RxDoctor Payments Data

Medicare reimbursement by procedure code

What Medicare allowed and paid for 3,290 CPT and HCPCS codes across 2,725,374,501 services in 2024. Every figure is weighted by service volume, and the submitted charge is shown next to the allowed amount rather than on its own — the two are routinely confused and differ by several times.

The busiest code in Medicare is 99214 established patient office or other outpatient visit — billed 102,377,857 times at an average allowed amount of $117.48, which is $12,027,350,640 of Medicare spending on one code.

The 300 highest-volume codes

#CodeDescriptionServicesAvg allowedProviders
199214Established patient office or other outpatient visit102,377,857$117.48498,045
2A0425Ground mileage98,427,741$9.468,929
3Q9967Low osmolar contrast material95,202,153$0.1311,573
4J1010Injection, methylprednisolone acetate, 1 mg74,842,826$0.1316,352
5J2403Chloroprocaine hcl ophthalmic73,288,310$0.64187
699213Established patient office or other outpatient visit67,927,936$83.92457,569
797110Therapy procedure63,068,530$22.7883,101
8J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare whe61,165,045$4.54958
9A9575Injection, gadoterate meglumine, 0.1 ml53,453,861$0.123,298
10J2777Injection, faricimab-svoa, 0.1 mg53,010,858$34.372,436
11P9603Travel allowance one way in connection49,474,872$1.08280
12J0897Injection, denosumab, 1 mg48,156,716$25.419,797
13J0585Injection, onabotulinumtoxina, 1 unit46,383,230$6.133,723
1497530Therapy procedure43,562,919$31.5470,092
1536415Insertion of needle into vein for collection of blood sample39,989,147$8.4985,982
16J1439Injection, ferric carboxymaltose, 1 mg38,342,118$1.091,032
17J3262Injection, tocilizumab, 1 mg35,790,556$5.86722
1899232Subsequent hospital care33,827,454$76.07176,156
1997112Therapy procedure to re-educate brain-to-nerve-to-muscle function33,792,592$27.0667,834
20J0174Injection, lecanemab-irmb, 1 mg31,382,754$1.30254
21J3111Injection, romosozumab-aqqg, 1 mg28,416,634$10.701,339
2297140Therapy procedure28,359,909$20.6267,054
23J9271Injection, pembrolizumab, 1 mg28,218,856$55.271,922
24J0878Injection, daptomycin, 1 mg27,807,315$0.05193
2580053Blood test, comprehensive group of blood chemicals27,147,672$10.3326,072
26Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg26,842,035$0.35977
2785025Complete blood cell count (red cells26,108,717$7.5932,034
28G2211Visit complexity inherent to evaluation and management associated24,627,539$15.87138,770
29J1071Injection, testosterone cypionate, 1 mg23,689,546$0.02678
3099233Subsequent hospital care22,309,090$115.58131,573
31A9585Injection, gadobutrol, 0.1 ml20,730,418$0.313,135
32J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)20,179,038$2.921,179
33J1602Injection, golimumab, 1 mg, for intravenous use19,861,793$11.351,076
3417003Destruction of precancer skin growth19,708,714$6.1620,340
3588305Pathology examination of tissue18,351,551$50.7514,573
3680061Blood test, lipids (cholesterol and triglycerides)17,285,913$13.1021,197
37J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg17,037,070$0.9738,760
38J1100Injection, dexamethasone sodium phosphate, 1 mg15,447,593$0.1123,362
3993010Routine electrocardiogram (ecg)15,348,910$7.9551,118
4099309Subsequent nursing facility care14,712,800$96.7630,091
4183036Hemoglobin a1c level14,393,695$9.4946,434
4284443Blood test, thyroid stimulating hormone (tsh)13,847,047$16.4419,436
43J0129Injection, abatacept, 10 mg (code may be used for medicare when drug a13,105,162$42.281,247
4487798Detection test by nucleic acid for organism12,712,408$34.361,416
4571045X-ray of chest12,632,094$8.6425,223
46J1306Injection, inclisiran, 1 mg12,438,597$11.94735
4798941Chiropractic manipulative treatment12,437,615$38.1226,597
48J1453Injection, fosaprepitant, 1 mg11,841,214$0.141,323
4999215Established patient office or other outpatient visit11,827,816$163.65153,625
5099308Subsequent nursing facility care11,622,162$68.9126,213
5199204New patient office or other outpatient visit11,508,274$157.90232,660
52G0008Administration of influenza virus vaccine11,327,224$29.05112,062
53G0439Annual wellness visit10,108,463$117.95110,126
5493000Routine electrocardiogram (ecg)9,777,098$14.2468,409
55J1756Injection, iron sucrose, 1 mg9,655,603$0.22677
5699223Initial hospital care9,607,216$167.67140,980
5792014Established patient complete exam of visual system9,164,899$124.1135,261
5899285Emergency department visit8,984,062$169.6864,318
59J3380Injection, vedolizumab, intravenous, 1 mg8,328,838$21.66746
6090480Admn sarscov2 vacc 1 dose8,303,881$37.9954,794
61J9144Injection, daratumumab, 10 mg and hyaluronidase-fihj8,288,764$48.93765
6292134Imaging of retina8,111,308$39.4027,541
63J7345Aminolevulinic acid hcl for topical administration7,885,670$1.66815
64J9299Injection, nivolumab, 1 mg7,881,796$30.47441
65J0185Injection, aprepitant, 1 mg7,828,538$1.68826
6699203New patient office or other outpatient visit7,685,964$104.03155,883
6795004Test for allergy7,654,997$3.653,637
68J7328Hyaluronan or derivative7,575,407$0.52444
69J9263Injection, oxaliplatin, 0.5 mg7,035,422$0.07523
70J9267Injection, paclitaxel, 1 mg7,030,641$0.10917
7193306Ultrasound of heart6,743,227$112.9124,796
7299490Chronic care management services6,682,760$59.7018,757
7366984Removal of cataract6,680,450$304.2115,527
74C9290Injection, bupivacaine liposome, 1 mg6,609,247$1.39503
7571046X-ray of chest6,490,270$16.2847,619
7690662Influenza vaccine split virus6,486,542$80.8470,747
7782306Vitamin d-3 level6,376,292$28.9612,597
7881001Manual urinalysis test6,288,838$3.1012,761
7917000Destruction of precancer skin growth6,217,347$49.7222,412
8077067Screening mammography6,023,902$65.1014,871
8199212Established patient office or other outpatient visit5,819,455$52.4290,889
8277063Screening 3d breast mammography5,781,922$34.0814,180
8396372Injection of drug or substance under skin or into muscle5,731,447$13.4256,574
84Q5110Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram5,691,064$0.27228
85J1745Injection, infliximab, excludes biosimilar, 10 mg5,576,857$31.051,377
8682570Creatinine level to test for kidney function or muscle injury5,488,379$5.0613,102
8799291Critical care5,457,118$208.3573,484
8884439Thyroxine (thyroid chemical)5,399,478$8.8310,641
8981003Automated urinalysis test5,381,053$2.1953,174
9099222Initial hospital care5,366,122$126.29115,957
9111721Removal of fingernails or toenails5,331,089$42.8312,574
92J3145Injection, testosterone undecanoate, 1 mg5,322,778$1.8592
9395165Professional service for preparation and provision of 1 or more antige5,235,816$13.883,124
9499239Hospital discharge day management5,221,363$110.5064,431
9580048Blood test, basic group of blood chemicals (calcium, total)5,063,616$8.2713,827
96G0283Electrical stimulation (unattended)5,054,625$8.7515,542
9770450Ct scan head or brain without contrast4,896,874$40.2221,081
9882607Cyanocobalamin (vitamin b-12) level4,643,777$14.7611,361
9920610Aspiration and/or injection of fluid from large joint4,517,739$65.0339,307
10091320Sarscv2 vac 30mcg trs-suc im4,506,697$147.2336,800
10182043Urine microalbumin (protein) level4,427,155$5.6511,597
10287086Bacterial colony count4,406,190$7.904,506
10399284Emergency department visit4,389,227$114.8465,448
10497116Therapy procedure for walking training4,365,251$21.8712,009
105A0436Rotary wing air mileage4,291,202$38.43348
106J2357Injection, omalizumab, 5 mg3,851,801$37.10617
10790837Psychotherapy3,792,555$127.4215,804
108J7318Hyaluronan or derivative3,779,716$6.471,475
109J1437Injection, ferric derisomaltose, 10 mg3,751,157$19.81969
110Q9966Low osmolar contrast material3,744,455$0.361,582
111J0885Injection, epoetin alfa, (for non-esrd use), 1000 units3,729,400$8.01806
11288341Special stained specimen slides to examine tissue3,714,400$40.3310,448
113A0427Ambulance service3,690,907$522.486,857
11497535Training for self-care or home management3,689,997$25.3517,873
115Q5125Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram3,670,982$0.48145
11691322Sarscov2 vac 50 mcg/0.5ml im3,668,923$153.9331,346
117J7320Hyaluronan or derivitive3,633,116$5.37347
11874177Ct scan of abdomen and pelvis3,593,132$105.6823,893
11967028Injection of drug into eye3,573,623$122.074,305
