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Physicians are the backbone of any healthcare system. As the primary caregivers, they identify patient ailments and determine courses of treatment that define each episode of care. In many cases, physicians also influence supply spending by requesting preferred medical devices and supplies. The following list contains the top 25 physician procedures billed to Medicare in 2017 by total volume nationwide — including total payments — based on Definitive Healthcare data.

Routine office visits (CPT codes 99213 & 99214) are the most common and heavily reimbursed of all physician procedures, numbering nearly 195 million with total Medicare payments of over $11.4 billion in 2017, according to Definitive Healthcare. Inpatient care visits (CPT codes 99232 & 99233) followed with a total of 68.8 million cases and nearly $4.4 billion in reimbursements.

Injections also constitute a large number of physician procedures. Of the top 50 billed procedures, injections represent over 30%. Many are drugs related to cancer treatment or chronic kidney disease. Most are relatively inexpensive procedures, with the physician billing only for the act of injecting the medication.

Top Billed Physician Procedures by Volume

  CPT/HCPCS Code Description Total Procedures Total Payments

1.

99214

OFFICE/OUTPATIENT VISIT EST

99,626,002

$6,974,311,013

2.

99213

OFFICE/OUTPATIENT VISIT EST

94,919,508

$4,471,913,850

3.

Q9967

LOCM 300-399mg/ml iodine,1ml

78,668,277

$7,440,311

4.

97110

THERAPEUTIC EXERCISES

54,393,670

$1,140,934,353

5.

J1071

Inj testosterone cypionate

49,800,446

$829,013

6.

J1439

Inj ferric carboxymaltos 1mg

49,508,115

$40,598,480

7.

99232

SUBSEQUENT HOSPITAL CARE

46,106,986

$2,591,914,432

8.

J0897

Denosumab injection

37,465,625

$488,307,369

9.

J0878

Daptomycin injection

35,598,810

$19,604,876

10.

J0881

Darbepoetin alfa, non-esrd

31,313,977

$94,510,055

11.

J0585

Injection,onabotulinumtoxinA

30,584,363

$139,737,460

12.

97140

MANUAL THERAPY 1/> REGIONS

26,088,213

$475,667,947

13.

Q0138

Ferumoxytol, non-esrd

25,846,625

$17,892,278

14.

36415

ROUTINE VENIPUNCTURE

25,335,944

$74,048,233

15.

J0717

Certolizumab Pegol Inj 1mg

22,635,572

$131,430,258

16.

99233

SUBSEQUENT HOSPITAL CARE

22,326,900

$1,830,239,473

17.

Q5101

Inj filgrastim gcsf biosimil

20,820,121

$12,050,132

18.

93010

ELECTROCARDIOGRAM REPORT

18,964,299

$124,387,384

19.

J1100

Dexamethasone sodium phos

18,761,250

$1,628,913

20.

J3262

Tocilizumab injection

18,724,105

$61,936,152

21.

17003

Destruct premalg les 2-14

18,065,304

$71,592,654

22.

J1442

Inj filgrastim excl biosimil

17,806,541

$13,913,848

23.

J1453

Fosaprepitant injection

16,141,612

$24,192,982

24.

71010

Chest x-ray 1 view frontal

15,930,630

$112,355,963

25.

88305

TISSUE EXAM BY PATHOLOGIST

14,184,470

$506,548,211

26.

J9267

Paclitaxel injection

13,451,978

$70,876,138

27.

J0885

Epoetin alfa, non-esrd

13,162,159

$374,283,353

28.

98941

CHIROPRACT MANJ 3-4 REGIONS

12,623,458

$675,838,481

29.

J3301

Triamcinolone acet inj NOS

12,600,397

$124,731,510

30.

J1756

Iron sucrose injection

12,298,539

$19,443,903

31.

92014

EYE EXAM&TX ESTAB PT 1/>VST

11,970,872

$2,165,013,133

32.

97530

THERAPEUTIC ACTIVITIES

11,900,819

$705,828,229

33.

97112

NEUROMUSCULAR REEDUCATION

11,871,569

$704,237,429

34.

A9585

Gadobutrol injection

11,862,402

$33,402,389

35.

99285

EMERGENCY DEPT VISIT

11,470,444

$12,197,902,558

36.

99212

OFFICE/OUTPATIENT VISIT EST

11,466,146

$949,753,114

37.

71020

Chest x-ray 2vw frontal&latl

11,385,276

$617,060,681

38.

93000

ELECTROCARDIOGRAM COMPLETE

11,189,097

$715,809,261

39.

85025

COMPLETE CBC W/AUTO DIFF WBC

11,133,462

$354,593,187

40.

J9299

Injection, nivolumab

10,802,842

$653,575,924

41.

99308

NURSING FAC CARE SUBSEQ

10,269,428

$1,292,414,484

42.

99223

INITIAL HOSPITAL CARE

10,219,906

$4,630,105,013

43.

99203

OFFICE/OUTPATIENT VISIT NEW

10,193,122

$2,156,663,225

44.

95004

PERCUT ALLERGY SKIN TESTS

9,506,647

$115,560,910

45.

99204

OFFICE/OUTPATIENT VISIT NEW

9,190,963

$2,972,508,881

46.

99215

OFFICE/OUTPATIENT VISIT EST

9,040,347

$2,567,729,800

47.

A9575

Inj gadoterate meglumi 0.1ml

8,732,252

$12,460,335

48.

99309

NURSING FAC CARE SUBSEQ

8,672,301

$1,472,795,237

49.

J0641

Inj., levoleucovorin, 0.5 mg

8,621,211

$36,456,919

50.

96372

THER/PROPH/DIAG INJ SC/IM

8,333,190

$408,238,599

Fig 1. Medicare data is from the Centers for Medicare and Medicaid Services (CMS) Provider Utilization and Payment Data: Physician and Other Supplier Public Use File (PUF). Calendar Year data is projected to be released each July by the CMS. The most recent data is from calendar year 2017; 2018 data is scheduled to be released in July 2020.