Most Used Outpatient CPT Codes
Outpatient reimbursement performance is often shaped by a concentrated set of E/M, diagnostic, and minor procedural services. Teams that standardize workflows around high-use outpatient services usually improve both coding quality and collection cycle time.
Data sourced from CMS Physician Fee Schedule.
Based on national non-facility rates (toggle available for facility rates).
Updated for 2026.
Last updated: March 2026.
Table
Tip: click column headers to sort and use the Facility vs Non-Facility toggle.
| 99214 | Office/outpatient visit established | 100 | $135.61 |
| 99213 | Office/outpatient visit established | 97.7 | $95.19 |
| 71046 | Chest X-ray, 2 views | 95.4 | $33.07 |
| 93000 | Electrocardiogram with interpretation | 93.1 | $15.36 |
| 20610 | Major joint injection | 90.8 | $68.81 |
| 36415 | Collection of venous blood | 88.5 | $0.00 |
| 99203 | Office/outpatient visit new | 86.2 | $117.57 |
| 99204 | Office/outpatient visit new | 83.9 | $177.36 |
| 17000 | Destroy premalignant lesion, first | 81.6 | $66.47 |
| 17003 | Each additional premalignant lesion | 79.3 | $6.35 |
| 11102 | Tangential biopsy, single lesion | 77 | $95.53 |
| 17110 | Destroy benign lesions, up to 14 | 74.7 | $111.22 |
| 12032 | Intermediate repair, scalp/extremities | 72.4 | $299.94 |
| 27130 | Total hip arthroplasty | 70.1 | $1,162.02 |
| 27447 | Total knee arthroplasty | 67.8 | $1,159.35 |
| 47562 | Laparoscopic cholecystectomy | 65.5 | $631.95 |
| 45385 | Colonoscopy with lesion removal | 63.2 | $500.01 |
| 64483 | Transforaminal epidural injection | 60.9 | $264.87 |
| 76856 | Pelvic ultrasound non-obstetric | 58.6 | $105.21 |
| 11721 | Debridement of nails, 6+ | 56.3 | $45.09 |
| 81001 | Urinalysis automated with microscopy | 54 | $0.00 |
| 81002 | Urinalysis, non-automated | 51.7 | $0.00 |
| 22612 | Posterior lumbar fusion | 49.4 | $1,467.64 |
| 33533 | CABG, single arterial graft | 47.1 | $1,757.89 |
| 48150 | Pancreaticoduodenectomy | 44.8 | $2,871.14 |
Insights
- Outpatient claim flow is typically anchored by E/M services.
- Ancillary diagnostics remain persistent throughput contributors.
- Medical necessity and modifier quality are recurring success factors.
Why This Matters for Reimbursement Strategy
Outpatient CPT benchmark pages are popular references in ambulatory operations blogs, healthcare software content libraries, and reimbursement training hubs.
This page is suitable for backlinking from articles on clinic throughput, denial prevention, and charge capture optimization.
