HCPCS and CPT codes by Medicare payment, 2024
Every code billed to Original Medicare Part B, with how many providers bill it and what it paid.
By category
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Evaluation and management | 86 | $29,588,171,097 | 30% | +1.1% | 379,516,432 |
| Other services | 1,404 | $23,073,698,738 | 24% | -2.3% | 644,147,593 |
| Drugs | 516 | $16,633,911,603 | 17% | +18.0% | 1,150,920,698 |
| Procedures | 2,629 | $13,899,320,379 | 14% | +3.0% | 142,083,224 |
| Laboratory | 1,327 | $8,362,216,210 | 8.6% | +9.9% | 328,057,783 |
| Imaging | 509 | $5,732,993,739 | 5.9% | +1.9% | 111,938,038 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Category from the latest CMS drug flag and CPT ranges (see methodology). Data year 2024.
Top 200 codes
The 200 with the most payment of 3,906 codes.
Not listed: 2,565 codes billed by fewer than 11 providers (small cells; each has its own page with the count).
| observed | calculated | calculated | calculated | calculated | calculated | |||
|---|---|---|---|---|---|---|---|---|
| 99214 | Descriptor not shown (CPT code) | Evaluation and management | 498,045 | $8,429,417,260 | 8.7% | 102,377,857 | 107 | |
| 99213 | Descriptor not shown (CPT code) | Evaluation and management | 457,569 | $3,967,726,634 | 4.1% | 67,927,936 | 72 | |
| 99233 | Descriptor not shown (CPT code) | Evaluation and management | 131,573 | $2,041,112,455 | 2.1% | 22,309,090 | 84 | |
| 99232 | Descriptor not shown (CPT code) | Evaluation and management | 176,156 | $2,035,111,446 | 2.1% | 33,827,454 | 81 | |
| J0178 | Injection, aflibercept, 1 mg | Drugs | 3,155 | $1,756,326,820 | 1.8% | 2,690,616 | 559 | |
| 66984 | Descriptor not shown (CPT code) | Procedures | 15,527 | $1,607,135,368 | 1.7% | 6,680,450 | 101 | |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | Other services | 6,857 | $1,522,290,381 | 1.6% | 3,690,907 | 167 | |
| J2777 | Injection, faricimab-svoa, 0.1 mg | Drugs | 2,436 | $1,448,279,182 | 1.5% | 53,010,858 | 13,170 | |
| 99215 | Descriptor not shown (CPT code) | Evaluation and management | 153,625 | $1,424,342,188 | 1.5% | 11,827,816 | 38 | |
| 99204 | Descriptor not shown (CPT code) | Evaluation and management | 232,660 | $1,277,271,515 | 1.3% | 11,508,274 | 32 | |
| 99223 | Descriptor not shown (CPT code) | Evaluation and management | 140,980 | $1,255,751,512 | 1.3% | 9,607,216 | 39 | |
| J9271 | Injection, pembrolizumab, 1 mg | Drugs | 1,922 | $1,242,513,566 | 1.3% | 28,218,856 | 12,400 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Other services | 110,126 | $1,192,324,330 | 1.2% | 10,108,463 | 59 | |
| 99285 | Descriptor not shown (CPT code) | Evaluation and management | 64,318 | $1,175,277,457 | 1.2% | 8,984,062 | 104 | |
| 97110 | Descriptor not shown (CPT code) | Other services | 83,101 | $1,105,910,021 | 1.1% | 63,068,530 | 456 | |
| 99309 | Descriptor not shown (CPT code) | Evaluation and management | 30,091 | $1,101,657,091 | 1.1% | 14,712,800 | 224 | |
| 97530 | Descriptor not shown (CPT code) | Other services | 70,092 | $1,063,442,995 | 1.1% | 43,562,919 | 374 | |
| J0897 | Injection, denosumab, 1 mg | Drugs | 9,797 | $978,864,123 | 1.0% | 48,156,716 | 2,760 | |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | Other services | 7,742 | $914,248,770 | 0.94% | 2,598,660 | 100 | |
| 99291 | Descriptor not shown (CPT code) | Evaluation and management | 73,484 | $897,202,650 | 0.92% | 5,457,118 | 44 | |
| 92014 | Descriptor not shown (CPT code) | Other services | 35,261 | $760,787,596 | 0.78% | 9,164,899 | 124 | |
