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Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Investigations
  3. Most Expensive Medicare Procedures
Analysis

The Most Expensive Medicare Procedures in 2023

Published February 2026 · 10 min read

Key Finding

Office visits (99214) are Medicare's most expensive procedure by total spending at $73.3B over 10 years. But the most expensive procedures per service are drug injections and complex surgeries costing thousands per administration.

Top 20 by Total Medicare Payments

These are the 20 procedure codes that have cost Medicare the most over the past decade (2014-2023). Volume matters: a $73 office visit performed nearly a billion times outspends a $1,800 injection.

#CodeDescriptionTotal PaymentsAvg/ServiceServices
199214Established patient office or other outpatient, visit typically 25 minutes$73.3B$72.68974.7M
299213Established patient office or other outpatient visit, typically 15 minutes$44.4B$49.50870.5M
399232Subsequent hospital inpatient care, typically 25 minutes per day$24.3B$56.54425.2M
4💊 J0178Injection, aflibercept, 1 mg$19.7B$741.3126.8M
599233Subsequent hospital inpatient care, typically 35 minutes per day$19.2B$82.48230.1M
666984Removal of cataract with insertion of lens$16.3B$349.7474.2M
7A0427Ambulance service, advanced life support, emergency transport, level 1 (als1-emergency)$15.8B$351.6945.6M
899223Initial hospital inpatient care, typically 70 minutes per day$15.2B$154.5698.0M
999285Emergency department visit, problem with significant threat to life or function$14.2B$133.79103.9M
1099204New patient office or other outpatient visit, typically 45 minutes$10.9B$111.3896.1M
1197110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$10.9B$20.02545.8M
1299215Established patient office or other outpatient, visit typically 40 minutes$10.1B$104.4393.9M
1399291Critical care delivery critically ill or injured patient, first 30-74 minutes$9.6B$176.4954.2M
1492014Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits$9.3B$79.09111.2M
15A0429Ambulance service, basic life support, emergency transport (bls-emergency)$8.3B$296.9127.8M
16G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$8.2B$114.8270.3M
17A0425Ground mileage, per statute mile$8.1B$6.791.3B
18A0428Ambulance service, basic life support, non-emergency transport, (bls)$8.0B$177.9947.0M
19💊 J2778Injection, ranibizumab, 0.1 mg$7.8B$269.9828.4M
2088305Pathology examination of tissue using a microscope, intermediate complexity$7.3B$33.41188.8M

Volume vs. Unit Cost: Two Different Stories

The total payments table is dominated by office visits and evaluation codes — services performed hundreds of millions of times. But if you sort by cost per service, the picture changes dramatically. The most expensive individual services are drug injections, chemotherapy administrations, and complex surgical procedures.

Top 20 by Average Cost Per Service

These are the most expensive procedures on a per-service basis (minimum 1,000 providers to exclude rare one-off codes):

#CodeDescriptionAvg/ServiceTotal PaymentsProviders
137227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure$8.5K$1.1B3.7K
2C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants$5.0K$213.7M1.1K
337229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure$5.0K$1.5B5.5K
463685Insertion of spinal neurostimulator pulse generator or receiver$4.7K$1.3B10.2K
537225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure$4.5K$1.3B7.7K
636906Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation$4.1K$211.5M1.8K
7A0431Ambulance service, conventional air services, transport, one way (rotary wing)$3.8K$2.5B3.1K
864590Insertion or replacement of peripheral or gastric neurostimulator generator$3.8K$336.2M3.5K
9V2785Processing, preserving and transporting corneal tissue$3.1K$247.7M2.3K
10💊 J2505Injection, pegfilgrastim, 6 mg$3.0K$2.8B16.4K
1136903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation$2.9K$282.3M2.6K
1237238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation$2.1K$245.5M3.1K
1336482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance$1.5K$338.2M3.6K
1464561Insertion of sacral nerve neurostimulator electrodes, accessed through the skin$1.4K$202.3M3.0K
1536905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation$1.4K$284.7M4.8K
1663650Implantation of spinal neurostimulator electrodes, accessed through the skin$1.3K$1.1B12.4K
1733405Replacement of left lower heart chamber valve using artificial valve on heart-lung machine$1.2K$223.6M9.2K
1836465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance$1.2K$293.8M3.5K
1933285Insertion of heart rhythm monitor under skin$1.1K$270.8M7.9K
2065778Insertion of amniotic membrane to eye surface$1.1K$255.2M3.8K

The Drug Factor

Physician-administered drugs (Part B drugs) account for $85.5B of total Medicare procedure spending (11.2%). These are drugs given in a doctor's office or outpatient setting — not prescriptions you fill at a pharmacy.

The biggest single drug by Medicare spending is aflibercept (Eylea), an eye injection used to treat macular degeneration. At roughly $1,850 per injection, administered every 4-8 weeks, it has cost Medicare billions. Ophthalmologists who administer it receive both the drug cost and an administration fee.

Other high-cost Part B drugs include chemotherapy agents (pembrolizumab, nivolumab), rheumatoid arthritis biologics (infliximab), and osteoporosis treatments (denosumab).

Read more: Follow the Drug Money →

The Office Visit Economy

Despite all the attention on expensive drugs and procedures, the humble office visit remains Medicare's single largest cost center. Code 99214 (established patient visit, ~25 minutes) alone accounts for $73.3B — more than any drug, surgery, or imaging code.

This reflects the sheer scale of primary care: nearly a billion 99214 visits over 10 years. The average payment of about $73 per visit seems modest, but multiplied by volume, it dwarfs most individual high-cost procedures.

Read more: The Office Visit Economy →

Related Reading

Browse All Procedures
Payment data for every Medicare procedure code
Follow the Drug Money
$94B pharmaceutical pipeline
Eye Care Billions
Ophthalmology's outsized Medicare share
The Office Visit Economy
Medicare's bread and butter

Related Investigations

🏢 The $117B Office Visit Economy💊 Follow the Drug Money👁️ The Billion-Dollar Eye Care Industry📋 Browse All Procedures
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Data Sources

  • • CMS Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule (MPFS)
  • • CMS Part B Drug Spending Dashboard

Last Updated: February 2026 (data through 2023)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.