HCPCS and CPT codes by Medicare payment, 2023
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 | 86 | $29,267,719,144 | 31% | +0.8% | 370,930,727 |
| Other services | 1,398 | $23,624,667,226 | 25% | +0.9% | 760,131,369 |
| Drugs | 471 | $14,101,784,577 | 15% | +26.1% | 944,369,025 |
| Procedures | 2,637 | $13,491,228,320 | 14% | +4.2% | 141,388,806 |
| Laboratory | 1,303 | $7,608,423,190 | 8.1% | +9.9% | 317,897,411 |
| Imaging | 510 | $5,627,253,356 | 6.0% | +1.4% | 110,872,487 |
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 2023.
Top 200 codes
The 200 with the most payment of 3,893 codes.
Not listed: 2,512 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 | 479,517 | $8,232,146,357 | 8.8% | 99,338,804 | 107 | |
| 99213 | Descriptor not shown (CPT code) | Evaluation and management | 457,151 | $4,123,102,926 | 4.4% | 70,165,439 | 75 | |
| J0178 | Injection, aflibercept, 1 mg | Drugs | 3,204 | $2,354,722,372 | 2.5% | 3,427,458 | 722 | |
| 99232 | Descriptor not shown (CPT code) | Evaluation and management | 177,383 | $2,143,391,724 | 2.3% | 34,797,914 | 83 | |
| 99233 | Descriptor not shown (CPT code) | Evaluation and management | 128,818 | $2,026,948,699 | 2.2% | 21,652,308 | 83 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | Other services | 30,143 | $1,781,284,719 | 1.9% | 153,281,273 | 505 | |
| 66984 | Descriptor not shown (CPT code) | Procedures | 15,965 | $1,574,488,007 | 1.7% | 7,103,624 | 101 | |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | Other services | 6,841 | $1,511,990,754 | 1.6% | 3,770,133 | 170 | |
| 99215 | Descriptor not shown (CPT code) | Evaluation and management | 145,531 | $1,340,835,499 | 1.4% | 11,126,975 | 38 | |
| 99204 | Descriptor not shown (CPT code) | Evaluation and management | 227,068 | $1,280,920,740 | 1.4% | 11,396,351 | 32 | |
| 99223 | Descriptor not shown (CPT code) | Evaluation and management | 139,583 | $1,266,539,712 | 1.4% | 9,474,319 | 39 | |
| 99285 | Descriptor not shown (CPT code) | Evaluation and management | 61,347 | $1,163,836,365 | 1.2% | 8,497,294 | 104 | |
| J9271 | Injection, pembrolizumab, 1 mg | Drugs | 1,841 | $1,154,350,197 | 1.2% | 27,083,045 | 12,400 | |
| 97110 | Descriptor not shown (CPT code) | Other services | 79,999 | $1,150,871,610 | 1.2% | 63,754,222 | 480 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Other services | 105,855 | $1,145,168,374 | 1.2% | 9,739,340 | 60 | |
| J2777 | Injection, faricimab-svoa, 0.1 mg | Drugs | 2,039 | $967,501,751 | 1.0% | 33,468,979 | 9,900 | |
| 99309 | Descriptor not shown (CPT code) | Evaluation and management | 28,092 | $924,354,236 | 0.99% | 12,273,125 | 204 | |
| 97530 | Descriptor not shown (CPT code) | Other services | 62,717 | $911,698,617 | 0.97% | 36,072,817 | 344 | |
| 99291 | Descriptor not shown (CPT code) | Evaluation and management | 71,290 | $902,779,510 | 0.96% | 5,326,011 | 44 | |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | Other services | 7,808 | $888,448,667 | 0.95% | 2,595,017 | 100 | |
| J0897 | Injection, denosumab, 1 mg | Drugs | 10,057 | $875,043,253 | 0.93% | 48,034,893 | 2,640 | |
| Q4262 | Dual layer impax membrane, per square centimeter | Drugs | 141 | $834,254,090 | 0.89% | 900,953 | 1,358 | |
