ClaimLight
Menu

Drugs codes by Medicare payment, 2020

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

Codes billed
391
of 6,116 codes · 2020
Medicare payment on the code
$10.3B
13% of all code payment · 2020
Services
846.4M
36% of all services on codes · 2020
Largest code
J0178
$2.27B paid, 22% of category payment · 2020

Top 200 drugs codes

The 200 with the most payment of 261 codes.

Not listed: 130 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 mg2,954$2,270,531,86022%3,076,947714
J2778Injection, ranibizumab, 0.1 mg1,474$845,963,5408.2%3,179,518956
J9271Injection, pembrolizumab, 1 mg1,467$753,229,5927.3%19,161,47910,830
J0897Injection, denosumab, 1 mg9,672$696,220,8536.8%45,291,4702,640
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)1,037$490,770,1774.8%11,127,5638,425
90662Descriptor not shown (CPT code)86,650$434,202,4654.2%7,416,98752
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)662$266,528,2482.6%41,410,51946,400
J1745Injection, infliximab, excludes biosimilar, 10 mg1,424$254,958,8892.5%6,192,9933,130
90694Descriptor not shown (CPT code)34,250$249,786,0992.4%4,271,85168
J9312Injection, rituximab, 10 mg935$241,413,5232.3%3,318,8752,920
J2505Injection, pegfilgrastim, 6 mg1,545$240,348,3252.3%78,28439
J9299Injection, nivolumab, 1 mg473$191,923,6831.9%8,734,65315,223
90670Descriptor not shown (CPT code)32,863$181,274,2291.8%808,23218
J1602Injection, golimumab, 1 mg, for intravenous use728$178,399,2371.7%11,424,33211,930
J0585Injection, onabotulinumtoxina, 1 unit3,095$159,380,3431.5%33,780,5927,090
90732Descriptor not shown (CPT code)52,471$153,615,3711.5%1,320,29119
J9217Leuprolide acetate (for depot suspension), 7.5 mg4,554$131,820,6521.3%756,175134
J2357Injection, omalizumab, 5 mg511$99,168,0500.96%3,385,9534,845
J2785Injection, regadenoson, 0.1 mg6,118$94,574,8930.92%2,036,102212
J3262Injection, tocilizumab, 1 mg422$87,948,9960.85%21,567,39345,240
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg876$84,782,2920.82%6,356,6243,450
J9035Injection, bevacizumab, 10 mg2,287$78,218,8310.76%1,322,264175
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)1,214$75,224,3470.73%25,492,07014,093
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose1,652$74,827,1740.73%82,91233
J0179Injection, brolucizumab-dbll, 1 mg501$68,527,8840.67%276,257384
J2350Injection, ocrelizumab, 1 mg95$66,620,7210.65%1,634,46612,601
J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg350$64,929,7490.63%2,022,9034,289
J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg396$64,095,2710.62%2,045,3663,365
J9145Injection, daratumumab, 10 mg206$57,759,4120.56%1,342,3614,580
J3380Injection, vedolizumab, intravenous, 1 mg309$53,854,1000.52%3,406,4037,500
J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg153$47,550,2540.46%1,469,2734,830
J1439Injection, ferric carboxymaltose, 1 mg1,350$46,610,1440.45%53,613,50629,250
J0885Injection, epoetin alfa, (for non-esrd use), 1000 units1,278$45,620,6900.44%5,910,5072,413
J9041Injection, bortezomib, 0.1 mg489$43,404,4820.42%1,225,7162,030
Q4159Affinity, per square centimeter58$41,215,3170.40%61,331776
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)1,318$38,726,9520.38%47,654,56123,970
90682Descriptor not shown (CPT code)13,876$37,403,9710.36%629,56427
J3111Injection, romosozumab-aqqg, 1 mg286$36,589,7550.36%5,119,67512,863
Q5111Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg251$34,385,0460.33%140,545468
J3357Ustekinumab, for subcutaneous injection, 1 mg66$34,194,6860.33%230,8962,138
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg619$34,040,2360.33%1,352,5381,560
Q5107Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg154$29,905,8930.29%598,0062,885
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,088$29,664,6860.29%2,046,8141,152
J2323Injection, natalizumab, 1 mg59$29,415,5160.29%1,854,19517,420
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,867$27,510,8650.27%3,245,2331,248
J7312Injection, dexamethasone, intravitreal implant, 0.1 mg525$25,947,5580.25%165,656252
J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose996$25,901,9250.25%44,13731
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose1,753$25,384,6870.25%242,64089
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose2,052$25,269,5400.25%225,94979
Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units745$25,194,8870.24%3,763,4753,660

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 2020.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed