HCPCS 64493

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

Procedures Work RVU per service 1.52 (2022 fee schedule)

7,675
96th percentile among 6,326 codes billed · 2022
$106M
98th percentile among 6,326 codes billed · 2022
600K
94th percentile among 6,326 codes billed · 2022
52
76th percentile among 6,326 codes billed · 2022
228
71st percentile among 6,326 codes billed · 2022
-3.9%
Medicare payment on the code vs 2021; billers -0.8% · 2022

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
Florida706$11,933,41165,00057264
California662$11,404,74754,05051251
Texas657$7,777,87645,64347213
Georgia326$5,384,36629,09658261
New York367$4,595,67923,88644191
Maryland227$4,485,97522,67270275
Arizona225$4,124,43421,97269251
Pennsylvania337$3,687,38022,30447173
New Jersey255$3,230,09515,61444166
Tennessee167$2,864,07616,57263270
South Carolina122$2,810,08516,84275454
Ohio266$2,740,58518,48448180
Illinois250$2,647,32415,90444174
Indiana196$2,333,56213,51855201
North Carolina217$2,271,38414,55945172

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ446$5,672,59527,74243
Los Angeles-Long Beach-Anaheim, CA227$4,097,94220,06346
Phoenix-Mesa-Chandler, AZ167$2,874,03415,11764
Atlanta-Sandy Springs-Roswell, GA193$2,850,06914,81053
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD194$2,513,56413,15746
Chicago-Naperville-Elgin, IL-IN212$2,329,55913,52345
Baltimore-Columbia-Towson, MD114$2,189,40011,36874
Dallas-Fort Worth-Arlington, TX199$2,083,07911,96544
Miami-Fort Lauderdale-West Palm Beach, FL147$2,046,29311,04250
Washington-Arlington-Alexandria, DC-VA-MD-WV129$1,896,8759,47453
Boston-Cambridge-Newton, MA-NH149$1,885,05911,54656
Tampa-St. Petersburg-Clearwater, FL127$1,456,4188,03744
Orlando-Kissimmee-Sanford, FL63$1,190,4296,52653
Houston-Pasadena-The Woodlands, TX129$1,062,8976,18035
Jacksonville, FL71$1,049,9676,01970

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 2022.

Specialties billing 64493 nationally

Ambulatory Surgical Center accounts for 45% of payment for 64493 nationally in 2022, across 14 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,20616%$47,982,00945%184,386153
Pain Management1,66022%$15,191,83314%111,18567
Physical Medicine and Rehabilitation1,67222%$13,545,91913%98,97959
Anesthesiology1,53120%$12,933,32312%96,22463
Interventional Pain Management1,07314%$11,724,01011%80,35075
Orthopedic Surgery1431.9%$1,159,0801.1%7,47452
Neurology670.87%$613,0510.58%3,86958
Diagnostic Radiology921.2%$533,8620.51%3,70940
Neurosurgery500.65%$507,8850.48%3,61572
Family Practice340.44%$252,8290.24%1,82154
Internal Medicine180.23%$187,0330.18%1,18066
Interventional Radiology180.23%$171,4660.16%1,14964
Certified Registered Nurse Anesthetist (CRNA)370.48%$169,5860.16%1,47240
Sports Medicine160.21%$117,6590.11%1,05866

Not listed: 13 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 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