HCPCS 45380

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

Procedures Work RVU per service 3.56 (2020 fee schedule)

15,662
98th percentile among 6,116 codes billed · 2020
$209M
99th percentile among 6,116 codes billed · 2020
1.1M
96th percentile among 6,116 codes billed · 2020
44
73rd percentile among 6,116 codes billed · 2020
225
71st percentile among 6,116 codes billed · 2020

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
California1,373$25,391,075117,08850272
Florida1,065$18,022,82496,97452291
Texas1,086$15,713,90886,75647242
New York1,095$13,508,07861,11734151
Pennsylvania834$8,917,02650,44840181
New Jersey571$8,793,41440,22746219
Maryland354$7,571,34736,23361412
North Carolina507$7,210,56940,43450251
Illinois618$7,167,83345,25850194
Arizona334$6,237,83031,21549339
Ohio630$5,782,09236,84638180
Georgia448$5,685,43631,02942223
Washington366$5,607,26131,04856253
South Carolina242$4,702,17227,84368378
Tennessee327$4,615,81626,01843228

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,196$16,253,19669,76836
Los Angeles-Long Beach-Anaheim, CA498$7,782,77435,38143
Dallas-Fort Worth-Arlington, TX367$5,775,03930,06249
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD432$5,472,37927,86342
Washington-Arlington-Alexandria, DC-VA-MD-WV293$5,161,30826,02656
Phoenix-Mesa-Chandler, AZ242$4,902,06823,89951
Chicago-Naperville-Elgin, IL-IN466$4,857,04432,26951
San Francisco-Oakland-Fremont, CA172$3,843,33015,27554
Atlanta-Sandy Springs-Roswell, GA255$3,489,56117,63243
Houston-Pasadena-The Woodlands, TX252$3,480,20718,69445
Baltimore-Columbia-Towson, MD181$3,466,09916,97553
Seattle-Tacoma-Bellevue, WA199$3,002,82216,04157
Boston-Cambridge-Newton, MA-NH324$2,980,27619,11343
Miami-Fort Lauderdale-West Palm Beach, FL261$2,789,53014,50131
Jacksonville, FL109$2,421,38312,62868

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 45380 nationally

Ambulatory Surgical Center accounts for 58% of payment for 45380 nationally in 2020, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,76311%$121,215,50658%370,195210
Gastroenterology11,07671%$75,721,47836%678,29161
General Surgery1,4559.3%$5,011,5112.4%41,40828
Internal Medicine6784.3%$3,973,4801.9%33,30949
Colorectal Surgery (Proctology)4903.1%$1,890,5880.91%16,59634
Family Practice1450.93%$496,1820.24%3,47824
General Practice120.08%$63,7240.03%37131

Not listed: 17 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 2020.

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