The recessed installation of transducers in ultrasonic gas flowmeters (USFMs) creates cylindrical transducer cavities that induce local flow distortions and vortex formations, resulting in significant measurement uncertainty. Currently, USFMs with small diameters predominantly rely on conventional bulk-PZT ultrasonic transducers, which are relatively large and hinder the optimization of vortices. Miniaturized piezoelectric micromachined ultrasonic transducers (PMUTs) present an effective solution for mitigating vortex effects; however, their acoustic performance is constrained by the sensor area, resulting in PMUT-based USFMs that fail to meet industrial measurement requirements. This article introduces a small-diameter USFM utilizing a single PMUT element integrated with the specially designed conical transducer cavity. This design effectively reduces the half-power beamwidth (HPBW) of the single PMUT element to one-fifth of its original size and increases the transmit signal amplitude by 7.2 dB. Computational fluid dynamics (CFD) simulations demonstrate that the conical transducer cavity optimizes vortex distribution within the cavity, reducing vortex intensity. The experimental result demonstrates that the proposed USFM achieves an indicated error of less than ±1 % and repeatability of less than 0.5 %, which meets the class 1.5 accuracy level. This design fully complies with the accuracy standards set in GB/T 39841–2021, validating the PMUT-based USFM for industrial flow measurement.