Other services codes by Medicare payment, 2020
Every code billed to Original Medicare Part B, with how many providers bill it and what it paid.
Top 200 other services codes
The 200 with the most payment of 886 codes.
Not listed: 395 codes billed by fewer than 11 providers (small cells; each has its own page with the count).
| observed | calculated | calculated | calculated | calculated | calculated | ||
|---|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,952 | $1,458,570,191 | 7.0% | 4,146,263 | 179 | |
| 97110 | Descriptor not shown (CPT code) | 64,571 | $960,189,403 | 4.6% | 47,795,505 | 463 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 91,502 | $917,643,170 | 4.4% | 7,968,825 | 55 | |
| 92014 | Descriptor not shown (CPT code) | 36,885 | $868,185,817 | 4.2% | 10,309,822 | 133 | |
| A0425 | Ground mileage, per statute mile | 9,105 | $784,399,287 | 3.8% | 121,513,493 | 3,347 | |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,010 | $775,594,649 | 3.7% | 2,577,083 | 102 | |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,057 | $725,795,555 | 3.5% | 4,338,292 | 283 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 2,130 | $719,559,418 | 3.5% | 7,216,396 | 33 | |
| 93306 | Descriptor not shown (CPT code) | 24,804 | $586,689,450 | 2.8% | 6,362,987 | 205 | |
| 90960 | Descriptor not shown (CPT code) | 7,360 | $495,091,415 | 2.4% | 2,151,849 | 239 | |
| 97530 | Descriptor not shown (CPT code) | 38,619 | $461,229,754 | 2.2% | 16,295,948 | 245 | |
| 97140 | Descriptor not shown (CPT code) | 54,252 | $396,619,998 | 1.9% | 22,262,856 | 264 | |
| 97112 | Descriptor not shown (CPT code) | 42,373 | $376,172,998 | 1.8% | 15,425,332 | 221 | |
| 90837 | Descriptor not shown (CPT code) | 16,183 | $358,101,857 | 1.7% | 3,880,208 | 180 | |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 1,451 | $334,995,677 | 1.6% | 1,146,266 | 540 | |
| 98941 | Descriptor not shown (CPT code) | 26,198 | $321,660,377 | 1.5% | 11,193,445 | 297 | |
| 92012 | Descriptor not shown (CPT code) | 22,800 | $309,495,999 | 1.5% | 4,967,341 | 106 | |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 320 | $251,697,874 | 1.2% | 65,035 | 92 | |
| G0008 | Administration of influenza virus vaccine | 135,184 | $231,384,852 | 1.1% | 15,322,668 | 57 | |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 1,241 | $220,063,830 | 1.1% | 902,543 | 125 | |
| 93229 | Descriptor not shown (CPT code) | 1,333 | $195,164,263 | 0.94% | 275,793 | 29 | |
| 96413 | Descriptor not shown (CPT code) | 7,264 | $195,032,293 | 0.94% | 1,768,325 | 172 | |
| 90834 | Descriptor not shown (CPT code) | 15,042 | $194,207,589 | 0.93% | 3,100,980 | 130 | |
| 92134 | Descriptor not shown (CPT code) | 23,475 | $192,746,913 | 0.93% | 6,484,022 | 59 | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 723 | $178,691,334 | 0.86% | 1,790,180 | 55 | |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a | 2,174 | $178,661,850 | 0.86% | 1,124,039 | 310 | |
| 93880 | Descriptor not shown (CPT code) | 23,510 | $165,004,472 | 0.79% | 1,725,374 | 41 | |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm | 689 | $158,823,912 | 0.76% | 871,339 | 694 | |
| 92004 | Descriptor not shown (CPT code) | 26,970 | $155,657,962 | 0.75% | 1,617,070 | 37 | |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 1,548 | $125,069,410 | 0.60% | 637,369 | 101 | |
| 90961 | Descriptor not shown (CPT code) | 7,234 | $123,380,066 | 0.59% | 645,292 | 60 | |
| 00142 | Descriptor not shown (CPT code) | 19,075 | $122,297,038 | 0.59% | 1,495,395 | 33 | |
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | 285 | $115,974,852 | 0.56% | 843,741 | 896 | |
| A0436 | Rotary wing air mileage, per statute mile | 320 | $113,108,698 | 0.54% | 4,263,272 | 6,109 | |
| 93000 | Descriptor not shown (CPT code) | 71,003 | $108,098,397 | 0.52% | 8,770,657 | 37 | |
| 93010 | Descriptor not shown (CPT code) | 52,020 | $104,809,072 | 0.50% | 15,766,512 | 123 | |
| 00731 | Descriptor not shown (CPT code) | 37,675 | $104,524,602 | 0.50% | 1,170,672 | 21 | |
| 92083 | Descriptor not shown (CPT code) | 23,909 | $101,020,072 | 0.49% | 2,297,103 | 49 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 20,871 | $99,114,878 | 0.48% | 591,568 | 19 | |
| 93970 | Descriptor not shown (CPT code) | 21,620 | $96,352,811 | 0.46% | 1,340,026 | 35 | |
| 92250 | Descriptor not shown (CPT code) | 23,277 | $93,301,518 | 0.45% | 2,914,033 | 58 | |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1,053 | $91,953,491 | 0.44% | 216,939 | 132 | |
| 90832 | Descriptor not shown (CPT code) | 9,126 | $91,630,041 | 0.44% | 1,942,009 | 80 | |
| 93458 | Descriptor not shown (CPT code) | 8,289 | $86,067,046 | 0.41% | 396,752 | 36 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 3,067 | $85,748,166 | 0.41% | 900,054 | 116 | |
| 92928 | Descriptor not shown (CPT code) | 5,273 | $83,661,358 | 0.40% | 186,642 | 27 | |
| 00811 | Descriptor not shown (CPT code) | 26,182 | $82,780,536 | 0.40% | 962,888 | 21 | |
| 0191T | Descriptor not shown (CPT code) | 1,687 | $81,557,512 | 0.39% | 64,164 | 29 | |
| 98940 | Descriptor not shown (CPT code) | 14,262 | $78,672,733 | 0.38% | 3,988,678 | 172 | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 1,409 | $78,399,061 | 0.38% | 700,837 | 99 |
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