Drugs codes by Medicare payment, 2024

Every code billed to Original Medicare Part B, with how many providers bill it and what it paid.

516
of 6,471 codes · 2024
$16.6B
17% of all code payment · 2024
1.15B
42% of all services on codes · 2024
J0178
$1.76B paid, 11% of category payment · 2024
+18.0%
Medicare payment on the code vs 2023 · 2024

Top 200 drugs codes

The 200 with the most payment of 320 codes.

Not listed: 196 codes billed by fewer than 11 providers (small cells; each has its own page with the count).

observed calculated calculated calculated calculated calculated
J0178Injection, aflibercept, 1 mg3,155$1,756,326,82011%2,690,616559
J2777Injection, faricimab-svoa, 0.1 mg2,436$1,448,279,1828.7%53,010,85813,170
J9271Injection, pembrolizumab, 1 mg1,922$1,242,513,5667.5%28,218,85612,400
J0897Injection, denosumab, 1 mg9,797$978,864,1235.9%48,156,7162,760
Q4205Membrane graft or membrane wrap, per square centimeter288$676,084,6424.1%652,199990
91320Descriptor not shown (CPT code)36,800$663,520,3644.0%4,506,69759
91322Descriptor not shown (CPT code)31,346$564,768,0203.4%3,668,92354
90662Descriptor not shown (CPT code)70,747$524,368,4523.2%6,486,54246
Q4271Complete ft, per square centimeter128$492,819,3953.0%373,6741,758
J0177Injection, aflibercept hd, 1 mg1,392$478,021,0522.9%1,820,837776
J0129Injection, 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)1,247$440,285,8692.6%13,105,1628,300
90677Descriptor not shown (CPT code)44,623$374,165,3652.2%1,299,91619
J9144Injection, daratumumab, 10 mg and hyaluronidase-fihj765$323,003,5881.9%8,288,7649,000
Q4191Restorigin, per square centimeter135$309,842,5111.9%262,5971,314
J2781Injection, pegcetacoplan, intravitreal, 1 mg857$286,096,5701.7%2,452,9561,845
90653Descriptor not shown (CPT code)43,932$282,893,7561.7%3,476,03641
Q4164Helicoll, per square centimeter60$253,202,0041.5%207,296945
J3111Injection, romosozumab-aqqg, 1 mg1,339$241,453,6801.5%28,416,63414,490
J0585Injection, onabotulinumtoxina, 1 unit3,723$225,551,8591.4%46,383,2307,660
J0717Injection, certolizumab pegol, 1 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)958$220,117,2911.3%61,165,04545,600
J9299Injection, nivolumab, 1 mg441$191,282,2701.1%7,881,79614,180
J1602Injection, golimumab, 1 mg, for intravenous use1,076$178,627,9791.1%19,861,79313,650
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg470$169,309,3921.0%937,3031,124
J3262Injection, tocilizumab, 1 mg722$166,745,5171.0%35,790,55639,770
Q4262Dual layer impax membrane, per square centimeter38$144,140,0400.87%159,311821
J3380Injection, vedolizumab, intravenous, 1 mg746$143,429,2420.86%8,328,8388,100
Q4276Orion, per square centimeter23$141,046,7400.85%132,5811,951
J1745Injection, infliximab, excludes biosimilar, 10 mg1,377$137,038,1100.82%5,576,8572,780
J3245Injection, tildrakizumab, 1 mg265$136,974,2300.82%1,278,4094,100
J2782Injection, avacincaptad pegol, 0.1 mg568$123,286,1450.74%1,429,0671,700
J1306Injection, inclisiran, 1 mg735$117,884,3300.71%12,438,5979,372
J2357Injection, omalizumab, 5 mg617$113,422,2670.68%3,851,8014,785
J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg593$101,026,2850.61%2,848,1013,245
Q4299Amnicore pro+, per square centimeter27$92,247,9110.55%48,872771
Q4239Amnio-maxx or amnio-maxx lite, per square centimeter38$89,761,8210.54%47,039835
J2778Injection, ranibizumab, 0.1 mg753$86,529,6570.52%689,609450
J9312Injection, rituximab, 10 mg336$76,913,5510.46%1,277,5883,200
J2350Injection, ocrelizumab, 1 mg96$74,686,0700.45%1,718,39113,500
Q4238Derm-maxx, per square centimeter34$72,887,5820.44%81,7451,853
J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg447$70,990,9650.43%1,950,7712,940
J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg206$69,731,7440.42%1,819,3674,318
J9217Leuprolide acetate (for depot suspension), 7.5 mg3,290$68,531,5880.41%495,106120
Q4295Amnio tri-core amniotic, per square centimeter30$62,702,8770.38%39,923810
J1437Injection, ferric derisomaltose, 10 mg969$59,095,3560.36%3,751,1572,700
Q4221Amniowrap2, per square centimeter19$56,747,5690.34%40,6661,566
Q4290Membrane wrap-hydro, per square centimeter27$51,464,8340.31%33,873456
J2356Injection, tezepelumab-ekko, 1 mg206$49,939,3750.30%3,539,99813,860
Q4282Cygnus dual, per square centimeter58$48,397,8960.29%78,519683
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)1,179$46,586,0770.28%20,179,03811,915
Q4294Amnio quad-core, per square centimeter21$42,571,5480.26%24,158900

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