HCPCS 20610

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

Procedures Work RVU per service 0.79 (2021 fee schedule)

41,080
99th percentile among 6,253 codes billed · 2021
$230M
99th percentile among 6,253 codes billed · 2021
4.6M
98th percentile among 6,253 codes billed · 2021
54
76th percentile among 6,253 codes billed · 2021
395
79th percentile among 6,253 codes billed · 2021
+14.2%
Medicare payment on the code vs 2020; billers +3.0% · 2021

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
Florida2,894$21,325,953420,71360552
California2,865$16,260,812308,76051378
Texas2,531$14,372,215293,39555391
Pennsylvania1,996$13,586,645260,25359473
New York1,889$12,799,559221,09058407
Illinois1,603$11,861,072221,04458459
New Jersey1,114$11,217,493185,13079570
North Carolina1,621$8,975,943191,62258389
Ohio1,697$8,086,648174,75457346
Georgia1,309$7,622,122161,47261448
Virginia1,164$7,216,728143,78057440
Maryland888$6,531,249116,88062462
Massachusetts993$5,813,923113,69859399
South Carolina815$5,736,401122,64768550
Tennessee1,041$5,657,211125,81865432

Not listed: 3 billers with an armed-forces or unknown state code (AA, AE, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,752$16,024,825256,79269
Chicago-Naperville-Elgin, IL-IN1,107$8,849,128156,99456
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD811$7,722,473132,30265
Los Angeles-Long Beach-Anaheim, CA874$5,431,573102,06357
Washington-Arlington-Alexandria, DC-VA-MD-WV622$4,433,88276,78563
Miami-Fort Lauderdale-West Palm Beach, FL571$4,140,82075,91359
Atlanta-Sandy Springs-Roswell, GA625$3,976,88981,14260
Dallas-Fort Worth-Arlington, TX658$3,927,96578,32657
Boston-Cambridge-Newton, MA-NH707$3,770,08872,11052
Phoenix-Mesa-Chandler, AZ635$3,341,71469,68855
Baltimore-Columbia-Towson, MD438$3,155,36356,28063
Houston-Pasadena-The Woodlands, TX497$3,005,94058,33961
Tampa-St. Petersburg-Clearwater, FL423$2,896,45557,04954
Detroit-Warren-Dearborn, MI536$2,842,92255,21845
St. Louis, MO-IL410$2,158,33645,58462

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 2021.

Specialties billing 20610 nationally

Orthopedic Surgery accounts for 53% of payment for 20610 nationally in 2021, across 27 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery13,47333%$120,955,93353%2,338,252174
Physician Assistant6,96517%$32,996,32214%760,075109
Family Practice4,70111%$12,081,3865.3%244,68352
Rheumatology2,3285.7%$10,554,5904.6%200,10486
Nurse Practitioner2,3275.7%$10,337,3434.5%245,859106
Sports Medicine1,0432.5%$9,846,4364.3%186,056178
Physical Medicine and Rehabilitation1,8554.5%$8,650,4903.8%164,00588
Internal Medicine2,1455.2%$5,489,3222.4%110,47452
Pain Management1,2693.1%$4,313,2431.9%86,32168
Interventional Pain Management8662.1%$3,447,0621.5%67,88778
Anesthesiology1,1172.7%$3,155,8821.4%65,97259
Diagnostic Radiology1,4273.5%$1,629,2070.71%39,92528
Hand Surgery3840.93%$1,460,9220.64%28,76675
General Practice1280.31%$968,0780.42%18,180142
Emergency Medicine1130.28%$818,4670.36%15,403136

Not listed: 19 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 2021.

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