Drugs codes by Medicare payment, 2022
Every code billed to Original Medicare Part B, with how many providers bill it and what it paid.
Top 200 drugs codes
The 200 with the most payment of 275 codes.
Not listed: 141 codes billed by fewer than 11 providers (small cells; each has its own page with the count).
| observed | calculated | calculated | calculated | calculated | calculated | ||
|---|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 3,143 | $2,653,616,697 | 24% | 3,716,326 | 822 | |
| J9271 | Injection, pembrolizumab, 1 mg | 1,729 | $1,047,455,630 | 9.4% | 25,195,372 | 12,400 | |
| J0897 | Injection, denosumab, 1 mg | 10,191 | $804,559,510 | 7.2% | 47,552,605 | 2,640 | |
| J2778 | Injection, ranibizumab, 0.1 mg | 1,406 | $597,487,183 | 5.3% | 2,693,736 | 945 | |
| 90662 | Descriptor not shown (CPT code) | 79,425 | $506,624,702 | 4.5% | 7,521,607 | 51 | |
| 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) | 1,193 | $432,792,602 | 3.9% | 12,592,718 | 8,175 | |
| 90694 | Descriptor not shown (CPT code) | 47,284 | $271,589,451 | 2.4% | 3,966,496 | 45 | |
| 90677 | Descriptor not shown (CPT code) | 32,501 | $238,605,877 | 2.1% | 868,792 | 18 | |
| J0717 | Injection, 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) | 815 | $232,670,295 | 2.1% | 51,914,531 | 48,000 | |
| Q4253 | Zenith amniotic membrane, per square centimeter | 104 | $230,450,623 | 2.1% | 319,983 | 1,352 | |
| J9299 | Injection, nivolumab, 1 mg | 501 | $206,567,716 | 1.8% | 9,036,679 | 14,620 | |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 974 | $198,178,221 | 1.8% | 17,031,178 | 12,501 | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 3,544 | $194,920,809 | 1.7% | 40,916,298 | 7,255 | |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1,367 | $160,694,628 | 1.4% | 5,713,703 | 2,920 | |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 373 | $134,759,091 | 1.2% | 3,744,310 | 8,100 | |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 931 | $116,064,082 | 1.0% | 3,908,584 | 2,760 | |
| J3262 | Injection, tocilizumab, 1 mg | 519 | $108,431,828 | 0.97% | 23,690,002 | 35,240 | |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 742 | $107,565,003 | 0.96% | 14,408,679 | 13,860 | |
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 544 | $104,791,257 | 0.94% | 6,101,149 | 8,100 | |
| J2357 | Injection, omalizumab, 5 mg | 577 | $104,463,833 | 0.93% | 3,547,708 | 4,395 | |
| J2785 | Injection, regadenoson, 0.1 mg | 6,358 | $102,310,070 | 0.91% | 2,139,727 | 212 | |
| J9312 | Injection, rituximab, 10 mg | 364 | $94,170,429 | 0.84% | 1,446,268 | 3,300 | |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 4,100 | $90,883,949 | 0.81% | 659,032 | 127 | |
| J3245 | Injection, tildrakizumab, 1 mg | 160 | $78,857,640 | 0.71% | 729,716 | 3,850 | |
| J2350 | Injection, ocrelizumab, 1 mg | 102 | $78,177,294 | 0.70% | 1,829,510 | 13,500 | |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 2,030 | $77,731,153 | 0.70% | 105,668 | 33 | |
| Q4197 | Puraply xt, per square centimeter | 131 | $77,359,513 | 0.69% | 369,854 | 1,775 | |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 465 | $74,160,923 | 0.66% | 2,277,598 | 3,230 | |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 389 | $72,656,233 | 0.65% | 2,045,693 | 3,680 | |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 973 | $68,893,275 | 0.62% | 5,826,916 | 3,025 | |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 58 | $60,085,675 | 0.54% | 133,678 | 1,378 | |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 1,122 | $54,134,258 | 0.48% | 21,544,190 | 12,725 | |
| J2506 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | 847 | $53,858,179 | 0.48% | 430,820 | 420 | |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 163 | $47,930,509 | 0.43% | 1,381,016 | 4,460 | |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 1,191 | $41,554,433 | 0.37% | 47,076,702 | 28,500 | |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1,262 | $36,991,496 | 0.33% | 2,755,641 | 1,312 | |
| J0517 | Injection, benralizumab, 1 mg | 181 | $36,957,798 | 0.33% | 282,511 | 1,321 | |
| Q5119 | Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg | 415 | $36,822,628 | 0.33% | 988,908 | 2,010 | |
| 90732 | Descriptor not shown (CPT code) | 13,931 | $36,799,287 | 0.33% | 286,251 | 15 | |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 1,260 | $34,810,341 | 0.31% | 58,394 | 31 | |
| Q4173 | Palingen or palingen xplus, per square centimeter | 50 | $34,571,569 | 0.31% | 96,528 | 1,392 | |
| Q4158 | Kerecis omega3, per square centimeter | 47 | $33,163,723 | 0.30% | 90,113 | 982 | |
| J9035 | Injection, bevacizumab, 10 mg | 1,925 | $32,433,225 | 0.29% | 638,418 | 150 | |
| J2182 | Injection, mepolizumab, 1 mg | 176 | $31,822,981 | 0.28% | 1,408,962 | 6,455 | |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 1,430 | $31,290,843 | 0.28% | 48,530,888 | 22,950 | |
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 1,025 | $29,131,686 | 0.26% | 2,920,753 | 1,750 | |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 915 | $27,116,792 | 0.24% | 4,253,968 | 2,920 | |
| J7322 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | 596 | $26,969,057 | 0.24% | 1,297,081 | 1,537 | |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 49 | $26,853,027 | 0.24% | 483,923 | 4,460 | |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,059 | $26,487,637 | 0.24% | 2,479,384 | 1,680 |
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 2022.
Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed