HCPCS 45378
Procedure (ClaimLight category; the code descriptor is not shown)
Procedures Work RVU per service 3.26 (2024 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 8,154 | $47,700,328 | -4% | 237,385 | 20 | 76 | 3.26 |
| 2023 | 8,675 | $49,874,389 | -4% | 258,797 | 20 | 79 | 3.26 |
| 2022 | 9,419 | $51,965,549 | -10% | 293,487 | 21 | 83 | 3.26 |
| 2021 | 10,135 | $57,844,508 | +8% | 324,365 | 22 | 86 | 3.26 |
| 2020 | 9,788 | $53,702,661 | first year in data | 307,810 | 22 | 83 | 3.26 |
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 | |
|---|---|---|---|---|---|---|
| California | 771 | $6,089,397 | 26,414 | 23 | 105 | |
| New York | 635 | $5,258,302 | 22,635 | 22 | 97 | |
| Florida | 605 | $4,036,153 | 19,386 | 22 | 93 | |
| Texas | 493 | $2,769,316 | 13,901 | 20 | 68 | |
| New Jersey | 301 | $2,048,230 | 9,013 | 21 | 80 | |
| Pennsylvania | 380 | $1,864,747 | 9,373 | 18 | 58 | |
| Maryland | 228 | $1,778,880 | 8,009 | 23 | 93 | |
| Illinois | 339 | $1,711,431 | 9,178 | 19 | 75 | |
| Georgia | 278 | $1,530,748 | 7,886 | 20 | 65 | |
| North Carolina | 265 | $1,490,600 | 7,475 | 21 | 72 | |
| Ohio | 330 | $1,420,418 | 7,844 | 17 | 54 | |
| South Carolina | 169 | $1,227,838 | 6,275 | 24 | 104 | |
| Arizona | 167 | $1,162,928 | 5,336 | 21 | 75 | |
| Massachusetts | 217 | $1,082,478 | 6,348 | 22 | 72 | |
| Tennessee | 200 | $1,063,171 | 5,951 | 21 | 67 |
Not listed: 3 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-NJ | 715 | $5,929,394 | 24,582 | 22 | |
| Los Angeles-Long Beach-Anaheim, CA | 254 | $2,208,536 | 9,522 | 22 | |
| Chicago-Naperville-Elgin, IL-IN | 248 | $1,115,432 | 6,114 | 17 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 143 | $1,074,750 | 4,524 | 21 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 214 | $1,046,592 | 5,022 | 18 | |
| Baltimore-Columbia-Towson, MD | 122 | $936,860 | 4,461 | 23 | |
| Phoenix-Mesa-Chandler, AZ | 119 | $848,359 | 3,692 | 19 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 117 | $731,347 | 3,268 | 20 | |
| Atlanta-Sandy Springs-Roswell, GA | 139 | $713,407 | 3,374 | 18 | |
| San Francisco-Oakland-Fremont, CA | 90 | $671,438 | 2,455 | 23 | |
| Boston-Cambridge-Newton, MA-NH | 148 | $656,153 | 3,868 | 19 | |
| Dallas-Fort Worth-Arlington, TX | 109 | $591,829 | 2,635 | 16 | |
| Las Vegas-Henderson-North Las Vegas, NV | 50 | $545,234 | 2,295 | 32 | |
| Houston-Pasadena-The Woodlands, TX | 98 | $498,748 | 2,452 | 18 | |
| Detroit-Warren-Dearborn, MI | 97 | $464,046 | 2,423 | 19 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 95 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 45378 nationally
Ambulatory Surgical Center accounts for 52% of payment for 45378 nationally in 2024, across 6 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Ambulatory Surgical Center | 1,339 | 16% | $24,803,505 | 52% | 69,196 | 52 |
| Gastroenterology | 5,458 | 67% | $18,944,374 | 40% | 138,452 | 25 |
| General Surgery | 704 | 8.6% | $1,861,824 | 3.9% | 14,784 | 21 |
| Internal Medicine | 372 | 4.6% | $1,269,241 | 2.7% | 9,028 | 24 |
| Colorectal Surgery (Proctology) | 225 | 2.8% | $649,256 | 1.4% | 4,682 | 21 |
| Family Practice | 16 | 0.20% | $36,298 | 0.08% | 288 | 18 |
Not listed: 14 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 45378 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