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.

1,385
of 6,326 codes · 2022
$23.4B
26% of all code payment · 2022
715.4M
28% of all services on codes · 2022
A0427
$1.44B paid, 6% of category payment · 2022
-4.9%
Medicare payment on the code vs 2021 · 2022

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
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)6,882$1,444,134,3046.2%3,909,857173
97110Descriptor not shown (CPT code)75,743$1,133,177,0544.8%60,746,214498
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit101,394$1,107,411,1514.7%9,213,05259
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count32,223$1,053,891,5404.5%92,795,222762
A0429Ambulance service, basic life support, emergency transport (bls-emergency)7,891$830,873,6143.5%2,634,202105
92014Descriptor not shown (CPT code)35,586$776,538,9043.3%9,275,347124
97530Descriptor not shown (CPT code)54,839$740,010,6453.2%28,534,153310
A0425Ground mileage, per statute mile8,990$702,563,9283.0%102,907,4323,114
93306Descriptor not shown (CPT code)24,605$585,247,5872.5%6,632,392216
A0428Ambulance service, basic life support, non-emergency transport, (bls)2,897$582,686,4282.5%3,176,450214
97112Descriptor not shown (CPT code)56,003$551,711,3412.4%24,323,444267
U0003Infectious 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-r3,546$493,149,1362.1%6,649,68033
97140Descriptor not shown (CPT code)62,525$465,791,3622.0%27,835,618277
90960Descriptor not shown (CPT code)6,814$390,094,2561.7%1,368,457168
90837Descriptor not shown (CPT code)14,936$353,404,0911.5%3,604,735181
98941Descriptor not shown (CPT code)27,146$341,100,5621.5%12,346,537319
G0008Administration of influenza virus vaccine125,569$338,925,4391.4%13,192,15052
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,448$323,482,7681.4%1,097,992530
93229Descriptor not shown (CPT code)1,757$291,522,4751.2%329,27531
A0431Ambulance service, conventional air services, transport, one way (rotary wing)335$269,695,8211.2%66,89588
92012Descriptor not shown (CPT code)18,426$237,424,4981.0%3,704,22786
92134Descriptor not shown (CPT code)25,870$223,087,2770.95%7,624,13266
G2067Medication 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 treatm842$194,410,3950.83%1,021,249715
U0005Infectious 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 within3,802$193,861,1150.83%7,841,58936
0124ADescriptor not shown (CPT code)38,515$177,531,3760.76%4,527,55359
96413Descriptor not shown (CPT code)7,300$166,447,7930.71%1,550,193147
G0483Drug 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/ms1,217$166,039,7760.71%684,475100
90834Descriptor not shown (CPT code)11,741$165,178,4750.71%2,428,884128
92004Descriptor not shown (CPT code)27,219$164,634,2570.70%1,720,09238
93880Descriptor not shown (CPT code)22,336$160,788,6500.69%1,674,44141
U00042019-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-r710$153,549,7740.66%2,071,362104
0064ADescriptor not shown (CPT code)31,533$149,729,3820.64%3,764,90763
00142Descriptor not shown (CPT code)20,263$138,829,6780.59%1,744,98535
0134ADescriptor not shown (CPT code)27,512$129,224,7580.55%3,299,65061
G2066Interrogation 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 tec3,296$123,171,2730.53%1,214,764131
A0436Rotary wing air mileage, per statute mile335$122,724,9130.52%4,430,0005,778
G0482Drug 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/ms1,696$120,409,4930.51%617,18289
92083Descriptor not shown (CPT code)25,281$113,133,6580.48%2,616,38952
R0070Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen285$110,401,8650.47%722,810787
90961Descriptor not shown (CPT code)6,514$107,758,4720.46%460,84949
97161Descriptor not shown (CPT code)34,013$107,363,7880.46%1,439,37831
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries1,199$107,044,0870.46%254,279124
93970Descriptor not shown (CPT code)21,730$104,798,7540.45%1,427,86136
93000Descriptor not shown (CPT code)72,023$102,667,9580.44%9,848,41937
00731Descriptor not shown (CPT code)38,935$101,236,3410.43%1,176,69021
G0105Colorectal cancer screening; colonoscopy on individual at high risk8,623$98,638,9280.42%380,90327
93010Descriptor not shown (CPT code)51,536$97,957,6740.42%15,552,982121
00811Descriptor not shown (CPT code)29,935$95,247,6500.41%1,145,40022
0054ADescriptor not shown (CPT code)27,819$94,758,1370.40%2,369,87838
J3590Unclassified biologics827$91,083,3060.39%187,249105

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