Procedures codes by Medicare payment, 2021

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

2,656
of 6,253 codes · 2021
$13.0B
14% of all code payment · 2021
141.8M
6% of all services on codes · 2021
66984
$1.57B paid, 12% of category payment · 2021
+11.5%
Medicare payment on the code vs 2020 · 2021

Top 200 procedures codes

The 200 with the most payment of 1,330 codes.

Not listed: 1,326 codes billed by fewer than 11 providers (small cells; each has its own page with the count).

observed calculated calculated calculated calculated calculated
66984Descriptor not shown (CPT code)16,131$1,573,931,04512%7,363,296104
27447Descriptor not shown (CPT code)11,135$410,771,9903.1%429,08327
17311Descriptor not shown (CPT code)2,822$372,098,1932.9%823,401221
45385Descriptor not shown (CPT code)15,699$365,003,4342.8%1,341,94250
67028Descriptor not shown (CPT code)4,148$323,376,3722.5%3,436,774537
45380Descriptor not shown (CPT code)16,397$250,918,7711.9%1,349,08649
20610Descriptor not shown (CPT code)41,080$229,871,1421.8%4,647,63554
43239Descriptor not shown (CPT code)17,240$225,489,8801.7%1,714,97565
27130Descriptor not shown (CPT code)7,343$214,494,8281.6%239,29424
37229Descriptor not shown (CPT code)596$213,646,2551.6%28,77827
11102Descriptor not shown (CPT code)17,227$206,730,5271.6%3,124,813117
17000Descriptor not shown (CPT code)20,788$201,714,8171.5%5,524,085151
17110Descriptor not shown (CPT code)17,776$194,596,2841.5%2,516,91384
66821Descriptor not shown (CPT code)10,180$192,613,6471.5%1,041,92247
64483Descriptor not shown (CPT code)8,135$191,417,7161.5%966,04665
11721Descriptor not shown (CPT code)12,572$186,740,6421.4%5,675,593275
63685Descriptor not shown (CPT code)1,121$177,608,6191.4%25,14117
17312Descriptor not shown (CPT code)2,616$156,625,4521.2%480,984129
37225Descriptor not shown (CPT code)772$140,837,4301.1%26,41022
66982Descriptor not shown (CPT code)4,938$136,344,1821.0%248,41127
52000Descriptor not shown (CPT code)8,510$132,915,7331.0%854,74680
36902Descriptor not shown (CPT code)2,076$131,528,3571.0%155,72630
63650Descriptor not shown (CPT code)1,324$128,491,0880.99%74,83841
36415Descriptor not shown (CPT code)88,328$125,979,9250.97%42,095,63699
11042Descriptor not shown (CPT code)10,451$125,062,6970.96%1,824,53188
64635Descriptor not shown (CPT code)5,735$121,939,5500.93%337,16340
37227Descriptor not shown (CPT code)387$119,938,5760.92%12,26222
64493Descriptor not shown (CPT code)7,740$109,846,1520.84%620,97553
62323Descriptor not shown (CPT code)7,585$109,819,4070.84%709,16253
11056Descriptor not shown (CPT code)8,343$106,817,3080.82%1,780,233112
17004Descriptor not shown (CPT code)8,905$95,207,4320.73%781,15742
17003Descriptor not shown (CPT code)18,298$83,998,0520.64%17,840,889540
31231Descriptor not shown (CPT code)5,669$80,380,2800.62%544,87349
29827Descriptor not shown (CPT code)3,428$78,537,9590.60%76,78417
11043Descriptor not shown (CPT code)2,115$78,072,2960.60%474,51268
36475Descriptor not shown (CPT code)1,268$74,638,1040.57%73,40733
20611Descriptor not shown (CPT code)7,844$71,843,2510.55%892,94956
17313Descriptor not shown (CPT code)2,061$70,594,5210.54%155,57552
33533Descriptor not shown (CPT code)2,651$64,276,6880.49%66,30921
36465Descriptor not shown (CPT code)671$62,664,5570.48%49,85542
36482Descriptor not shown (CPT code)640$60,522,5500.46%39,04336
63047Descriptor not shown (CPT code)4,568$60,227,6520.46%115,91520
33285Descriptor not shown (CPT code)1,566$59,067,3280.45%37,24017
23472Descriptor not shown (CPT code)2,783$58,303,1950.45%71,79419
45378Descriptor not shown (CPT code)10,135$57,844,5080.44%324,36522
13132Descriptor not shown (CPT code)2,993$56,117,0020.43%246,76050
12032Descriptor not shown (CPT code)5,905$55,201,5240.42%266,73628
11103Descriptor not shown (CPT code)12,771$54,125,6370.41%1,344,69057
33361Descriptor not shown (CPT code)2,455$52,153,1860.40%83,89726
37252Descriptor not shown (CPT code)1,049$48,169,8210.37%59,00028

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 2021.

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