,492 $15,762,198 $20.43
303 20550 Tendon Sheath, Ligament, or Fascia Injection 485,710 768,404 $39,460,489 $51.35
50 78815 PET/CT Scan, Skull Base to Mid-Thigh 541,758 763,726 $468,583,864 $613.55
232 70498 CT Angiogram of the Neck 672,380 749,918 $63,925,902 $85.24
239 87880 Rapid Strep A Antigen Test 651,977 747,078 $11,982,859 $16.04
347 96127 Brief Emotional/Behavioral Screening, Per Instrument 394,543 746,128 $3,470,765 $4.65
244 76700 Abdominal Ultrasound, Complete 641,153 743,604 $57,570,433 $77.42
248 72170 Basic Pelvis X-Ray 632,299 733,565 $10,261,753 $13.99
250 92020 Gonioscopy, Exam of the Eye's Drainage Angle 630,757 723,167 $20,547,041 $28.41
242 70496 CT Angiogram of the Head 643,317 722,293 $64,195,263 $88.88
309 84450 AST (Aspartate Aminotransferase) Blood Test 463,130 721,608 $3,581,693 $4.96
223 73721 MRI of Leg Joint, No Contrast 569,508 717,443 $94,155,855 $131.24
273 77065 Diagnostic Mammogram, One Breast 567,194 713,385 $46,911,308 $65.76
275 00812 Anesthesia for Screening Colonoscopy 566,401 703,626 $58,029,416 $82.47
352 92507 One-on-One Speech and Language Therapy 49,992 697,802 $51,372,039 $73.62
289 76942 Ultrasound Guidance for Needle Placement 512,170 693,174 $30,749,740 $44.36
335 81000 Manual Urinalysis with Microscopy 412,571 690,185 $2,706,076 $3.92
422 88360 Manual Scoring of Tumor Immunostain 289,183 689,380 $41,623,747 $60.38
173 31231 Diagnostic Nasal Endoscopy 483,557 688,754 $121,221,544 $176.00
205 90791 Psychiatric Diagnostic Evaluation 620,007 685,230 $101,909,738 $148.72
260 86038 Antinuclear Antibody Screen 596,026 682,462 $8,072,597 $11.83
355 97597 Selective Wound Debridement, Smaller Area 234,277 681,912 $51,037,428 $74.84
408 95251 Continuous Glucose Monitor Data Interpretation 305,051 681,072 $22,308,248 $32.75
176 99495 Transitional Care Management, Moderate Complexity 603,289 676,657 $120,494,714 $178.07
264 76642 Limited Breast Ultrasound 580,094 673,658 $35,358,679 $52.49
321 92202 Extended Eye Exam with Drawing, Optic Nerve and Macula 437,584 668,152 $10,856,264 $16.25
132 99496 Transitional Care Management, High Complexity 569,901 663,989 $162,627,403 $244.92
162 62323 Lower Back Epidural Steroid Injection with Imaging 381,238 651,675 $127,896,223 $196.26
185 93925 Complete Duplex Ultrasound of Leg Arteries, Both Legs 537,794 644,557 $113,044,630 $175.38
144 64493 Lower Back Facet Joint Injection, First Level 275,661 625,203 $144,863,056 $231.71
262 94726 Lung Volume Testing by Body Plethysmography 580,564 624,175 $21,044,805 $33.72
296 72040 Neck (Cervical) Spine X-ray, Limited Views 493,359 621,666 $15,018,102 $24.16
279 72141 Neck MRI, No Contrast Dye 545,467 619,944 $69,373,745 $111.90
259 00813 Anesthesia for Combined Upper and Lower Endoscopy 479,962 618,645 $78,349,757 $126.65
290 93325 Color Flow Mapping with Heart Ultrasound 511,582 617,070 $3,699,917 $6.00
306 76937 Ultrasound Guidance for Vascular Access 479,630 616,438 $10,827,975 $17.57
350 87640 Staphylococcus Aureus DNA Test 384,148 614,496 $21,098,086 $34.33
293 93922 Limited Arterial Circulation Study, Arms or Legs 500,888 609,778 $33,610,290 $55.12
325 84155 Total Protein, Blood 434,824 609,748 $2,154,501 $3.53
421 90935 Hemodialysis Session with One Physician Evaluation 121,416 591,817 $41,700,154 $70.46
249 87637 Combined COVID-19, Influenza and RSV PCR 181,404 587,632 $82,041,387 $139.61
337 84480 Total Triiodothyronine (T3) Blood Test 412,047 586,129 $8,135,039 $13.88
514 99347 222,838 571,686 $24,491,919 $42.84
283 77066 Diagnostic Mammogram, Both Breasts 538,416 570,111 $48,816,474 $85.63
330 83721 Direct LDL Cholesterol Measurement 413,567 568,597 $5,837,395 $10.27
28 27447 Total Knee Replacement 299,015 564,929 $776,229,179 $1,374.03
530 11719 211,491 562,362 $5,950,113 $10.58
329 88311 Decalcification of Tissue for Sectioning 425,970 557,417 $7,336,413 $13.16
446 87801 Multi-Organism Molecular Screen 178,036 549,352 $37,360,667 $68.01
362 77002 Fluoroscopic Guidance for Needle Placement 289,685 548,002 $48,971,377 $89.36
326 93308 Limited or Follow-Up Heart Ultrasound 434,428 546,726 $16,997,733 $31.09
546 83861 199,527 543,436 $11,935,440 $21.96
301 72131 CT Scan of the Lower (Lumbar) Spine, No Contrast 486,089 541,998 $30,147,656 $55.62
385 97164 Physical Therapy Re-evaluation 336,816 541,438 $37,560,017 $69.37
298 31575 Flexible Laryngoscopy, Diagnostic 429,727 541,293 $63,678,740 $117.64
323 87070 Bacterial Culture, Other Source 435,781 539,951 $4,555,856 $8.44
312 86431 Rheumatoid Factor, Quantitative 458,449 539,317 $2,992,285 $5.55
397 85651 Erythrocyte Sedimentation Rate, Manual 324,285 538,347 $2,242,606 $4.17
345 84479 Thyroid Hormone Uptake Test 398,341 537,069 $3,402,238 $6.33
410 82977 Gamma-Glutamyl Transferase (GGT) Blood Test 303,660 536,564 $3,766,559 $7.02
357 82310 Total Calcium Blood Test 378,619 530,317 $2,628,947 $4.96
368 73552 Thigh Bone X-Ray 365,969 528,946 $8,047,713 $15.21
360 87651 Group A Strep Molecular Test 375,887 524,436 $17,973,078 $34.27
240 90792 Psychiatric Diagnostic Evaluation with Medical Assessment 456,800 521,944 $87,712,960 $168.05
113 66982 Complex Cataract Surgery with Lens Implant 120,290 519,465 $188,434,326 $362.75
225 74178 CT Abdomen and Pelvis, Before and After Contrast 448,531 518,364 $93,478,328 $180.33
281 73221 Arm Joint MRI, No Contrast Dye 417,332 518,014 $67,711,910 $130.71
308 70486 CT Scan of Sinuses and Facial Bones 472,386 516,361 $32,550,323 $63.04
317 36620 Arterial Line Placement, Percutaneous 450,302 506,421 $22,167,943 $43.77
499 80305 Presumptive Drug Screen, Visually Read 235,887 503,865 $6,129,632 $12.17
213 11043 Wound Debridement Down to Muscle or Fascia 128,067 502,856 $97,002,358 $192.90
310 86803 Hepatitis C Antibody Test 463,075 501,516 $6,982,439 $13.92
105 17312 Mohs Surgery, Face and High-Risk Sites, Additional Stage 319,786 497,572 $199,510,845 $400.97
559 86160 189,761 489,649 $5,740,291 $11.72
229 74183 MRI Abdomen, Before and After Contrast 402,015 489,078 $89,205,861 $182.40
386 84520 Urea Nitrogen (BUN) 336,812 482,770 $1,825,054 $3.78
412 87500 Vancomycin Resistance Gene Test 303,097 482,050 $16,556,449 $34.35
324 99487 Complex Chronic Care Management, First Hour 164,659 478,637 $58,186,915 $121.57
189 01402 Anesthesia for Knee Replacement Surgery 316,757 476,381 $109,989,052 $230.88
354 84154 Free PSA Blood Test 382,663 474,976 $8,546,012 $17.99
389 92201 Extended Retinal Exam with Drawing, Peripheral Retina 333,508 473,710 $12,220,996 $25.80
469 82247 Total Bilirubin Blood Test 255,024 472,425 $2,274,151 $4.81
