HCPCS 45380

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

Procedures Work RVU per service 3.56 (2024 fee schedule)

16,278
98th percentile among 6,471 codes billed · 2024
$247M
99th percentile among 6,471 codes billed · 2024
1.2M
96th percentile among 6,471 codes billed · 2024
44
69th percentile among 6,471 codes billed · 2024
236
70th percentile among 6,471 codes billed · 2024
-0.7%
Medicare payment on the code vs 2023; billers -0.9% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $209M paid20202021: $251M paid20212022: $242M paid20222023: $249M paid20232024: $247M paid2024$247M$0$100M$200M2020: $209M paid20202021: $251M paid20212022: $242M paid20222023: $249M paid20232024: $247M paid2024$247M$0$100M$200M2020: $209M paid20202021: $251M paid20212022: $242M paid20222023: $249M paid20232024: $247M paid2024$247M$0$100M$200M2020: $209M paid20202021: $251M paid20212022: $242M paid20222023: $249M paid20232024: $247M paid2024$247M

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

Billers

010K2020: 16K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 16K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 16K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 16K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K

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
202416,278$247,476,024-1%1,249,030442363.56
202316,427$249,156,906+3%1,301,033462443.56
202216,256$242,022,657-4%1,318,857482473.56
202116,397$250,918,771+20%1,349,086492473.56
202015,662$208,596,658first year in data1,145,510442253.56

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
California1,474$35,975,423152,17561336
Florida1,163$21,167,185104,54248291
Texas1,167$19,366,27395,39947238
New York1,188$17,974,89578,20139183
New Jersey605$13,424,14256,60158292
Pennsylvania837$10,312,93855,38841195
Maryland375$9,660,84442,25466368
Illinois694$8,332,13350,76246199
Arizona344$7,263,41533,28251359
North Carolina502$6,981,45335,82044236
Georgia463$6,812,78932,89141238
Ohio659$6,189,33538,48237178
Washington381$5,863,14929,44848243
Massachusetts458$5,145,13831,80447205
Virginia401$5,115,15431,21153197

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

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-NJ1,306$23,962,00998,13345
Los Angeles-Long Beach-Anaheim, CA536$12,122,48850,40053
Washington-Arlington-Alexandria, DC-VA-MD-WV324$7,748,48734,44767
Dallas-Fort Worth-Arlington, TX378$7,435,28333,48750
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD436$7,097,18733,90249
Phoenix-Mesa-Chandler, AZ263$6,178,98826,99849
Chicago-Naperville-Elgin, IL-IN536$5,958,64138,44247
San Francisco-Oakland-Fremont, CA177$5,520,69919,38458
Houston-Pasadena-The Woodlands, TX304$4,799,17923,68346
Atlanta-Sandy Springs-Roswell, GA274$4,555,89820,25044
Baltimore-Columbia-Towson, MD183$4,268,19319,03655
Miami-Fort Lauderdale-West Palm Beach, FL300$4,018,55018,85129
Boston-Cambridge-Newton, MA-NH346$3,704,50423,27546
Seattle-Tacoma-Bellevue, WA222$3,267,15915,95044
San Jose-Sunnyvale-Santa Clara, CA110$3,157,29211,73550

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 45380 nationally

Ambulatory Surgical Center accounts for 66% of payment for 45380 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,78911%$162,317,39666%410,392229
Gastroenterology11,35370%$72,236,07029%720,07863
General Surgery1,5049.2%$5,323,8572.2%47,53332
Internal Medicine7784.8%$4,254,5871.7%41,35153
Colorectal Surgery (Proctology)6293.9%$2,447,9470.99%22,04435
Family Practice1410.87%$479,9670.19%3,77727
Hospitalist260.16%$115,9870.05%1,42755
General Practice110.07%$59,7710.02%32429

Not listed: 18 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 45380 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