HCPCS 45380

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

Procedures Work RVU per service 3.56 (2022 fee schedule)

16,256
98th percentile among 6,326 codes billed · 2022
$242M
99th percentile among 6,326 codes billed · 2022
1.3M
96th percentile among 6,326 codes billed · 2022
48
73rd percentile among 6,326 codes billed · 2022
247
72nd percentile among 6,326 codes billed · 2022
-3.5%
Medicare payment on the code vs 2021; billers -0.9% · 2022

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
California1,418$31,611,525144,38962319
Florida1,131$20,975,426111,46754310
Texas1,179$18,446,350101,88750268
New York1,199$17,872,35379,09140181
New Jersey593$11,506,93052,73856265
Pennsylvania836$10,208,85658,17445222
Maryland364$9,743,18545,97979515
Illinois646$8,300,48353,70256221
Arizona333$7,393,44435,56959365
North Carolina516$7,268,35041,28348252
Georgia470$6,517,59935,20246253
Washington370$6,049,25033,60857274
Ohio636$6,000,68638,78739178
Massachusetts441$5,353,65933,73652211
Virginia378$5,101,87931,27458211

Not listed: 2 billers with an armed-forces or unknown state code (AP, 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,304$22,126,09394,95645
Los Angeles-Long Beach-Anaheim, CA513$10,738,89347,21454
Washington-Arlington-Alexandria, DC-VA-MD-WV321$7,641,49636,52171
Dallas-Fort Worth-Arlington, TX374$6,698,96634,03955
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD435$6,581,48733,83049
Phoenix-Mesa-Chandler, AZ250$6,095,99228,29060
Chicago-Naperville-Elgin, IL-IN474$5,749,31739,76962
San Francisco-Oakland-Fremont, CA182$4,606,04718,85262
Houston-Pasadena-The Woodlands, TX294$4,536,64824,73450
Atlanta-Sandy Springs-Roswell, GA268$4,104,50620,68549
Boston-Cambridge-Newton, MA-NH348$3,890,84325,40550
Baltimore-Columbia-Towson, MD173$3,874,23818,70957
Miami-Fort Lauderdale-West Palm Beach, FL294$3,822,34320,07834
Seattle-Tacoma-Bellevue, WA204$3,465,79418,21457
Jacksonville, FL117$2,785,02914,46264

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 45380 nationally

Ambulatory Surgical Center accounts for 61% of payment for 45380 nationally in 2022, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,77711%$147,624,93161%432,677243
Gastroenterology11,35270%$80,933,83433%768,05468
General Surgery1,5659.6%$5,625,2812.3%49,12031
Internal Medicine7394.5%$4,449,1591.8%39,96654
Colorectal Surgery (Proctology)5813.6%$2,410,5101.00%21,20937
Family Practice1631.0%$539,1420.22%4,19826
Hospitalist200.12%$88,9390.04%92246
General Practice130.08%$81,7360.03%47837

Not listed: 21 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 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