HCPCS 20610

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

Procedures Work RVU per service 0.79 (2022 fee schedule)

40,458
99th percentile among 6,326 codes billed · 2022
$226M
99th percentile among 6,326 codes billed · 2022
4.6M
99th percentile among 6,326 codes billed · 2022
54
77th percentile among 6,326 codes billed · 2022
396
78th percentile among 6,326 codes billed · 2022
-1.8%
Medicare payment on the code vs 2021; billers -1.5% · 2022

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
Florida2,857$20,753,071415,70362553
California2,874$16,763,582317,90950383
Texas2,550$13,818,709286,52254379
Pennsylvania1,994$13,267,264257,84659468
New York1,867$13,130,436227,47661429
Illinois1,591$11,653,669219,11858478
New Jersey1,095$10,932,147182,11281588
North Carolina1,638$8,685,944188,07456386
Ohio1,638$7,855,455172,10356343
Georgia1,310$7,552,268161,80062452
Virginia1,153$7,309,183146,34558434
Maryland867$6,537,426118,84863506
South Carolina804$5,856,534126,44372527
Massachusetts964$5,673,672112,45061411
Tennessee1,014$5,588,199125,28965427

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,739$16,193,212260,44669
Chicago-Naperville-Elgin, IL-IN1,105$9,052,986162,52756
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD805$7,511,885130,65668
Los Angeles-Long Beach-Anaheim, CA879$5,558,929104,60956
Washington-Arlington-Alexandria, DC-VA-MD-WV623$4,422,00177,52061
Miami-Fort Lauderdale-West Palm Beach, FL583$4,036,36474,96256
Atlanta-Sandy Springs-Roswell, GA646$4,025,43882,58662
Dallas-Fort Worth-Arlington, TX656$4,013,07980,56159
Boston-Cambridge-Newton, MA-NH696$3,760,61772,98456
Phoenix-Mesa-Chandler, AZ628$3,295,76268,75955
Baltimore-Columbia-Towson, MD424$3,226,86558,66070
Houston-Pasadena-The Woodlands, TX523$2,964,31758,19559
Tampa-St. Petersburg-Clearwater, FL418$2,882,07257,55859
Detroit-Warren-Dearborn, MI509$2,637,07452,46751
St. Louis, MO-IL420$2,082,86844,26356

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 2022.

Specialties billing 20610 nationally

Orthopedic Surgery accounts for 52% of payment for 20610 nationally in 2022, across 25 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery13,23533%$116,392,88952%2,266,663171
Physician Assistant7,58419%$36,235,51616%841,471111
Nurse Practitioner2,4506.1%$10,906,9914.8%260,132106
Family Practice4,13710%$10,855,8374.8%221,09953
Sports Medicine1,1152.8%$10,294,8574.6%196,676176
Rheumatology2,1885.4%$9,347,2244.1%178,05181
Physical Medicine and Rehabilitation1,8024.5%$8,328,9833.7%157,76388
Internal Medicine1,8534.6%$4,552,9402.0%92,67150
Pain Management1,2703.1%$4,349,0061.9%88,03869
Interventional Pain Management8272.0%$3,233,1871.4%63,95677
Anesthesiology1,1462.8%$3,144,2351.4%65,54257
Diagnostic Radiology1,3323.3%$1,589,2830.70%39,39030
Hand Surgery3820.94%$1,486,0960.66%29,33777
Emergency Medicine990.24%$1,026,3470.45%18,952191
General Practice1180.29%$944,2060.42%18,340155

Not listed: 25 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 2022.

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