HCPCS 64493

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

Procedures Work RVU per service 1.52 (2024 fee schedule)

7,453
96th percentile among 6,471 codes billed · 2024
$111M
98th percentile among 6,471 codes billed · 2024
583K
94th percentile among 6,471 codes billed · 2024
51
73rd percentile among 6,471 codes billed · 2024
224
69th percentile among 6,471 codes billed · 2024
+2.9%
Medicare payment on the code vs 2023; billers -0.9% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $102M paid20202021: $110M paid20212022: $106M paid20222023: $107M paid20232024: $111M paid2024$111M$0$50M$100M2020: $102M paid20202021: $110M paid20212022: $106M paid20222023: $107M paid20232024: $111M paid2024$111M$0$50M$100M2020: $102M paid20202021: $110M paid20212022: $106M paid20222023: $107M paid20232024: $111M paid2024$111M$0$50M$100M2020: $102M paid20202021: $110M paid20212022: $106M paid20222023: $107M paid20232024: $111M paid2024$111M

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

Billers

05,0002020: 7,473 providers20202021: 7,740 providers20212022: 7,675 providers20222023: 7,519 providers20232024: 7,453 providers20247,45305,0002020: 7,473 providers20202021: 7,740 providers20212022: 7,675 providers20222023: 7,519 providers20232024: 7,453 providers20247,45305,0002020: 7,473 providers20202021: 7,740 providers20212022: 7,675 providers20222023: 7,519 providers20232024: 7,453 providers20247,45305,0002020: 7,473 providers20202021: 7,740 providers20212022: 7,675 providers20222023: 7,519 providers20232024: 7,453 providers20247,453

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
20247,453$110,627,281+3%583,299512241.52
20237,519$107,463,984+2%587,456502271.52
20227,675$105,580,850-4%599,820522281.52
20217,740$109,846,152+7%620,975532341.52
20207,473$102,448,966first year in data593,851522301.52

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
California684$14,001,83859,42455266
Florida697$12,506,93965,10956283
Texas652$8,702,28346,27246189
Georgia334$5,472,93227,16955212
Maryland221$5,095,56023,59475316
New York368$4,731,83023,66343162
Arizona230$4,289,30221,97369271
Pennsylvania306$3,549,41920,34345155
New Jersey269$3,455,38915,69339161
South Carolina134$3,004,40917,22973341
Illinois233$2,922,85616,45452192
Tennessee157$2,783,37415,17962293
Ohio265$2,543,72915,77941162
Virginia141$2,293,60214,02973243
Indiana172$2,247,72012,07948187

Not listed: 6 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-NJ447$5,924,76327,60343
Los Angeles-Long Beach-Anaheim, CA229$4,188,56618,83049
Phoenix-Mesa-Chandler, AZ174$3,159,00315,91368
Atlanta-Sandy Springs-Roswell, GA196$3,058,15614,42752
Dallas-Fort Worth-Arlington, TX218$2,975,73214,99546
Chicago-Naperville-Elgin, IL-IN197$2,598,64714,06753
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD193$2,478,57112,47946
Baltimore-Columbia-Towson, MD107$2,396,06911,43276
Miami-Fort Lauderdale-West Palm Beach, FL147$2,130,74211,09947
Washington-Arlington-Alexandria, DC-VA-MD-WV120$1,995,4509,48655
San Francisco-Oakland-Fremont, CA65$1,656,6435,72360
Boston-Cambridge-Newton, MA-NH137$1,569,3709,19645
Tampa-St. Petersburg-Clearwater, FL122$1,517,6397,77544
Jacksonville, FL77$1,443,5617,82370
Orlando-Kissimmee-Sanford, FL69$1,236,1266,35447

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 93 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 64493 nationally

Ambulatory Surgical Center accounts for 51% of payment for 64493 nationally in 2024, across 16 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,24717%$56,218,01151%196,234157
Pain Management1,69523%$15,307,72914%109,57765
Physical Medicine and Rehabilitation1,68723%$13,565,74012%98,52258
Anesthesiology1,41919%$11,910,64811%85,52760
Interventional Pain Management95413%$10,067,2169.1%69,08272
Orthopedic Surgery1201.6%$1,016,7750.92%6,52154
Neurology500.67%$451,9240.41%2,75355
Neurosurgery410.55%$391,5250.35%2,82369
Diagnostic Radiology560.75%$342,0140.31%2,26040
Family Practice280.38%$239,3920.22%1,68660
Internal Medicine210.28%$215,3430.19%1,30262
Certified Registered Nurse Anesthetist (CRNA)350.47%$215,0680.19%1,73550
Interventional Radiology130.17%$118,9000.11%82864
Emergency Medicine180.24%$112,1490.10%97654
Sports Medicine180.24%$104,7220.09%93052

Not listed: 12 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 64493 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