12099349Residence visit for established patient3,553,733$111.2714,815
121J2356Injection, tezepelumab-ekko, 1 mg3,539,998$17.74206
12283540Iron level3,526,157$6.338,692
12390653Influenza vaccine3,476,036$81.3843,932
12411102Biopsy of related skin growth3,452,445$83.1219,666
12583735Magnesium level3,435,068$6.557,154
12692250Photography of the retina3,413,264$35.9125,483
12799231Subsequent hospital care3,401,229$46.9844,310
12882728Ferritin (blood protein) level3,396,801$13.338,894
12998940Chiropractic manipulative treatment3,370,055$26.7511,909
13085027Complete blood cell count (red cells3,287,573$6.337,224
13184153Psa (prostate specific antigen) measurement3,225,143$17.988,103
13292012Established patient problem focused exam of visual system3,111,523$90.5515,822
13317110Destruction of skin growth3,076,352$103.0220,550
134J7325Hyaluronan or derivative3,066,514$8.811,653
135J7336Capsaicin 8% patch3,063,583$3.2582
136J7329Hyaluronan or derivative3,040,002$7.16766
13799439Chronic care management services for two or more chronic conditions2,958,539$46.1310,926
13887481Detection test for candida species (yeast)2,935,874$34.051,217
139A0428Ambulance service2,897,867$261.472,683
14083550Iron binding capacity2,879,215$8.556,736
141J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g.2,848,101$44.58593
14277080Dxa bone density measurement of hip2,823,698$21.3016,549
143A0435Fixed wing air mileage2,819,231$14.6589
144J3304Injection, triamcinolone acetonide, preservative-free, extended-releas2,762,340$17.281,076
14577014Ct guidance for insertion of radiation therapy fields2,745,231$70.524,401
14687186Evaluation of antimicrobial drug (antibiotic2,718,641$8.472,406
14792133Imaging of optic nerve2,709,619$34.1925,384
148J9025Injection, azacitidine, 1 mg2,695,927$0.37198
149J0178Injection, aflibercept, 1 mg2,690,616$822.263,155
15097150Therapy procedure in a group setting2,656,691$13.6010,254
15192083Exam of visual field2,652,036$61.2825,834
152J0872Injection, daptomycin (xellia), unrefrigerated, not therapeutically eq2,637,395$0.2318
15384550Uric acid level2,619,033$4.425,995
154A0429Ambulance service2,598,660$446.937,742
15573030X-ray of shoulder2,588,028$22.0434,654
15682746Folic acid level2,560,679$14.395,438
157J2469Injection, palonosetron hcl, 25 mcg2,556,985$0.892,612
15899497Advance care planning2,539,170$73.9529,529
15985610Blood test, clotting time2,529,787$4.197,719
160J0588Injection, incobotulinumtoxin a, 1 unit2,512,769$5.09256
161G0444Annual depression screening2,511,578$17.8027,976
16299457Management using the results of remote vital sign monitoring per calen2,500,830$48.616,982
16386003Measurement of antibody (ige) to allergic substance2,483,466$5.11284
16471250Ct scan of chest without contrast2,464,435$66.4821,933
16599205New patient office or other outpatient visit2,462,628$206.4567,958
166J2781Injection, pegcetacoplan, intravitreal, 1 mg2,452,956$146.64857
16773502X-ray of hip, 2-3 views2,430,495$26.3833,149
16888342Special stained specimen slides to examine tissue2,417,798$58.6111,517
169J2919Injection, methylprednisolone sodium succinate, 5 mg2,389,093$0.282,341
17073630X-ray of foot2,379,415$24.1930,446
17186140Measurement c-reactive protein for detection of infection or inflammat2,334,614$5.073,894
172J0665Injection, bupivicaine, not otherwise specified, 0.5 mg2,264,496$0.01765
173J2785Injection, regadenoson, 0.1 mg2,216,463$6.766,356
17487088Bacterial urine culture2,200,443$7.921,895
17595117Professional service for multiple injections of allergen2,140,086$11.664,073
176Q9965Low osmolar contrast material2,137,868$1.37284
17782784Gammaglobulin (immune system protein) measurement2,134,006$9.091,626
17873562X-ray of knee2,129,460$27.4726,591
179G0471Collection of venous blood by venipuncture or urine sample by catheter2,124,275$10.56108
18085652Red blood cell sedimentation rate2,124,132$2.643,237
18199310Subsequent nursing facility care2,124,063$136.3013,634
18290834Psychotherapy2,079,420$88.0410,253
183J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phospha2,075,988$6.918,965
