HCPCS and CPT codes by Medicare payment, 2022
Every code billed to Original Medicare Part B, with how many providers bill it and what it paid.
By category
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Evaluation and management | 110 | $29,037,429,104 | 33% | -3.5% | 370,657,193 |
| Other services | 1,385 | $23,405,603,742 | 26% | -4.9% | 715,434,719 |
| Procedures | 2,632 | $12,944,202,055 | 15% | -0.8% | 140,149,615 |
| Drugs | 416 | $11,182,322,207 | 13% | +4.9% | 871,896,905 |
| Laboratory | 1,276 | $6,923,120,334 | 7.8% | -7.1% | 310,331,095 |
| Imaging | 507 | $5,550,179,074 | 6.2% | -2.1% | 110,591,603 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Category from the latest CMS drug flag and CPT ranges (see methodology). Data year 2022.
Top 200 codes
The 200 with the most payment of 3,859 codes.
Not listed: 2,467 codes billed by fewer than 11 providers (small cells; each has its own page with the count).
| observed | calculated | calculated | calculated | calculated | calculated | |||
|---|---|---|---|---|---|---|---|---|
| 99214 | Descriptor not shown (CPT code) | Evaluation and management | 463,447 | $8,139,871,713 | 9.1% | 97,229,104 | 107 | |
| 99213 | Descriptor not shown (CPT code) | Evaluation and management | 455,642 | $4,316,975,149 | 4.8% | 72,368,685 | 77 | |
| J0178 | Injection, aflibercept, 1 mg | Drugs | 3,143 | $2,653,616,697 | 3.0% | 3,716,326 | 822 | |
| 99233 | Descriptor not shown (CPT code) | Evaluation and management | 136,803 | $2,010,825,548 | 2.3% | 24,787,132 | 90 | |
| 99232 | Descriptor not shown (CPT code) | Evaluation and management | 170,254 | $1,916,599,982 | 2.2% | 34,257,415 | 84 | |
| 66984 | Descriptor not shown (CPT code) | Procedures | 16,070 | $1,549,042,104 | 1.7% | 7,285,377 | 102 | |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | Other services | 6,882 | $1,444,134,304 | 1.6% | 3,909,857 | 173 | |
| 99285 | Descriptor not shown (CPT code) | Evaluation and management | 60,120 | $1,310,981,385 | 1.5% | 8,952,859 | 114 | |
| 99223 | Descriptor not shown (CPT code) | Evaluation and management | 130,172 | $1,300,281,500 | 1.5% | 8,435,048 | 39 | |
| 99204 | Descriptor not shown (CPT code) | Evaluation and management | 221,779 | $1,282,105,303 | 1.4% | 11,192,583 | 33 | |
| 99215 | Descriptor not shown (CPT code) | Evaluation and management | 137,554 | $1,274,511,973 | 1.4% | 10,345,559 | 37 | |
| 97110 | Descriptor not shown (CPT code) | Other services | 75,743 | $1,133,177,054 | 1.3% | 60,746,214 | 498 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Other services | 101,394 | $1,107,411,151 | 1.2% | 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 | Other services | 32,223 | $1,053,891,540 | 1.2% | 92,795,222 | 762 | |
| J9271 | Injection, pembrolizumab, 1 mg | Drugs | 1,729 | $1,047,455,630 | 1.2% | 25,195,372 | 12,400 | |
| 99291 | Descriptor not shown (CPT code) | Evaluation and management | 69,374 | $962,823,942 | 1.1% | 5,379,608 | 45 | |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | Other services | 7,891 | $830,873,614 | 0.93% | 2,634,202 | 105 | |
| J0897 | Injection, denosumab, 1 mg | Drugs | 10,191 | $804,559,510 | 0.90% | 47,552,605 | 2,640 | |
| 92014 | Descriptor not shown (CPT code) | Other services | 35,586 | $776,538,904 | 0.87% | 9,275,347 | 124 | |
| 97530 | Descriptor not shown (CPT code) | Other services | 54,839 | $740,010,645 | 0.83% | 28,534,153 | 310 | |
