HCPCS 64493

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

Procedures Work RVU per service 1.52 (2020 fee schedule)

7,473
96th percentile among 6,116 codes billed · 2020
$102M
98th percentile among 6,116 codes billed · 2020
594K
94th percentile among 6,116 codes billed · 2020
52
77th percentile among 6,116 codes billed · 2020
230
72nd percentile among 6,116 codes billed · 2020

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
Florida709$11,451,42564,22858272
California627$11,238,01153,21152243
Texas638$7,927,57746,98547233
Georgia325$6,144,32833,86768346
New York332$3,796,48220,67341178
Maryland213$3,742,65919,29161250
Arizona203$3,739,63220,14770245
Pennsylvania315$3,537,06821,50543177
New Jersey249$2,809,11213,74139147
Tennessee169$2,767,71616,13663265
Ohio262$2,677,91818,57146190
South Carolina129$2,625,30016,44578383
Illinois232$2,380,62114,55546161
North Carolina201$2,307,89814,91456180
Virginia150$2,283,70113,88260267

Not listed: 4 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-NJ391$4,502,35322,51637
Los Angeles-Long Beach-Anaheim, CA210$4,011,47719,76849
Atlanta-Sandy Springs-Roswell, GA189$3,274,39617,48361
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD176$2,623,12613,63447
Phoenix-Mesa-Chandler, AZ152$2,452,23713,17263
Miami-Fort Lauderdale-West Palm Beach, FL155$2,140,04411,56839
Dallas-Fort Worth-Arlington, TX191$2,093,26711,90243
Boston-Cambridge-Newton, MA-NH153$1,906,55011,64848
Chicago-Naperville-Elgin, IL-IN188$1,903,50511,42746
Washington-Arlington-Alexandria, DC-VA-MD-WV123$1,803,8489,26252
Baltimore-Columbia-Towson, MD108$1,709,9608,84561
Orlando-Kissimmee-Sanford, FL57$1,303,7077,15357
Tampa-St. Petersburg-Clearwater, FL122$1,205,8537,22142
Las Vegas-Henderson-North Las Vegas, NV63$1,086,3935,08555
Houston-Pasadena-The Woodlands, TX125$1,014,5675,94039

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 90 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 64493 nationally

Ambulatory Surgical Center accounts for 46% of payment for 64493 nationally in 2020, across 16 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,24117%$46,640,16446%183,513148
Pain Management1,54721%$14,273,15314%106,19969
Physical Medicine and Rehabilitation1,54621%$12,330,57112%91,58359
Anesthesiology1,45719%$12,236,07112%93,90564
Interventional Pain Management1,09415%$12,069,81812%84,91678
Orthopedic Surgery1522.0%$1,395,7521.4%9,30861
Neurology791.1%$897,5860.88%5,57071
Diagnostic Radiology1151.5%$611,1220.60%4,37038
Neurosurgery530.71%$523,5880.51%4,02976
Family Practice370.50%$306,5350.30%2,14458
Internal Medicine260.35%$244,8750.24%1,61162
Interventional Radiology210.28%$182,3920.18%1,27461
Nurse Practitioner140.19%$89,7660.09%63445
Sports Medicine140.19%$88,3060.09%85861
Certified Registered Nurse Anesthetist (CRNA)230.31%$85,6140.08%81435

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 2020.

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