Other services 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 other services codes
The 200 with the most payment of 946 codes.
Not listed: 439 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) | 6,882 | $1,444,134,304 | 6.2% | 3,909,857 | 173 | |
| 97110 | Descriptor not shown (CPT code) | 75,743 | $1,133,177,054 | 4.8% | 60,746,214 | 498 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 101,394 | $1,107,411,151 | 4.7% | 9,213,052 | 59 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 32,223 | $1,053,891,540 | 4.5% | 92,795,222 | 762 | |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,891 | $830,873,614 | 3.5% | 2,634,202 | 105 | |
| 92014 | Descriptor not shown (CPT code) | 35,586 | $776,538,904 | 3.3% | 9,275,347 | 124 | |
| 97530 | Descriptor not shown (CPT code) | 54,839 | $740,010,645 | 3.2% | 28,534,153 | 310 | |
| A0425 | Ground mileage, per statute mile | 8,990 | $702,563,928 | 3.0% | 102,907,432 | 3,114 | |
| 93306 | Descriptor not shown (CPT code) | 24,605 | $585,247,587 | 2.5% | 6,632,392 | 216 | |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,897 | $582,686,428 | 2.5% | 3,176,450 | 214 | |
| 97112 | Descriptor not shown (CPT code) | 56,003 | $551,711,341 | 2.4% | 24,323,444 | 267 | |
| 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 | 3,546 | $493,149,136 | 2.1% | 6,649,680 | 33 | |
| 97140 | Descriptor not shown (CPT code) | 62,525 | $465,791,362 | 2.0% | 27,835,618 | 277 | |
| 90960 | Descriptor not shown (CPT code) | 6,814 | $390,094,256 | 1.7% | 1,368,457 | 168 | |
| 90837 | Descriptor not shown (CPT code) | 14,936 | $353,404,091 | 1.5% | 3,604,735 | 181 | |
| 98941 | Descriptor not shown (CPT code) | 27,146 | $341,100,562 | 1.5% | 12,346,537 | 319 | |
| G0008 | Administration of influenza virus vaccine | 125,569 | $338,925,439 | 1.4% | 13,192,150 | 52 | |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 1,448 | $323,482,768 | 1.4% | 1,097,992 | 530 | |
| 93229 | Descriptor not shown (CPT code) | 1,757 | $291,522,475 | 1.2% | 329,275 | 31 | |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 335 | $269,695,821 | 1.2% | 66,895 | 88 | |
| 92012 | Descriptor not shown (CPT code) | 18,426 | $237,424,498 | 1.0% | 3,704,227 | 86 | |
| 92134 | Descriptor not shown (CPT code) | 25,870 | $223,087,277 | 0.95% | 7,624,132 | 66 | |
| 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 | 842 | $194,410,395 | 0.83% | 1,021,249 | 715 | |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within | 3,802 | $193,861,115 | 0.83% | 7,841,589 | 36 | |
| 0124A | Descriptor not shown (CPT code) | 38,515 | $177,531,376 | 0.76% | 4,527,553 | 59 | |
| 96413 | Descriptor not shown (CPT code) | 7,300 | $166,447,793 | 0.71% | 1,550,193 | 147 | |
| 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 | 1,217 | $166,039,776 | 0.71% | 684,475 | 100 | |
| 90834 | Descriptor not shown (CPT code) | 11,741 | $165,178,475 | 0.71% | 2,428,884 | 128 | |
| 92004 | Descriptor not shown (CPT code) | 27,219 | $164,634,257 | 0.70% | 1,720,092 | 38 | |
| 93880 | Descriptor not shown (CPT code) | 22,336 | $160,788,650 | 0.69% | 1,674,441 | 41 | |
| 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 | 710 | $153,549,774 | 0.66% | 2,071,362 | 104 | |
| 0064A | Descriptor not shown (CPT code) | 31,533 | $149,729,382 | 0.64% | 3,764,907 | 63 | |
| 00142 | Descriptor not shown (CPT code) | 20,263 | $138,829,678 | 0.59% | 1,744,985 | 35 | |
| 0134A | Descriptor not shown (CPT code) | 27,512 | $129,224,758 | 0.55% | 3,299,650 | 61 | |
| 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 | 3,296 | $123,171,273 | 0.53% | 1,214,764 | 131 | |
| A0436 | Rotary wing air mileage, per statute mile | 335 | $122,724,913 | 0.52% | 4,430,000 | 5,778 | |
| 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 | 1,696 | $120,409,493 | 0.51% | 617,182 | 89 | |
| 92083 | Descriptor not shown (CPT code) | 25,281 | $113,133,658 | 0.48% | 2,616,389 | 52 | |
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | 285 | $110,401,865 | 0.47% | 722,810 | 787 | |
| 90961 | Descriptor not shown (CPT code) | 6,514 | $107,758,472 | 0.46% | 460,849 | 49 | |
| 97161 | Descriptor not shown (CPT code) | 34,013 | $107,363,788 | 0.46% | 1,439,378 | 31 | |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1,199 | $107,044,087 | 0.46% | 254,279 | 124 | |
| 93970 | Descriptor not shown (CPT code) | 21,730 | $104,798,754 | 0.45% | 1,427,861 | 36 | |
| 93000 | Descriptor not shown (CPT code) | 72,023 | $102,667,958 | 0.44% | 9,848,419 | 37 | |
| 00731 | Descriptor not shown (CPT code) | 38,935 | $101,236,341 | 0.43% | 1,176,690 | 21 | |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 8,623 | $98,638,928 | 0.42% | 380,903 | 27 | |
| 93010 | Descriptor not shown (CPT code) | 51,536 | $97,957,674 | 0.42% | 15,552,982 | 121 | |
| 00811 | Descriptor not shown (CPT code) | 29,935 | $95,247,650 | 0.41% | 1,145,400 | 22 | |
| 0054A | Descriptor not shown (CPT code) | 27,819 | $94,758,137 | 0.40% | 2,369,878 | 38 | |
| J3590 | Unclassified biologics | 827 | $91,083,306 | 0.39% | 187,249 | 105 |
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