| 92014 | Descriptor not shown (CPT code) | Other services | 35,415 | $782,563,365 | 0.83% | 9,315,489 | 125 | |
| A0425 | Ground mileage, per statute mile | Other services | 8,934 | $728,575,834 | 0.78% | 99,036,467 | 2,970 | |
| 88305 | Descriptor not shown (CPT code) | Laboratory | 14,580 | $710,512,703 | 0.76% | 18,319,990 | 489 | |
| 97112 | Descriptor not shown (CPT code) | Other services | 61,940 | $630,172,130 | 0.67% | 29,112,817 | 290 | |
| 99203 | Descriptor not shown (CPT code) | Evaluation and management | 161,519 | $594,792,171 | 0.63% | 8,259,499 | 31 | |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | Other services | 2,772 | $591,445,361 | 0.63% | 2,943,556 | 181 | |
| 27447 | Descriptor not shown (CPT code) | Procedures | 12,089 | $584,819,736 | 0.62% | 526,893 | 31 | |
| 99308 | Descriptor not shown (CPT code) | Evaluation and management | 25,763 | $584,358,129 | 0.62% | 10,760,932 | 152 | |
| 93306 | Descriptor not shown (CPT code) | Other services | 24,624 | $575,131,955 | 0.61% | 6,693,078 | 218 | |
| 99222 | Descriptor not shown (CPT code) | Evaluation and management | 117,621 | $542,990,235 | 0.58% | 5,434,960 | 27 | |
| 91322 | Descriptor not shown (CPT code) | Drugs | 29,357 | $492,127,173 | 0.53% | 3,490,454 | 68 | |
| 81479 | Descriptor not shown (CPT code) | Laboratory | 80 | $488,385,850 | 0.52% | 209,946 | 149 | |
| 97140 | Descriptor not shown (CPT code) | Other services | 65,133 | $466,049,718 | 0.50% | 28,671,869 | 268 | |
| 99239 | Descriptor not shown (CPT code) | Evaluation and management | 62,398 | $447,174,015 | 0.48% | 5,045,473 | 57 | |
| 90677 | Descriptor not shown (CPT code) | Drugs | 52,451 | $436,258,344 | 0.47% | 1,572,263 | 21 | |
| 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 | 1,221 | $429,252,262 | 0.46% | 12,857,950 | 8,125 | |
| 45385 | Descriptor not shown (CPT code) | Procedures | 16,310 | $426,638,634 | 0.46% | 1,487,316 | 55 | |
| 99284 | Descriptor not shown (CPT code) | Evaluation and management | 64,306 | $423,199,423 | 0.45% | 4,773,623 | 60 | |
| 91320 | Descriptor not shown (CPT code) | Drugs | 27,083 | $422,068,649 | 0.45% | 3,323,183 | 60 | |
| 77067 | Descriptor not shown (CPT code) | Imaging | 15,198 | $404,728,707 | 0.43% | 6,045,096 | 208 | |
| 17311 | Descriptor not shown (CPT code) | Procedures | 2,969 | $400,042,751 | 0.43% | 895,545 | 234 | |
| 90662 | Descriptor not shown (CPT code) | Drugs | 70,752 | $394,299,730 | 0.42% | 5,611,113 | 42 | |
| 99205 | Descriptor not shown (CPT code) | Evaluation and management | 66,257 | $375,564,422 | 0.40% | 2,422,975 | 25 | |
| 90694 | Descriptor not shown (CPT code) | Drugs | 51,679 | $365,021,262 | 0.39% | 4,923,384 | 50 | |
| 78815 | Descriptor not shown (CPT code) | Imaging | 6,566 | $364,587,265 | 0.39% | 749,707 | 57 | |
| 90837 | Descriptor not shown (CPT code) | Other services | 15,257 | $351,071,588 | 0.37% | 3,691,219 | 182 | |
| 98941 | Descriptor not shown (CPT code) | Other services | 27,092 | $348,532,710 | 0.37% | 12,637,493 | 325 | |
| G0008 | Administration of influenza virus vaccine | Other services | 119,096 | $343,583,253 | 0.37% | 11,884,396 | 48 |
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