HCPCS 64493

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

Procedures Work RVU per service 1.52 (2021 fee schedule)

7,740
96th percentile among 6,253 codes billed · 2021
$110M
98th percentile among 6,253 codes billed · 2021
621K
94th percentile among 6,253 codes billed · 2021
53
76th percentile among 6,253 codes billed · 2021
234
71st percentile among 6,253 codes billed · 2021
+7.2%
Medicare payment on the code vs 2020; billers +3.6% · 2021

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
Florida714$12,010,97365,16959275
California644$11,573,18154,54349288
Texas673$8,253,52647,99947218
Georgia320$6,083,68632,80069309
New York369$4,497,87723,42442181
Maryland229$4,187,82221,25561294
Arizona210$4,124,78321,56573252
Pennsylvania322$3,816,97822,68047209
New Jersey255$3,212,25915,21942164
Ohio272$2,953,30419,67954191
Tennessee171$2,953,04516,85965270
South Carolina123$2,884,20116,99378425
Illinois248$2,737,68216,10545178
North Carolina215$2,493,30115,54453191
Massachusetts190$2,472,94115,91856241

Not listed: 5 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ424$5,406,08826,01843
Los Angeles-Long Beach-Anaheim, CA223$4,146,10120,12344
Atlanta-Sandy Springs-Roswell, GA187$3,256,45116,90064
Phoenix-Mesa-Chandler, AZ154$2,748,40314,31264
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD194$2,722,51114,02149
Chicago-Naperville-Elgin, IL-IN206$2,275,21813,25247
Dallas-Fort Worth-Arlington, TX209$2,205,98612,56841
Miami-Fort Lauderdale-West Palm Beach, FL155$2,132,13311,37144
Boston-Cambridge-Newton, MA-NH154$2,127,84613,02659
Washington-Arlington-Alexandria, DC-VA-MD-WV132$2,092,96010,32452
Baltimore-Columbia-Towson, MD113$1,822,7799,49165
Tampa-St. Petersburg-Clearwater, FL121$1,337,3057,45043
Orlando-Kissimmee-Sanford, FL63$1,260,1576,83755
Houston-Pasadena-The Woodlands, TX128$1,148,9296,61037
Jacksonville, FL72$1,084,4566,24369

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 91 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 64493 nationally

Ambulatory Surgical Center accounts for 45% of payment for 64493 nationally in 2021, across 16 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,21416%$49,127,22045%190,065157
Pain Management1,63721%$15,594,59814%113,20169
Physical Medicine and Rehabilitation1,66221%$13,944,35613%100,02360
Anesthesiology1,53420%$13,309,11212%98,03864
Interventional Pain Management1,11414%$12,759,72012%85,82077
Orthopedic Surgery1522.0%$1,440,0231.3%9,10260
Neurology740.96%$887,4950.81%5,36673
Diagnostic Radiology1071.4%$671,7750.61%4,43041
Neurosurgery540.70%$579,8930.53%4,25779
Family Practice380.49%$301,7740.27%2,02853
Internal Medicine230.30%$236,2110.22%1,52466
Interventional Radiology180.23%$170,0510.15%1,17165
Certified Registered Nurse Anesthetist (CRNA)280.36%$126,6870.12%1,12340
Sports Medicine180.23%$109,6060.10%99055
Nurse Practitioner110.14%$85,5270.08%59254

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 2021.

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