Other services codes by Medicare payment, 2023

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

1,398
of 6,405 codes · 2023
$23.6B
25% of all code payment · 2023
760.1M
29% of all services on codes · 2023
K1034
$1.78B paid, 8% of category payment · 2023
+0.9%
Medicare payment on the code vs 2022 · 2023

Top 200 other services codes

The 200 with the most payment of 935 codes.

Not listed: 463 codes billed by fewer than 11 providers (small cells; each has its own page with the count).

observed calculated calculated calculated calculated calculated
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count30,143$1,781,284,7197.5%153,281,273505
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)6,841$1,511,990,7546.4%3,770,133170
97110Descriptor not shown (CPT code)79,999$1,150,871,6104.9%63,754,222480
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit105,855$1,145,168,3744.8%9,739,34060
97530Descriptor not shown (CPT code)62,717$911,698,6173.9%36,072,817344
A0429Ambulance service, basic life support, emergency transport (bls-emergency)7,808$888,448,6673.8%2,595,017100
92014Descriptor not shown (CPT code)35,415$782,563,3653.3%9,315,489125
A0425Ground mileage, per statute mile8,934$728,575,8343.1%99,036,4672,970
97112Descriptor not shown (CPT code)61,940$630,172,1302.7%29,112,817290
A0428Ambulance service, basic life support, non-emergency transport, (bls)2,772$591,445,3612.5%2,943,556181
93306Descriptor not shown (CPT code)24,624$575,131,9552.4%6,693,078218
97140Descriptor not shown (CPT code)65,133$466,049,7182.0%28,671,869268
90837Descriptor not shown (CPT code)15,257$351,071,5881.5%3,691,219182
98941Descriptor not shown (CPT code)27,092$348,532,7101.5%12,637,493325
G0008Administration of influenza virus vaccine119,096$343,583,2531.5%11,884,39648
90960Descriptor not shown (CPT code)6,549$333,207,5291.4%1,197,633153
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,429$308,635,7071.3%1,082,421533
93229Descriptor not shown (CPT code)2,091$306,412,3841.3%368,08931
A0431Ambulance service, conventional air services, transport, one way (rotary wing)348$290,262,0531.2%66,75886
90480Descriptor not shown (CPT code)46,950$255,705,6451.1%6,890,02186
92134Descriptor not shown (CPT code)26,868$229,361,5310.97%7,906,73869
92012Descriptor not shown (CPT code)17,177$222,401,7390.94%3,439,38184
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 treatm830$192,698,8700.82%895,769641
96413Descriptor not shown (CPT code)7,514$160,478,1060.68%1,591,566146
92004Descriptor not shown (CPT code)26,467$158,694,7430.67%1,645,02337
93880Descriptor not shown (CPT code)21,316$156,230,0300.66%1,631,21741
90834Descriptor not shown (CPT code)10,713$145,125,7690.61%2,202,964126
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/ms1,063$142,991,3210.61%594,208106
A0436Rotary wing air mileage, per statute mile348$131,294,6250.56%4,401,8275,695
00142Descriptor not shown (CPT code)19,760$129,677,1510.55%1,688,58535
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries1,266$120,454,3550.51%283,198126
R0070Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen285$118,902,6260.50%724,949756
J3490Unclassified drugs2,838$114,718,4690.49%477,00058
97161Descriptor not shown (CPT code)35,745$113,952,4570.48%1,533,61631
92083Descriptor not shown (CPT code)25,484$113,791,8230.48%2,635,19352
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/ms1,618$108,357,0430.46%560,11284
G0105Colorectal cancer screening; colonoscopy on individual at high risk8,773$105,087,2940.44%384,05927
93000Descriptor not shown (CPT code)71,016$103,710,5950.44%9,908,19537
93970Descriptor not shown (CPT code)20,939$102,680,9060.43%1,382,35435
97162Descriptor not shown (CPT code)35,551$97,204,4040.41%1,309,32927
00811Descriptor not shown (CPT code)30,986$96,252,1640.41%1,183,95522
00731Descriptor not shown (CPT code)39,088$96,150,4340.41%1,164,15521
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-r973$94,931,0750.40%1,292,00184
A9595Piflufolastat f-18, diagnostic, 1 millicurie528$94,385,0260.40%189,481225
93010Descriptor not shown (CPT code)50,616$92,919,5480.39%15,105,145110
90961Descriptor not shown (CPT code)6,091$91,360,7650.39%398,18845
92250Descriptor not shown (CPT code)25,087$86,318,9330.37%3,326,33062
A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie44$84,920,9220.36%430,0157,568
90832Descriptor not shown (CPT code)6,164$81,376,6490.34%1,642,54183
93458Descriptor not shown (CPT code)7,990$81,077,1320.34%381,25637

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 2023.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed