HCPCS 64493

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

Procedures Work RVU per service 1.52 (2023 fee schedule)

7,519
96th percentile among 6,405 codes billed · 2023
$107M
98th percentile among 6,405 codes billed · 2023
587K
94th percentile among 6,405 codes billed · 2023
50
74th percentile among 6,405 codes billed · 2023
227
70th percentile among 6,405 codes billed · 2023
+1.8%
Medicare payment on the code vs 2022; billers -2.0% · 2023

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
California673$12,633,68056,52749267
Florida730$12,374,65666,06854260
Texas642$7,905,63744,02945201
Georgia322$5,423,43928,29959255
New York367$4,833,98124,40044195
Maryland212$4,760,27523,15580337
Arizona221$4,160,64621,84874265
Pennsylvania329$3,609,56221,24444176
New Jersey266$3,364,38315,95445155
South Carolina130$2,954,96517,14067377
Illinois241$2,843,16516,44948213
Tennessee162$2,734,22815,62162277
Ohio257$2,651,81917,08044190
Virginia143$2,407,94714,02271265
Indiana177$2,160,05612,09449189

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ442$5,990,22528,49645
Los Angeles-Long Beach-Anaheim, CA232$4,228,42919,68248
Phoenix-Mesa-Chandler, AZ166$2,995,76315,58770
Atlanta-Sandy Springs-Roswell, GA192$2,976,38114,97957
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD204$2,535,95213,08943
Dallas-Fort Worth-Arlington, TX210$2,450,98313,26142
Chicago-Naperville-Elgin, IL-IN198$2,438,58013,59049
Baltimore-Columbia-Towson, MD101$2,316,84611,44688
Miami-Fort Lauderdale-West Palm Beach, FL154$2,043,38810,87541
Washington-Arlington-Alexandria, DC-VA-MD-WV119$2,009,1699,77565
Boston-Cambridge-Newton, MA-NH145$1,802,14910,86251
Tampa-St. Petersburg-Clearwater, FL129$1,618,9038,55342
San Francisco-Oakland-Fremont, CA66$1,401,2185,25253
Jacksonville, FL77$1,276,3837,08170
Orlando-Kissimmee-Sanford, FL66$1,131,3756,15354

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 89 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 64493 nationally

Ambulatory Surgical Center accounts for 49% of payment for 64493 nationally in 2023, across 16 specialties on claims.

observed calculated calculated calculated calculated calculated
Ambulatory Surgical Center1,25217%$52,177,82449%193,526155
Pain Management1,68222%$15,306,13214%109,44765
Physical Medicine and Rehabilitation1,65222%$13,366,82312%97,02159
Anesthesiology1,46319%$12,076,18711%88,13360
Interventional Pain Management98813%$10,699,48910.0%73,33874
Orthopedic Surgery1251.7%$1,076,2311.0%6,80954
Neurology600.80%$518,5750.48%3,19553
Neurosurgery410.55%$454,6500.42%3,14177
Diagnostic Radiology680.90%$395,3720.37%2,85042
Family Practice320.43%$229,1770.21%1,64751
Internal Medicine210.28%$223,3760.21%1,32263
Certified Registered Nurse Anesthetist (CRNA)350.47%$200,7670.19%1,63847
Interventional Radiology130.17%$115,8350.11%79961
Sports Medicine170.23%$103,9850.10%92154
Emergency Medicine130.17%$102,6750.10%77359

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 2023.

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