Drugs codes by Medicare payment, 2022

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

416
of 6,326 codes · 2022
$11.2B
13% of all code payment · 2022
871.9M
35% of all services on codes · 2022
J0178
$2.65B paid, 24% of category payment · 2022
+4.9%
Medicare payment on the code vs 2021 · 2022

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
J0178Injection, aflibercept, 1 mg3,143$2,653,616,69724%3,716,326822
J9271Injection, pembrolizumab, 1 mg1,729$1,047,455,6309.4%25,195,37212,400
J0897Injection, denosumab, 1 mg10,191$804,559,5107.2%47,552,6052,640
J2778Injection, ranibizumab, 0.1 mg1,406$597,487,1835.3%2,693,736945
90662Descriptor not shown (CPT code)79,425$506,624,7024.5%7,521,60751
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)1,193$432,792,6023.9%12,592,7188,175
90694Descriptor not shown (CPT code)47,284$271,589,4512.4%3,966,49645
90677Descriptor not shown (CPT code)32,501$238,605,8772.1%868,79218
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)815$232,670,2952.1%51,914,53148,000
Q4253Zenith amniotic membrane, per square centimeter104$230,450,6232.1%319,9831,352
J9299Injection, nivolumab, 1 mg501$206,567,7161.8%9,036,67914,620
J1602Injection, golimumab, 1 mg, for intravenous use974$198,178,2211.8%17,031,17812,501
J0585Injection, onabotulinumtoxina, 1 unit3,544$194,920,8091.7%40,916,2987,255
J1745Injection, infliximab, excludes biosimilar, 10 mg1,367$160,694,6281.4%5,713,7032,920
J9144Injection, daratumumab, 10 mg and hyaluronidase-fihj373$134,759,0911.2%3,744,3108,100
J2777Injection, faricimab-svoa, 0.1 mg931$116,064,0821.0%3,908,5842,760
J3262Injection, tocilizumab, 1 mg519$108,431,8280.97%23,690,00235,240
J3111Injection, romosozumab-aqqg, 1 mg742$107,565,0030.96%14,408,67913,860
J3380Injection, vedolizumab, intravenous, 1 mg544$104,791,2570.94%6,101,1498,100
J2357Injection, omalizumab, 5 mg577$104,463,8330.93%3,547,7084,395
J2785Injection, regadenoson, 0.1 mg6,358$102,310,0700.91%2,139,727212
J9312Injection, rituximab, 10 mg364$94,170,4290.84%1,446,2683,300
J9217Leuprolide acetate (for depot suspension), 7.5 mg4,100$90,883,9490.81%659,032127
J3245Injection, tildrakizumab, 1 mg160$78,857,6400.71%729,7163,850
J2350Injection, ocrelizumab, 1 mg102$78,177,2940.70%1,829,51013,500
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose2,030$77,731,1530.70%105,66833
Q4197Puraply xt, per square centimeter131$77,359,5130.69%369,8541,775
J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg465$74,160,9230.66%2,277,5983,230
J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg389$72,656,2330.65%2,045,6933,680
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg973$68,893,2750.62%5,826,9163,025
Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter58$60,085,6750.54%133,6781,378
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)1,122$54,134,2580.48%21,544,19012,725
J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg847$53,858,1790.48%430,820420
J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg163$47,930,5090.43%1,381,0164,460
J1439Injection, ferric carboxymaltose, 1 mg1,191$41,554,4330.37%47,076,70228,500
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,262$36,991,4960.33%2,755,6411,312
J0517Injection, benralizumab, 1 mg181$36,957,7980.33%282,5111,321
Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg415$36,822,6280.33%988,9082,010
90732Descriptor not shown (CPT code)13,931$36,799,2870.33%286,25115
J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose1,260$34,810,3410.31%58,39431
Q4173Palingen or palingen xplus, per square centimeter50$34,571,5690.31%96,5281,392
Q4158Kerecis omega3, per square centimeter47$33,163,7230.30%90,113982
J9035Injection, bevacizumab, 10 mg1,925$32,433,2250.29%638,418150
J2182Injection, mepolizumab, 1 mg176$31,822,9810.28%1,408,9626,455
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)1,430$31,290,8430.28%48,530,88822,950
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg1,025$29,131,6860.26%2,920,7531,750
J0885Injection, epoetin alfa, (for non-esrd use), 1000 units915$27,116,7920.24%4,253,9682,920
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg596$26,969,0570.24%1,297,0811,537
J1556Injection, immune globulin (bivigam), 500 mg49$26,853,0270.24%483,9234,460
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,059$26,487,6370.24%2,479,3841,680

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