526 82378 211,762 469,159 $8,694,607 $18.53
372 73590 Lower Leg X-Ray 350,797 464,681 $6,284,657 $13.52
404 82040 Blood Albumin Test 311,525 464,594 $2,199,544 $4.73
374 86141 High-Sensitivity C-Reactive Protein 348,051 463,534 $5,870,934 $12.67
294 68761 Punctal Plug Insertion for Dry Eye 188,542 462,402 $64,916,253 $140.39
212 77280 Simple Radiation Therapy Simulation 112,954 453,570 $98,204,687 $216.51
363 86376 Thyroid Microsomal Antibody 369,043 451,061 $6,420,991 $14.24
541 83516 204,191 436,258 $4,916,406 $11.27
164 90961 Monthly Dialysis Management, Adult, Two or Three Visits 145,106 434,886 $126,200,899 $290.19
333 71271 Low-Dose CT Lung Cancer Screening 413,377 433,851 $32,424,951 $74.74
380 92285 External Photography of the Eye and Lids 343,584 430,232 $9,321,946 $21.67
343 76514 Corneal Thickness Measurement by Ultrasound 398,824 429,420 $4,650,745 $10.83
365 93005 Electrocardiogram, Tracing Only 368,307 422,260 $2,627,254 $6.22
443 20600 Arthrocentesis, Small Joint 270,892 419,988 $19,525,477 $46.49
366 76775 Limited Retroperitoneal Ultrasound 367,099 418,772 $18,248,905 $43.58
393 83690 Lipase Blood Test 328,250 416,214 $2,801,343 $6.73
358 76641 Complete Breast Ultrasound 375,904 415,762 $42,523,252 $102.28
405 99292 Critical Care, Additional Time 182,902 415,337 $43,303,124 $104.26
399 73080 Full Elbow X-Ray Series 323,613 411,365 $7,286,764 $17.71
432 73620 Foot X-ray, Two Views 281,671 409,320 $8,424,284 $20.58
476 90836 Mid-Length Psychotherapy Session Added to a Medical Visit 80,065 403,787 $34,643,473 $85.80
194 93458 Left Heart Catheterization with Coronary Angiography 374,947 396,968 $107,439,501 $270.65
455 82670 Estradiol Blood Test 262,680 395,381 $10,796,284 $27.31
382 73700 CT Scan of Leg or Foot, No Contrast 340,671 393,794 $24,536,911 $62.31
556 83520 Quantitative Immunoassay, Substance Not Otherwise Specified 193,013 393,375 $6,621,096 $16.83
534 82533 Total Cortisol Blood Test 206,777 392,489 $6,254,789 $15.94
384 76830 Transvaginal Pelvic Ultrasound 338,263 392,185 $33,883,125 $86.40
489 87641 MRSA Molecular Detection Test 243,129 388,064 $13,332,722 $34.36
449 64494 Lower Back Facet Joint Injection, Second Level 249,155 387,659 $37,255,127 $96.10
456 84075 Total Alkaline Phosphatase Blood Test 260,863 384,430 $1,897,352 $4.94
463 96133 Neuropsychological Test Interpretation, Extra Time 127,536 378,457 $35,611,289 $94.10
413 85730 Partial Thromboplastin Time (PTT) Blood Test 300,668 376,880 $2,217,218 $5.88
58 93229 Mobile Cardiac Telemetry, Technical Support and Surveillance 362,806 374,695 $393,159,824 $1,049.28
440 84402 Free Testosterone Blood Test 272,436 374,498 $9,310,574 $24.86
378 93356 Heart Muscle Strain Imaging Add-On 344,656 371,028 $8,771,828 $23.64
445 73140 Finger X-Ray 269,994 369,351 $9,404,495 $25.46
391 99316 Nursing Facility Discharge Visit, Longer Session 332,955 368,989 $44,002,918 $119.25
227 00790 Anesthesia for Upper Abdominal Surgery 243,739 365,081 $89,376,161 $244.81
401 76856 Complete Pelvic Ultrasound, Non-Pregnancy 314,304 364,490 $28,113,504 $77.13
121 64635 Lower Back Facet Nerve Ablation, First Joint 195,370 361,690 $172,227,645 $476.17
475 20605 Intermediate Joint Injection or Aspiration 250,935 359,559 $18,068,849 $50.25
403 72050 Neck (Cervical) Spine X-ray, Extended Views 313,579 353,648 $11,890,686 $33.62
494 84132 Potassium Blood Level 238,888 350,885 $1,623,258 $4.63
467 82150 Amylase Blood Test 256,393 350,185 $2,218,100 $6.33
521 85018 213,889 347,669 $802,686 $2.31
241 12032 Layered Wound Repair, Trunk or Limbs (Mid-Length) 307,098 345,555 $86,744,992 $251.03
508 88173 Fine Needle Aspiration Interpretation 225,298 344,085 $29,260,634 $85.04
430 93923 Complete Arterial Circulation Study, Arms or Legs 282,829 342,667 $31,347,605 $91.48
415 76376 3D Image Reconstruction and Interpretation 300,205 341,378 $4,291,414 $12.57
507 99406 Smoking Cessation Counseling, Intermediate 225,811 338,085 $4,551,217 $13.46
420 64447 Femoral Nerve Block, Single Injection 292,668 336,447 $19,965,055 $59.34
291 72197 Pelvis MRI, Before and After Contrast 291,980 333,229 $65,162,588 $195.55
492 85045 Automated Reticulocyte Count 240,212 333,161 $1,299,563 $3.90
473 76882 Limited Ultrasound of an Arm or Leg 251,589 327,808 $11,916,772 $36.35
529 00910 Anesthesia for Transurethral Bladder Procedures 194,069 326,199 $30,348,197 $93.04
437 93312 Transesophageal Heart Ultrasound, Complete Service 276,635 325,566 $34,357,637 $105.53
458 51741 Complex Urine Flow Study 260,686 323,386 $3,459,691 $10.70
266 45378 Diagnostic Colonoscopy 256,770 322,517 $76,658,142 $237.69
497 73060 Upper Arm Bone X-Ray 238,092 320,904 $4,670,086 $14.55
477 86800 Thyroglobulin Antibody 249,823 320,301 $4,984,596 $15.56
465 93321 Focused Doppler Flow Measurement with Heart Ultrasound 259,269 316,944 $2,666,210 $8.41
417 90471 Immunization Administration, First 297,849 315,945 $5,886,751 $18.63
427 93320 Full Doppler Flow Measurement with Heart Ultrasound 284,772 315,021 $7,727,549 $24.53
54 27130 Total Hip Replacement 171,088 313,781 $415,721,799 $1,324.88
433 99304 Initial Nursing Facility Visit, Level 1 280,715 313,565 $24,815,060 $79.14
522 84466 Transferrin Blood Test 213,529 312,711 $3,889,570 $12.44
448 74230 Swallowing Study with Video X-ray 269,024 311,571 $9,724,184 $31.21
414 87636 Combined COVID-19 and Influenza PCR 153,947 309,490 $42,820,410 $138.36
462 36556 Non-Tunneled Central Line Placement, Age 5 and Over 259,275 308,397 $25,374,361 $82.28
234 90966 Monthly Home Dialysis Management, Adult 48,253 307,421 $88,596,194 $288.19
542 84270 Sex Hormone Binding Globulin Blood Test 202,199 303,722 $6,435,623 $21.19
395 27096 Sacroiliac Joint Injection with Imaging Guidance 221,885 301,627 $44,421,960 $147.27
390 17262 Destruction of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 237,857 301,365 $45,108,241 $149.68
524 99183 Physician Supervision of Hyperbaric Oxygen Therapy 11,861 298,163 $30,574,266 $102.54
474 72070 Mid-Back (Thoracic) Spine X-ray, Two Views 250,982 297,090 $6,002,519 $20.20
434 11104 Punch Biopsy of Skin 276,823 296,079 $32,128,469 $108.51
450 86200 Cyclic Citrullinated Peptide Antibody 268,908 295,532 $3,732,681 $12.63
503 82044 230,624 292,838 $1,772,110 $6.05
429 93228 Mobile Cardiac Telemetry, Physician Review and Report 283,072 291,711 $7,320,010 $25.09
407 01922 Anesthesia for Imaging or Radiation Therapy 184,404 290,796 $43,056,511 $148.06
364 77263 Complex Radiation Therapy Treatment Planning 264,404 286,161 $48,102,777 $168.10
536 83525 Total Insulin Blood Test 206,698 286,009 $3,197,422 $11.18
505 70491 CT Scan of Neck Soft Tissue with Contrast 228,108 285,393 $24,115,187 $84.50
461 97163 Physical Therapy Evaluation, High Complexity 259,688 284,014 $28,433,121 $100.11
511 74019 Abdominal X-ray, Two Views 223,901 283,957 $4,500,688 $15.85
490 92025 Computerized Corneal Mapping (Topography) 240,742 282,895 $9,817,077 $34.70
539 64484 204,853 282,621 $24,036,978 $85.05
504 00400 Anesthesia for Skin Surgery on Limbs and Trunk 176,222 282,201 $32,702,027 $115.88
261 13132 Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length) 240,665 279,434 $77,893,960 $278.76
487 10060 Incision and Drainage of Abscess, Simple 243,310 278,738 $33,006,679 $118.41
466 87340 Hepatitis B Surface Antigen Test 259,203 278,558 $2,810,031 $10.09
550 87502 Influenza Type and Subtype PCR Panel 198,679 278,010 $25,839,352 $92.94
320 95816 EEG, Awake and Drowsy 205,890 276,691 $59,082,764 $213.53
513 86225 Double-Stranded DNA Antibody 223,090 273,965 $3,676,105 $13.42
444 43235 Upper GI Endoscopy, Diagnostic 221,376 273,826 $37,718,906 $137.75
484 71101 Rib X-ray, One Side, with Chest View 243,788 273,688 $5,724,188 $20.92
316 00840 Anesthesia for Lower Abdominal Surgery 183,917 269,456 $59,732,143 $221.68
481 94727 Lung Volume Testing by Gas Dilution or Washout 244,358 263,373 $9,170,783 $34.82
479 82274 Fecal Immunochemical Test for Blood 245,540 263,296 $4,088,759 $15.53
468 01480 Anesthesia for Lower Leg, Ankle and Foot Surgery 163,225 259,554 $35,018,315 $134.92
459 92235 Fluorescein Angiography of the Retina 210,541 259,230 $35,682,848 $137.65
402 90868 Transcranial Magnetic Stimulation, Follow-Up Treatment Session 8,999 259,030 $43,698,666 $168.70
483 86480 Tuberculosis Interferon-Gamma Blood Test 243,969 258,062 $15,633,267 $60.58
302 01214 Anesthesia for Hip Replacement Surgery 175,550 256,393 $63,219,878 $246.57
544 83090 Homocysteine Blood Test 201,249 253,867 $4,452,944 $17.54
416 64636 Lower Back Facet Nerve Ablation, Additional Joint 180,485 252,051 $42,489,743 $168.58
457 93978 Complete Duplex Ultrasound of Aorta, Vena Cava, and Iliac Vessels 221,031 250,932 $35,718,411 $142.34
548 88189 Flow Cytometry Interpretation, Large Marker Panel 199,455 249,483 $21,022,423 $84.26
520 72146 Mid-Back MRI, No Contrast Dye 215,484 243,938 $24,544,377 $100.62
537 96132 Neuropsychological Test Interpretation, First Hour 195,604 243,201 $30,183,243 $124.11
561 87205 188,973 239,161 $997,951 $4.17
532 11602 Excision of Skin Cancer on Trunk, Arm, or Leg (Mid-Size) 204,006 236,941 $30,240,372 $127.63
216 00670 Anesthesia for Major Spine and Spinal Cord Surgery 154,785 235,661 $96,442,831 $409.24
551 77001 196,278 234,012 $5,410,593 $23.12
528 72128 CT Scan of the Mid (Thoracic) Spine, No Contrast 211,544 230,678 $11,629,737 $50.42
533 99344 Home Visit, New Patient, Moderate Level 209,780 228,652 $29,955,178 $131.01
517 87624 High-Risk HPV DNA Test 219,030 226,206 $7,756,602 $34.29
375 62321 Neck or Upper Back Epidural Injection with Imaging 130,343 224,221 $46,458,261 $207.20
471 72158 Low-Back MRI, Before and After Contrast 192,575 223,353 $34,942,791 $156.45
563 11730 188,487 221,859 $24,340,612 $109.71
353 64490 Neck or Mid-Back Facet Joint Injection, First Level 94,905 214,938 $51,356,171 $238.93
478 93975 Complete Duplex Ultrasound of Abdominal and Pelvic Vessels 183,303 214,284 $34,332,193 $160.22
496 00300 Anesthesia for Head, Neck and Back Soft Tissue Surgery 134,243 209,112 $33,291,865 $159.21
305 13121 Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length) 176,926 208,329 $63,031,740 $302.56
307 95811 Sleep Study with CPAP or BiPAP Titration 180,102 202,474 $62,773,180 $310.03
318 77338 Multi-Leaf Collimator Design for IMRT 158,338 198,975 $59,282,468 $297.94
565 86704 188,048 198,141 $2,335,166 $11.79
204 92928 Coronary Stent Placement, Single Major Vessel 155,642 192,204 $102,840,851 $535.06
195 17313 Mohs Surgery, Trunk, Arms, or Legs, First Stage 149,206 187,660 $107,370,400 $572.15
331 95810 Attended Overnight Sleep Study in a Lab 172,667 186,774 $56,459,862 $302.29
135 77301 IMRT Treatment Planning 159,861 181,302 $154,332,837 $851.25
491 93351 Stress Echocardiogram, Complete with Supervision 175,471 177,820 $33,673,206 $189.37
344 00537 Anesthesia for Cardiac Ablation and Electrophysiology Studies 109,366 165,053 $51,754,938 $313.57
379 55700 Prostate Needle Biopsy Retired after Q4 2025 137,583 165,047 $46,166,576 $279.72
485 77290 Complex Radiation Therapy Simulation 133,184 164,469 $34,081,667 $207.22
500 95911 Nerve Conduction Studies, 9-10 Studies 156,906 163,754 $32,785,366 $200.21
472 65855 Laser Trabeculoplasty for Glaucoma 89,100 162,142 $34,870,131 $215.06
392 43249 Upper Endoscopy with Esophageal Balloon Dilation 106,444 156,906 $44,899,419 $286.15
460 95819 EEG Recording Both Awake and Asleep 142,163 155,392 $35,638,132 $229.34
254 64721 Carpal Tunnel Release 93,900 153,405 $79,418,022 $517.70
332 26055 Trigger Finger Release (Tendon Sheath Incision) 76,836 149,117 $54,390,704 $364.75
547 01230 Anesthesia for Upper Thigh Bone Surgery 102,513 147,325 $29,796,705 $202.25
151 36902 Dialysis Access Angioplasty, Peripheral Segment 69,897 139,026 $137,949,420 $992.26
231 63047 Lumbar Laminectomy for Spinal Decompression 78,218 131,465 $89,152,005 $678.14
177 23472 Total Shoulder Replacement 75,850 125,748 $119,325,701 $948.93
156 29827 Arthroscopic Rotator Cuff Repair 60,618 121,515 $135,257,624 $1,113.09
553 99483 Cognitive Assessment and Care Plan Visit 106,531 116,718 $29,283,522 $250.89
498 01638 Anesthesia for Shoulder Replacement Surgery 78,581 116,405 $33,036,047 $283.80
388 36561 Implanted Port with Tunneled Catheter, Age 5 and Over 109,119 115,708 $45,333,848 $391.80
560 01926 Anesthesia for Interventional Artery Procedures, Brain, Heart, or Aorta 79,913 113,692 $28,479,614 $250.50
367 97610 Low-Frequency Non-Contact Ultrasound Wound Therapy 10,259 110,344 $47,756,595 $432.80
545 19083 Breast Needle Biopsy with Ultrasound Guidance 105,561 109,181 $29,821,152 $273.13
549 77295 3D Conformal Radiotherapy Planning 94,199 106,801 $29,741,352 $278.47
314 78816 PET/CT Scan, Whole Body 76,673 105,391 $59,865,959 $568.04
371 64633 Neck or Mid-Back Facet Nerve Ablation, First Joint 55,359 102,343 $47,172,387 $460.92
157 78492 Cardiac PET Perfusion Imaging, Rest and Stress 98,154 100,344 $131,983,053 $1,315.31
270 33361 Transcatheter Aortic Valve Replacement, Femoral Puncture 52,976 98,960 $73,490,867 $742.63
226 27245 Hip Fracture Repair with Intramedullary Nail 72,632 95,842 $93,375,396 $974.26
558 52310 Cystoscopy to Remove Object from Bladder or Urethra 81,929 94,108 $28,520,250 $303.06
525 13101 Complex Wound Repair of the Trunk (Mid-Length) 83,465 94,080 $30,571,263 $324.95
288 33208 Dual-Chamber Pacemaker Insertion 89,140 92,124 $65,984,657 $716.26
334 47562 Laparoscopic Cholecystectomy 72,443 89,274 $54,129,392 $606.33
409 22842 Posterior Spinal Instrumentation, 3 to 6 Segments 52,332 84,342 $43,031,065 $510.20
186 36465 Foam Sclerotherapy of a Main Leg Vein 41,378 83,799 $110,547,105 $1,319.19
246 36475 Radiofrequency Vein Ablation, First Vein 45,840 80,368 $82,976,094 $1,032.45
519 00560 Anesthesia for Heart Surgery Without Bypass Machine 59,677 78,120 $30,803,446 $394.31
493 28285 Hammertoe Correction 34,155 77,734 $33,495,855 $430.90
272 93656 Catheter Ablation for Atrial Fibrillation (Pulmonary Vein Isolation) 74,577 76,533 $71,799,220 $938.15
426 49650 Laparoscopic Repair of First-Time Inguinal Hernia 56,948 76,290 $40,621,261 $532.46
284 27236 Surgical Repair of Femoral Neck Fracture 53,178 74,859 $66,716,130 $891.22
256 33533 Coronary Bypass Using a Single Arterial Graft 43,695 70,789 $78,960,032 $1,115.43
398 19301 Partial Mastectomy (Lumpectomy) 55,273 68,873 $44,160,978 $641.19
482 29848 Endoscopic Carpal Tunnel Release 34,401 62,710 $34,164,840 $544.81
252 65778 Amniotic Membrane Placement on the Eye Surface 34,962 60,088 $79,724,467 $1,326.80
297 77523 Proton Beam Radiation Treatment, Intermediate Delivery 2,511 59,938 $64,174,235 $1,070.68
543 22840 Posterior Spinal Instrumentation, Non-Segmental 37,150 59,832 $29,834,648 $498.64
342 15260 Full-Thickness Skin Graft to Nose, Ear, Eyelid, or Lip 50,123 57,829 $52,359,414 $905.42
418 67904 Droopy Eyelid Repair, External Levator Approach 25,468 57,514 $42,073,583 $731.54
287 22633 Lumbar Fusion, Posterior Plus Interbody, One Level 34,416 56,873 $66,017,800 $1,160.79
428 29881 Knee Arthroscopy with Meniscectomy 35,355 55,095 $39,962,082 $725.33
243 36482 Adhesive Closure of a Leg Vein, First Vein 27,454 52,416 $86,651,358 $1,653.15
278 22551 Anterior Cervical Discectomy and Fusion, One Level 31,381 52,416 $69,489,478 $1,325.73
516 77435 SBRT Treatment Management 44,797 48,450 $31,386,479 $647.81
515 00567 Anesthesia for On-Pump Coronary Bypass Surgery 37,805 47,621 $31,732,584 $666.36
64 63685 Spinal Cord Stimulator Generator Implant 27,597 47,421 $352,781,156 $7,439.34
502 50590 Extracorporeal Shock Wave Lithotripsy 33,899 46,592 $32,703,797 $701.92
411 77373 Stereotactic Body Radiation Therapy Delivery 9,055 43,354 $42,890,432 $989.31
512 29880 Knee Arthroscopy, Meniscectomy Both Compartments 26,663 42,160 $32,312,448 $766.42
464 52601 TURP - Transurethral Prostate Resection 38,742 42,060 $35,457,780 $843.03
439 66174 Canaloplasty for Glaucoma, No Device Retained 15,940 40,653 $37,933,625 $933.11
438 29828 Arthroscopic Biceps Tenodesis 20,735 40,606 $38,312,118 $943.51
341 67042 Vitrectomy with Internal Limiting Membrane Peel 23,478 39,679 $52,720,270 $1,328.67
114 37225 Thigh Artery Atherectomy Retired after Q4 2025 29,567 39,169 $185,328,404 $4,731.51
84 37229 Below-Knee Artery Atherectomy, First Vessel Retired after Q4 2025 26,037 38,412 $271,693,779 $7,073.15