18499458Management using the results of remote vital sign monitoring per calen2,066,989$39.114,522
18599454Remote monitoring of physiologic parameters2,027,677$47.976,419
18688185Flow cytometry technique for dna or cell analysis2,005,386$24.39624
18793296Evaluation of single1,969,899$21.595,002
188J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e1,950,771$45.73447
18981002Urinalysis, manual test1,948,017$3.3928,951
190J9030Bcg live intravesical instillation1,933,786$2.85860
19174176Ct scan of abdomen and pelvis without contrast1,923,949$90.0522,065
19287077Bacterial culture for aerobic isolates1,916,230$7.911,961
19351798Ultrasound measurement of bladder capacity after voiding1,904,122$11.339,700
19480307Testing for presence of drug1,887,956$60.314,731
19574018X-ray of abdomen1,886,352$11.1321,785
19693294Evaluation of single1,877,558$28.577,475
197Q5101Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram1,869,848$0.3280
19811042Removal of skin and tissue1,868,578$84.3111,297
199J0177Injection, aflibercept hd, 1 mg1,820,837$329.491,392
200J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g1,819,367$48.15206
20190832Psychotherapy1,808,432$65.956,210
20211720Removal of fingernails or toenails1,797,806$31.706,362
20311056Removal of noncancer thickened skin growth1,795,220$79.858,318
20471260Ct scan of chest1,782,658$62.0320,603
20584100Phosphate level1,763,002$4.633,236
20683970Parathormone (parathyroid hormone) level1,755,467$40.373,455
20799348Residence visit for established patient1,740,229$69.5711,456
208J1449Injection, eflapegrastim-xnst, 0.1 mg1,726,072$26.09302
209J2350Injection, ocrelizumab, 1 mg1,718,391$54.5396
210J0696Injection, ceftriaxone sodium, per 250 mg1,690,631$0.458,891
211J2182Injection, mepolizumab, 1 mg1,684,156$29.61199
21292136Measurement of corneal curvature and depth of eye1,678,333$35.528,670
21373564X-ray of knee1,657,456$34.4220,838
21486235Measurement of antibody for assessment of autoimmune disorder1,639,127$17.49751
21596413Administration of chemotherapy into vein1,637,325$125.257,637
21600142Anesthesia for lens surgery1,615,397$94.9919,043
21743239Biopsy of esophagus1,596,641$167.4917,191
21893880Ultrasound of both sides of head and neck blood flow1,582,989$124.5620,586
21997161Evaluation for physical therapy1,576,730$99.4937,020
220Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use1,562,860$7.27539
22145385Removal of polyps or growths of large bowel1,528,359$362.3316,464
22292004New patient complete exam of visual system1,523,496$145.4525,728
22384481Thyroid hormone1,508,494$16.572,849
224J7322Hyaluronan or derivative1,505,392$17.14671
22572125Ct scan of upper spine without contrast1,503,184$46.9917,573
22671275Ct scan of blood vessels of chest1,500,671$88.4919,476
22799307Subsequent nursing facility care1,476,728$38.218,117
22893298Evaluation of cardiac rhythm monitor system1,460,295$76.454,885
22987150Identification of organisms by genetic analysis1,455,748$34.30213
23072100X-ray of lower and sacral spine1,452,570$23.7625,636
231C9088Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg1,446,140$0.7385
232J2405Injection, ondansetron hydrochloride, per 1 mg1,433,024$0.091,652
233J2782Injection, avacincaptad pegol, 0.1 mg1,429,067$108.28568
23411103Biopsy of related skin growth1,418,195$46.6814,379
23593971Ultrasound study of one arm or leg veins1,402,916$51.3420,939
23688313Special stained specimen slides to examine tissue including interpreta1,394,911$43.566,734
237G0009Administration of pneumococcal vaccine1,392,182$29.8547,082
23890833Psychotherapy1,390,835$64.868,761
23999489Complex chronic care management services for two or more chronic condi1,389,391$67.002,003
24088312Special stained specimen slides to identify organisms including interp1,382,731$75.826,961
24172148Mri scan of lower spinal canal without contrast1,379,161$116.9214,898
242G0103Prostate cancer screening; prostate specific antigen test (psa)1,369,803$18.897,103
24384156Total protein level1,364,352$3.591,419
24484165Protein measurement1,363,252$13.512,182
24599238Hospital discharge day management1,349,023$77.8832,198
