HCPCS 20610

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

Procedures Work RVU per service 0.79 (2023 fee schedule)

39,752
99th percentile among 6,405 codes billed · 2023
$223M
99th percentile among 6,405 codes billed · 2023
4.6M
98th percentile among 6,405 codes billed · 2023
56
76th percentile among 6,405 codes billed · 2023
400
77th percentile among 6,405 codes billed · 2023
-1.3%
Medicare payment on the code vs 2022; billers -1.7% · 2023

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
Florida2,834$19,944,224404,09162533
California2,790$16,653,895314,57752388
Texas2,477$13,645,454282,98257391
Pennsylvania1,982$13,328,131261,58964468
New York1,866$13,144,490230,63963410
Illinois1,553$11,857,721225,24362531
New Jersey1,109$11,049,933185,55678586
North Carolina1,619$8,209,394180,96460366
Ohio1,639$7,748,199172,36256335
Georgia1,318$7,589,100162,87159448
Virginia1,163$7,080,578144,73555422
Maryland840$6,368,122117,89367500
South Carolina809$5,912,772127,31174504
Massachusetts977$5,693,535114,19258441
Tennessee998$5,528,126125,51469440

Not listed: 2 billers with an armed-forces or unknown state code (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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,728$16,341,429265,65269
Chicago-Naperville-Elgin, IL-IN1,079$9,263,053168,48760
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD806$7,463,182131,00672
Los Angeles-Long Beach-Anaheim, CA860$5,690,218107,05556
Washington-Arlington-Alexandria, DC-VA-MD-WV616$4,343,15077,48364
Atlanta-Sandy Springs-Roswell, GA641$4,052,68382,57659
Dallas-Fort Worth-Arlington, TX656$4,034,20481,17962
Miami-Fort Lauderdale-West Palm Beach, FL576$3,858,98473,04560
Boston-Cambridge-Newton, MA-NH690$3,821,50475,19553
Phoenix-Mesa-Chandler, AZ638$3,506,19072,50254
Baltimore-Columbia-Towson, MD415$3,270,01260,20569
Houston-Pasadena-The Woodlands, TX507$2,867,74056,36661
Tampa-St. Petersburg-Clearwater, FL407$2,715,27455,14858
Detroit-Warren-Dearborn, MI478$2,435,99348,77556
St. Louis, MO-IL400$2,028,11443,46963

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 2023.

Specialties billing 20610 nationally

Orthopedic Surgery accounts for 51% of payment for 20610 nationally in 2023, across 24 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery12,95533%$112,702,66551%2,206,236170
Physician Assistant8,18121%$39,708,96318%928,257113
Nurse Practitioner2,5446.4%$11,371,6735.1%274,014108
Sports Medicine1,1823.0%$10,536,4324.7%201,239170
Family Practice3,6749.2%$10,250,9944.6%204,79056
Rheumatology1,9654.9%$8,080,0893.6%154,16578
Physical Medicine and Rehabilitation1,7604.4%$7,792,2653.5%147,98284
Pain Management1,2943.3%$4,236,0151.9%86,90467
Internal Medicine1,5904.0%$4,176,9281.9%82,79152
Anesthesiology1,1112.8%$3,050,8441.4%63,59657
Interventional Pain Management7892.0%$2,889,2031.3%57,40673
Diagnostic Radiology1,2563.2%$1,485,3060.67%37,32630
Hand Surgery3790.95%$1,484,5580.67%29,54278
Emergency Medicine1030.26%$1,004,4020.45%18,583180
General Practice960.24%$995,2550.45%17,684184

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 2023.

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