HCPCS 20610

Procedure (ClaimLight category; the code descriptor is not shown)

Procedures Work RVU per service 0.79 (2024 fee schedule)

39,307
99th percentile among 6,471 codes billed · 2024
$218M
99th percentile among 6,471 codes billed · 2024
4.5M
98th percentile among 6,471 codes billed · 2024
56
75th percentile among 6,471 codes billed · 2024
395
76th percentile among 6,471 codes billed · 2024
-2.3%
Medicare payment on the code vs 2023; billers -1.1% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $201M paid20202021: $230M paid20212022: $226M paid20222023: $223M paid20232024: $218M paid2024$218M$0$100M$200M2020: $201M paid20202021: $230M paid20212022: $226M paid20222023: $223M paid20232024: $218M paid2024$218M$0$100M$200M2020: $201M paid20202021: $230M paid20212022: $226M paid20222023: $223M paid20232024: $218M paid2024$218M$0$100M$200M2020: $201M paid20202021: $230M paid20212022: $226M paid20222023: $223M paid20232024: $218M paid2024$218M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

020K40K2020: 40K providers20202021: 41K providers20212022: 40K providers20222023: 40K providers20232024: 39K providers202439K020K40K2020: 40K providers20202021: 41K providers20212022: 40K providers20222023: 40K providers20232024: 39K providers202439K020K40K2020: 40K providers20202021: 41K providers20212022: 40K providers20222023: 40K providers20232024: 39K providers202439K020K40K2020: 40K providers20202021: 41K providers20212022: 40K providers20222023: 40K providers20232024: 39K providers202439K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
202439,307$217,527,515-2%4,517,739563950.79
202339,752$222,755,595-1%4,578,810564000.79
202240,458$225,752,016-2%4,609,497543960.79
202141,080$229,871,142+14%4,647,635543950.79
202039,876$201,253,748first year in data4,294,199513720.79

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Florida2,761$18,907,675385,14661508
California2,806$16,786,912319,96352401
Texas2,536$13,561,468282,47956384
Pennsylvania1,977$12,938,073257,66964462
New York1,849$12,882,990229,84662417
Illinois1,572$11,831,143226,97662502
New Jersey1,085$10,797,222184,03885626
North Carolina1,607$7,770,961173,78060354
Ohio1,625$7,563,799171,04159331
Georgia1,293$7,354,197157,30960427
Virginia1,113$6,691,356139,77461416
Maryland843$6,142,826116,61265498
South Carolina832$6,132,122131,54772514
Massachusetts939$5,669,437115,41260450
Tennessee972$5,343,466122,40368432

Not listed: 1 billers with an armed-forces or unknown state code (ZZ); they are in the national totals.

Not listed: 2 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,721$15,952,356262,85269
Chicago-Naperville-Elgin, IL-IN1,111$9,318,776171,43860
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD822$7,361,465132,43775
Los Angeles-Long Beach-Anaheim, CA861$5,782,998110,51655
Washington-Arlington-Alexandria, DC-VA-MD-WV597$4,117,28575,13663
Atlanta-Sandy Springs-Roswell, GA625$3,924,16679,28560
Dallas-Fort Worth-Arlington, TX683$3,902,13179,35058
Boston-Cambridge-Newton, MA-NH687$3,769,14575,53756
Miami-Fort Lauderdale-West Palm Beach, FL534$3,735,07971,19561
Phoenix-Mesa-Chandler, AZ629$3,537,98973,35260
Baltimore-Columbia-Towson, MD407$3,102,23158,85870
Houston-Pasadena-The Woodlands, TX515$3,054,51359,41463
Tampa-St. Petersburg-Clearwater, FL406$2,587,83953,40057
Detroit-Warren-Dearborn, MI445$2,365,32447,70157
Pittsburgh, PA344$1,975,92939,07865

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 20610 nationally

Orthopedic Surgery accounts for 49% of payment for 20610 nationally in 2024, across 24 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery12,71732%$107,637,01749%2,131,589168
Physician Assistant8,64522%$41,820,95219%984,950114
Nurse Practitioner2,6306.7%$11,713,3605.4%283,466108
Sports Medicine1,2543.2%$10,743,8734.9%207,452165
Family Practice3,4208.7%$9,914,1814.6%197,30458
Physical Medicine and Rehabilitation1,7034.3%$7,499,9543.4%141,80583
Rheumatology1,8274.6%$6,954,5483.2%133,34873
Pain Management1,3283.4%$4,167,7461.9%85,06064
Internal Medicine1,4083.6%$3,771,1191.7%74,59253
Anesthesiology1,0772.7%$2,979,7141.4%62,41658
Interventional Pain Management7241.8%$2,618,6971.2%51,81872
Hand Surgery3810.97%$1,466,0690.67%29,42977
Diagnostic Radiology1,1302.9%$1,353,4270.62%33,62630
Emergency Medicine1100.28%$1,005,4560.46%18,051164
General Practice880.22%$797,5900.37%13,244151

Not listed: 24 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2024.

Top billers of 20610 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

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