564 23430 Open Biceps Tendon Tenodesis at the Shoulder 21,148 37,174 $28,355,524 $762.78
257 64561 Sacral Nerve Stimulator Electrode Placement 19,105 36,492 $78,532,608 $2,152.05
538 36478 Laser Vein Ablation, First Vein 18,198 32,265 $30,022,185 $930.49
453 67036 Vitrectomy Through the Pars Plana 18,397 32,153 $36,155,883 $1,124.49
348 33249 Implantable Defibrillator System Placement 29,086 30,196 $51,553,629 $1,707.30
383 25609 Open Repair of Complex Distal Radius Fracture 17,630 29,714 $45,841,914 $1,542.77
555 37228 Retired after Q4 2025 23,323 27,263 $28,894,477 $1,059.84
540 27487 Total Knee Replacement Revision, Both Components 15,665 26,401 $29,974,449 $1,135.35
495 67108 Retinal Detachment Repair by Vitrectomy 15,199 26,020 $33,409,981 $1,284.01
159 64590 Peripheral or Gastric Nerve Stimulator Generator Implant 18,258 25,055 $128,867,243 $5,143.37
381 36905 Dialysis Access Clot Removal with Angioplasty 13,741 23,471 $45,916,558 $1,956.31
370 22514 Lumbar Vertebral Augmentation (Kyphoplasty) 20,275 22,281 $47,487,497 $2,131.30
531 65756 Endothelial Corneal Transplant 11,021 21,925 $30,330,447 $1,383.37
518 55874 Prostate Spacer Gel Placement 20,056 21,454 $30,812,255 $1,436.20
376 64555 Peripheral Nerve Stimulator Electrode Placement 7,417 19,971 $46,402,224 $2,323.48
424 22513 Thoracic Vertebral Augmentation (Kyphoplasty) 17,279 19,551 $40,936,228 $2,093.82
133 37227 Thigh Artery Stent with Atherectomy Retired after Q4 2025 14,987 19,004 $159,994,265 $8,418.98
435 37243 Embolization for Tumors and Organ Ischemia 13,287 15,892 $38,994,348 $2,453.71
394 36903 Dialysis Access Stent Placement, Peripheral Segment 10,666 14,690 $44,444,913 $3,025.52
447 36906 Dialysis Access Clot Removal with Stent Placement 6,300 9,054 $37,344,520 $4,124.64

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 7,873 CPT codes billed to Medicare in CY2023, 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 56.9% of the $82.8B these 500 codes account for.

  1. 1 99214 Established Patient Office Visit, Level 4 $11.9B
  2. 2 99213 Established Patient Office Visit, Level 3 $6.0B
  3. 3 99232 Subsequent Hospital Care, Level 2 $2.8B
  4. 4 99233 Subsequent Hospital Care, Level 3 $2.6B
  5. 5 66984 Cataract Surgery with Lens Implant $2.0B
  6. 6 99215 Established Patient Office Visit, Level 5 $2.0B
  7. 7 99204 New Patient Office Visit, Level 4 $2.0B
  8. 8 99223 Initial Hospital Care, Level 3 $1.7B
  9. 9 97110 Therapeutic Exercise, 15 Minutes $1.5B
  10. 10 99285 Emergency Department Visit, Level 5 $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
#399
Per service
$2.19
Few patients, lots of money
63685 Spinal Cord Stimulator Generator Implant
By beneficiaries
#469
By allowed dollars
#40
Per service
$7,439.34

What this data covers — and what it doesn't

These are CY2023 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.

5 codes on this list have since left the fee schedule. CMS billed them heavily in CY2023 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 7,873 CPT codes billed to Medicare in CY2023; this table shows the top 500 we cover.

Source: CMS Medicare Physician & Other Practitioners — by Geography and Service, national rows, CY2023. 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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