| A0425 | Ground mileage, per statute mile | Other services | 8,929 | $741,833,528 | 0.76% | 98,427,741 | 2,876 | |
| 88305 | Descriptor not shown (CPT code) | Laboratory | 14,573 | $707,769,609 | 0.73% | 18,351,551 | 490 | |
| 97112 | Descriptor not shown (CPT code) | Other services | 67,834 | $706,760,086 | 0.73% | 33,792,592 | 311 | |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | Drugs | 288 | $676,084,642 | 0.69% | 652,199 | 990 | |
| 91320 | Descriptor not shown (CPT code) | Drugs | 36,800 | $663,520,364 | 0.68% | 4,506,697 | 59 | |
| 27447 | Descriptor not shown (CPT code) | Procedures | 12,116 | $642,183,012 | 0.66% | 533,707 | 31 | |
| 99308 | Descriptor not shown (CPT code) | Evaluation and management | 26,213 | $618,183,045 | 0.64% | 11,622,162 | 157 | |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | Other services | 2,683 | $599,919,046 | 0.62% | 2,897,867 | 177 | |
| 81479 | Descriptor not shown (CPT code) | Laboratory | 76 | $572,066,288 | 0.59% | 232,621 | 201 | |
| 93306 | Descriptor not shown (CPT code) | Other services | 24,796 | $569,011,003 | 0.58% | 6,743,227 | 217 | |
| 91322 | Descriptor not shown (CPT code) | Drugs | 31,346 | $564,768,020 | 0.58% | 3,668,923 | 54 | |
| 99203 | Descriptor not shown (CPT code) | Evaluation and management | 155,883 | $538,312,723 | 0.55% | 7,685,964 | 31 | |
| 99222 | Descriptor not shown (CPT code) | Evaluation and management | 115,957 | $528,263,761 | 0.54% | 5,366,122 | 27 | |
| 90662 | Descriptor not shown (CPT code) | Drugs | 70,747 | $524,368,452 | 0.54% | 6,486,542 | 46 | |
| Q4271 | Complete ft, per square centimeter | Drugs | 128 | $492,819,395 | 0.51% | 373,674 | 1,758 | |
| J0177 | Injection, aflibercept hd, 1 mg | Drugs | 1,392 | $478,021,052 | 0.49% | 1,820,837 | 776 | |
| 45385 | Descriptor not shown (CPT code) | Procedures | 16,464 | $456,555,338 | 0.47% | 1,528,359 | 56 | |
| Q4275 | Esano aca, per square centimeter | Other services | 46 | $455,714,917 | 0.47% | 218,147 | 2,604 | |
| 99239 | Descriptor not shown (CPT code) | Evaluation and management | 64,431 | $454,832,692 | 0.47% | 5,221,363 | 57 | |
| 97140 | Descriptor not shown (CPT code) | Other services | 67,054 | $450,466,794 | 0.46% | 28,359,909 | 253 | |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | Drugs | 1,247 | $440,285,869 | 0.45% | 13,105,162 | 8,300 | |
| 87798 | Descriptor not shown (CPT code) | Laboratory | 1,416 | $436,743,071 | 0.45% | 12,712,408 | 832 | |
| 17311 | Descriptor not shown (CPT code) | Procedures | 3,051 | $417,113,225 | 0.43% | 933,225 | 237 | |
| 78815 | Descriptor not shown (CPT code) | Imaging | 6,683 | $395,726,973 | 0.41% | 816,970 | 61 | |
| 77067 | Descriptor not shown (CPT code) | Imaging | 14,871 | $392,144,937 | 0.40% | 6,023,902 | 204 | |
| 99205 | Descriptor not shown (CPT code) | Evaluation and management | 67,958 | $377,969,743 | 0.39% | 2,462,628 | 25 | |
| 99284 | Descriptor not shown (CPT code) | Evaluation and management | 65,448 | $374,843,174 | 0.39% | 4,389,227 | 53 | |
| 90677 | Descriptor not shown (CPT code) | Drugs | 44,623 | $374,165,365 | 0.38% | 1,299,916 | 19 | |
| 90837 | Descriptor not shown (CPT code) | Other services | 15,804 | $372,578,448 | 0.38% | 3,792,555 | 182 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Descriptions of HCPCS Level II codes are the official CMS descriptors, shown verbatim; CPT codes show a ClaimLight category in place of the descriptor. Data year 2024.
Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed