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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
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| CPT/HCPCS Code | Description | Total Procedures | Total Payments | Explore This Dataset | |
| 1. | 99214 | OFFICE/OUTPATIENT VISIT EST | 99,626,002 | $6,974,311,013 | Explore This Profile |
| 2. | 99213 | OFFICE/OUTPATIENT VISIT EST | 94,919,508 | $4,471,913,850 | Explore This Profile |
| 3. | Q9967 | LOCM 300-399mg/ml iodine,1ml | 78,668,277 | $7,440,311 | Explore This Profile |
| 4. | 97110 | THERAPEUTIC EXERCISES | 54,393,670 | $1,140,934,353 | Explore This Profile |
| 5. | J1071 | Inj testosterone cypionate | 49,800,446 | $829,013 | Explore This Profile |
| 6. | J1439 | Inj ferric carboxymaltos 1mg | 49,508,115 | $40,598,480 | Explore This Profile |
| 7. | 99232 | SUBSEQUENT HOSPITAL CARE | 46,106,986 | $2,591,914,432 | Explore This Profile |
| 8. | J0897 | Denosumab injection | 37,465,625 | $488,307,369 | Explore This Profile |
| 9. | J0878 | Daptomycin injection | 35,598,810 | $19,604,876 | Explore This Profile |
| 10. | J0881 | Darbepoetin alfa, non-esrd | 31,313,977 | $94,510,055 | Explore This Profile |
| 11. | J0585 | Injection,onabotulinumtoxinA | 30,584,363 | $139,737,460 | Explore This Profile |
| 12. | 97140 | MANUAL THERAPY 1/> REGIONS | 26,088,213 | $475,667,947 | Explore This Profile |
| 13. | Q0138 | Ferumoxytol, non-esrd | 25,846,625 | $17,892,278 | Explore This Profile |
| 14. | 36415 | ROUTINE VENIPUNCTURE | 25,335,944 | $74,048,233 | Explore This Profile |
| 15. | J0717 | Certolizumab Pegol Inj 1mg | 22,635,572 | $131,430,258 | Explore This Profile |
| 16. | 99233 | SUBSEQUENT HOSPITAL CARE | 22,326,900 | $1,830,239,473 | Explore This Profile |
| 17. | Q5101 | Inj filgrastim gcsf biosimil | 20,820,121 | $12,050,132 | Explore This Profile |
| 18. | 93010 | ELECTROCARDIOGRAM REPORT | 18,964,299 | $124,387,384 | Explore This Profile |
| 19. | J1100 | Dexamethasone sodium phos | 18,761,250 | $1,628,913 | Explore This Profile |
| 20. | J3262 | Tocilizumab injection | 18,724,105 | $61,936,152 | Explore This Profile |
| 21. | 17003 | Destruct premalg les 2-14 | 18,065,304 | $71,592,654 | Explore This Profile |
| 22. | J1442 | Inj filgrastim excl biosimil | 17,806,541 | $13,913,848 | Explore This Profile |
| 23. | J1453 | Fosaprepitant injection | 16,141,612 | $24,192,982 | Explore This Profile |
| 24. | 71010 | Chest x-ray 1 view frontal | 15,930,630 | $112,355,963 | Explore This Profile |
| 25. | 88305 | TISSUE EXAM BY PATHOLOGIST | 14,184,470 | $506,548,211 | Explore This Profile |
| 26. | J9267 | Paclitaxel injection | 13,451,978 | $70,876,138 | Explore This Profile |
| 27. | J0885 | Epoetin alfa, non-esrd | 13,162,159 | $374,283,353 | Explore This Profile |
| 28. | 98941 | CHIROPRACT MANJ 3-4 REGIONS | 12,623,458 | $675,838,481 | Explore This Profile |
| 29. | J3301 | Triamcinolone acet inj NOS | 12,600,397 | $124,731,510 | Explore This Profile |
| 30. | J1756 | Iron sucrose injection | 12,298,539 | $19,443,903 | Explore This Profile |
| 31. | 92014 | EYE EXAM&TX ESTAB PT 1/>VST | 11,970,872 | $2,165,013,133 | Explore This Profile |
| 32. | 97530 | THERAPEUTIC ACTIVITIES | 11,900,819 | $705,828,229 | Explore This Profile |
| 33. | 97112 | NEUROMUSCULAR REEDUCATION | 11,871,569 | $704,237,429 | Explore This Profile |
| 34. | A9585 | Gadobutrol injection | 11,862,402 | $33,402,389 | Explore This Profile |
| 35. | 99285 | EMERGENCY DEPT VISIT | 11,470,444 | $12,197,902,558 | Explore This Profile |
| 36. | 99212 | OFFICE/OUTPATIENT VISIT EST | 11,466,146 | $949,753,114 | Explore This Profile |
| 37. | 71020 | Chest x-ray 2vw frontal&latl | 11,385,276 | $617,060,681 | Explore This Profile |
| 38. | 93000 | ELECTROCARDIOGRAM COMPLETE | 11,189,097 | $715,809,261 | Explore This Profile |
| 39. | 85025 | COMPLETE CBC W/AUTO DIFF WBC | 11,133,462 | $354,593,187 | Explore This Profile |
| 40. | J9299 | Injection, nivolumab | 10,802,842 | $653,575,924 | Explore This Profile |
| 41. | 99308 | NURSING FAC CARE SUBSEQ | 10,269,428 | $1,292,414,484 | Explore This Profile |
| 42. | 99223 | INITIAL HOSPITAL CARE | 10,219,906 | $4,630,105,013 | Explore This Profile |
| 43. | 99203 | OFFICE/OUTPATIENT VISIT NEW | 10,193,122 | $2,156,663,225 | Explore This Profile |
| 44. | 95004 | PERCUT ALLERGY SKIN TESTS | 9,506,647 | $115,560,910 | Explore This Profile |
| 45. | 99204 | OFFICE/OUTPATIENT VISIT NEW | 9,190,963 | $2,972,508,881 | Explore This Profile |
| 46. | 99215 | OFFICE/OUTPATIENT VISIT EST | 9,040,347 | $2,567,729,800 | Explore This Profile |
| 47. | A9575 | Inj gadoterate meglumi 0.1ml | 8,732,252 | $12,460,335 | Explore This Profile |
| 48. | 99309 | NURSING FAC CARE SUBSEQ | 8,672,301 | $1,472,795,237 | Explore This Profile |
| 49. | J0641 | Inj., levoleucovorin, 0.5 mg | 8,621,211 | $36,456,919 | Explore This Profile |
| 50. | 96372 | THER/PROPH/DIAG INJ SC/IM | 8,333,190 | $408,238,599 | Explore This Profile |
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.