| 88305 | Descriptor not shown (CPT code) | Laboratory | 14,626 | $707,366,234 | 0.79% | 18,119,168 | 494 | |
| A0425 | Ground mileage, per statute mile | Other services | 8,990 | $702,563,928 | 0.79% | 102,907,432 | 3,114 | |
| 99309 | Descriptor not shown (CPT code) | Evaluation and management | 26,291 | $684,784,757 | 0.77% | 10,623,466 | 186 | |
| 99203 | Descriptor not shown (CPT code) | Evaluation and management | 165,325 | $641,447,997 | 0.72% | 8,690,922 | 32 | |
| J2778 | Injection, ranibizumab, 0.1 mg | Drugs | 1,406 | $597,487,183 | 0.67% | 2,693,736 | 945 | |
| 93306 | Descriptor not shown (CPT code) | Other services | 24,605 | $585,247,587 | 0.66% | 6,632,392 | 216 | |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | Other services | 2,897 | $582,686,428 | 0.65% | 3,176,450 | 214 | |
| 97112 | Descriptor not shown (CPT code) | Other services | 56,003 | $551,711,341 | 0.62% | 24,323,444 | 267 | |
| 99308 | Descriptor not shown (CPT code) | Evaluation and management | 25,640 | $526,581,508 | 0.59% | 10,439,034 | 149 | |
| 90662 | Descriptor not shown (CPT code) | Drugs | 79,425 | $506,624,702 | 0.57% | 7,521,607 | 51 | |
| 27447 | Descriptor not shown (CPT code) | Procedures | 11,815 | $497,565,444 | 0.56% | 489,314 | 29 | |
| 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 | Other services | 3,546 | $493,149,136 | 0.55% | 6,649,680 | 33 | |
| 81479 | Descriptor not shown (CPT code) | Laboratory | 71 | $470,191,375 | 0.53% | 201,547 | 268 | |
| 97140 | Descriptor not shown (CPT code) | Other services | 62,525 | $465,791,362 | 0.52% | 27,835,618 | 277 | |
| 99222 | Descriptor not shown (CPT code) | Evaluation and management | 91,293 | $440,423,233 | 0.49% | 4,198,865 | 27 | |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | Drugs | 1,193 | $432,792,602 | 0.49% | 12,592,718 | 8,175 | |
| 77067 | Descriptor not shown (CPT code) | Imaging | 15,434 | $409,331,446 | 0.46% | 6,003,314 | 213 | |
| 90960 | Descriptor not shown (CPT code) | Other services | 6,814 | $390,094,256 | 0.44% | 1,368,457 | 168 | |
| 45385 | Descriptor not shown (CPT code) | Procedures | 15,913 | $381,492,875 | 0.43% | 1,406,150 | 53 | |
| 17311 | Descriptor not shown (CPT code) | Procedures | 2,866 | $379,461,576 | 0.43% | 853,158 | 229 | |
| 99205 | Descriptor not shown (CPT code) | Evaluation and management | 64,273 | $372,738,340 | 0.42% | 2,357,740 | 25 | |
| 99284 | Descriptor not shown (CPT code) | Evaluation and management | 60,502 | $363,363,427 | 0.41% | 3,909,961 | 50 | |
| 99239 | Descriptor not shown (CPT code) | Evaluation and management | 58,097 | $355,822,267 | 0.40% | 4,325,899 | 54 | |
| 90837 | Descriptor not shown (CPT code) | Other services | 14,936 | $353,404,091 | 0.40% | 3,604,735 | 181 | |
| 98941 | Descriptor not shown (CPT code) | Other services | 27,146 | $341,100,562 | 0.38% | 12,346,537 | 319 | |
| 78815 | Descriptor not shown (CPT code) | Imaging | 6,624 | $340,870,644 | 0.38% | 687,875 | 53 | |
| G0008 | Administration of influenza virus vaccine | Other services | 125,569 | $338,925,439 | 0.38% | 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 | Other services | 1,448 | $323,482,768 | 0.36% | 1,097,992 | 530 | |
| 67028 | Descriptor not shown (CPT code) | Procedures | 4,213 | $315,692,425 | 0.35% | 3,441,017 | 525 | |
| 93229 | Descriptor not shown (CPT code) | Other services | 1,757 | $291,522,475 | 0.33% | 329,275 | 31 |
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