24697162Evaluation for physical therapy1,346,460$99.2136,625
24793970Ultrasound study of arm or leg veins1,341,339$96.2220,375
24899152Use of a drug to induce depression of consciousness by physician perfo1,329,142$15.7419,184
24997113Therapy procedure1,308,737$27.672,031
250Q0092Set-up portable x-ray equipment1,305,363$25.53287
25196375Injection of additional new drug or substance into vein1,301,323$14.965,231
25269210Removal of impacted ear wax1,300,408$41.9213,337
25390677Pneumococcal conjugate vaccine1,299,916$287.8444,623
25483615Lactate dehydrogenase (enzyme) level1,288,638$5.892,744
25596365Infusion into a vein for therapy1,288,254$60.478,870
25699306Initial nursing facility care1,280,390$173.9413,288
257J3245Injection, tildrakizumab, 1 mg1,278,409$134.63265
258J9312Injection, rituximab, 10 mg1,277,588$75.61336
25984403Testosterone (hormone) level1,255,381$25.203,085
26082550Creatine kinase (cardiac enzyme) level1,254,530$6.372,603
26192557Comprehensive hearing and speech recognition test1,250,129$36.009,513
26245380Biopsy of large bowel1,249,030$242.8816,278
26399350Residence visit for established patient1,238,110$162.367,440
26478452Nuclear medicine studies of heart muscle at rest and1,209,154$233.4314,635
26576770Complete ultrasound scan behind abdominal cavity1,193,652$58.7618,664
26677300Calculation of radiation therapy dose1,184,613$41.814,844
26773560X-ray of knee1,177,932$18.4819,636
268G0127Trimming of dystrophic nails1,177,618$17.812,985
26900731Anesthesia for other procedure on esophagus1,174,579$102.8039,671
27000811Anesthesia for other procedure on large bowel1,166,576$99.1631,539
271J0485Injection, belatacept, 1 mg1,159,570$3.7426
27287804Detection test by immunoassay1,156,493$16.0819,908
27380076Liver function blood test panel1,142,723$7.993,184
27484460Liver enzyme (sgpt)1,137,784$5.151,943
27582565Blood creatinine level1,120,881$4.894,595
27670551Mri scan of brain without contrast1,120,274$94.1613,540
277J1627Injection, granisetron, extended-release, 0.1 mg1,106,236$5.48133
27873130X-ray of hand1,086,942$23.0320,156
279P9604Travel allowance one way in connection1,082,276$11.14329
28080069Kidney function blood test panel1,082,005$8.481,696
28190960Dialysis services1,080,713$347.786,383
28295024Test for allergy1,074,940$7.591,763
283G6015Intensity modulated treatment delivery1,058,781$350.251,441
28470553Mri scan of brain before and after contrast1,028,334$153.9411,330
28599305Initial nursing facility care1,020,750$126.3610,676
28620611Aspiration and/or injection of fluid large joint1,011,304$101.938,929
28766821Removal of recurring cataract in lens capsule989,295$250.5710,031
288G0442Annual alcohol misuse screening983,643$17.9610,233
289G0279Diagnostic digital breast tomosynthesis978,420$33.249,177
290J7332Hyaluronan or derivative974,678$10.15276
291J1626Injection, granisetron hydrochloride, 100 mcg972,377$0.311,123
29292567Test to assess middle ear function971,761$15.988,477
29399211Office or other outpatient visit for the evaluation and management of962,003$22.3713,851
29494729Test to examine how well the lungs exchange gases955,430$34.478,994
29599442Telephone medical discussion954,193$83.8417,592
296J3032Injection, eptinezumab-jjmr, 1 mg947,084$17.64108
29783521Measurement of immunoglobulin light chains946,023$16.90848
298Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg937,303$227.58470
29917311Removal and microscopic exam of growth of head933,225$569.133,051
30076705Limited ultrasound scan of abdomen932,866$35.9819,014

Full code directory

Every code with a page, in code order, 250 per page.

What a reimbursement rate does not tell you

An allowed amount is revenue to a practice before staff, premises, equipment and supplies are paid for — not income to the clinician. The same code pays differently in an office and in a hospital for exactly that reason, and each code page shows both. For what clinicians actually earn, the Department of Labor publishes wages; for what industry pays them, CMS publishes Open Payments. Both are on this site.

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