HCPCS 45380

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

Procedures Work RVU per service 3.56 (2023 fee schedule)

16,427
98th percentile among 6,405 codes billed · 2023
$249M
99th percentile among 6,405 codes billed · 2023
1.3M
96th percentile among 6,405 codes billed · 2023
46
72nd percentile among 6,405 codes billed · 2023
244
71st percentile among 6,405 codes billed · 2023
+2.9%
Medicare payment on the code vs 2022; billers +1.1% · 2023

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
California1,457$34,617,742150,69860334
Florida1,161$21,761,791111,30551314
Texas1,164$19,080,73598,89848247
New York1,222$18,276,91180,70940180
New Jersey594$12,635,12455,74361274
Pennsylvania843$10,509,02757,48342203
Maryland372$9,807,77944,08972441
Illinois670$8,540,67452,75751229
Arizona349$7,460,31035,37855363
North Carolina519$7,101,68938,68444250
Georgia474$7,003,74635,55044266
Washington373$6,130,51532,71455259
Ohio669$5,993,74638,22436175
Massachusetts462$5,511,35533,92850207
Virginia396$5,126,71031,65055202

Not listed: 3 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,320$23,427,77699,27847
Los Angeles-Long Beach-Anaheim, CA524$11,709,54449,61956
Washington-Arlington-Alexandria, DC-VA-MD-WV326$7,962,15936,34867
Dallas-Fort Worth-Arlington, TX378$7,193,38434,03353
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD442$7,107,48635,00149
Phoenix-Mesa-Chandler, AZ268$6,276,36728,33153
Chicago-Naperville-Elgin, IL-IN500$6,091,38239,67455
San Francisco-Oakland-Fremont, CA175$5,123,95818,83662
Atlanta-Sandy Springs-Roswell, GA271$4,676,87421,84749
Houston-Pasadena-The Woodlands, TX294$4,627,80324,05248
Baltimore-Columbia-Towson, MD177$4,009,17918,55057
Miami-Fort Lauderdale-West Palm Beach, FL299$3,965,75919,71631
Boston-Cambridge-Newton, MA-NH359$3,911,97924,96448
Seattle-Tacoma-Bellevue, WA215$3,528,92918,08753
San Jose-Sunnyvale-Santa Clara, CA100$2,959,22711,10453

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 2023.

Specialties billing 45380 nationally

Ambulatory Surgical Center accounts for 63% of payment for 45380 nationally in 2023, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,79911%$156,739,11363%426,669237
Gastroenterology11,44470%$78,730,60832%754,10266
General Surgery1,5459.4%$5,663,2292.3%49,13832
Internal Medicine7724.7%$4,409,4181.8%40,53253
Colorectal Surgery (Proctology)6283.8%$2,659,3531.1%23,04837
Family Practice1600.97%$549,0660.22%4,08326
Hospitalist210.13%$89,6520.04%1,00848
General Practice120.07%$74,1430.03%38932

Not listed: 20 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 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