HCPCS 70496

Imaging service (ClaimLight category; the code descriptor is not shown)

Imaging Work RVU per service 1.75 (2020 fee schedule)

10,696
97th percentile among 6,116 codes billed · 2020
$34M
95th percentile among 6,116 codes billed · 2020
472K
93rd percentile among 6,116 codes billed · 2020
30
61st percentile among 6,116 codes billed · 2020
123
61st percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$20M$40M2020: $34M paid20202021: $39M paid20212022: $40M paid20222023: $45M paid20232024: $49M paid2024$49M$0$20M$40M2020: $34M paid20202021: $39M paid20212022: $40M paid20222023: $45M paid20232024: $49M paid2024$49M$0$20M$40M2020: $34M paid20202021: $39M paid20212022: $40M paid20222023: $45M paid20232024: $49M paid2024$49M$0$20M$40M2020: $34M paid20202021: $39M paid20212022: $40M paid20222023: $45M paid20232024: $49M paid2024$49M

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

Billers

05,00010K2020: 11K providers20202021: 11K providers20212022: 12K providers20222023: 12K providers20232024: 13K providers202413K05,00010K2020: 11K providers20202021: 11K providers20212022: 12K providers20222023: 12K providers20232024: 13K providers202413K05,00010K2020: 11K providers20202021: 11K providers20212022: 12K providers20222023: 12K providers20232024: 13K providers202413K05,00010K2020: 11K providers20202021: 11K providers20212022: 12K providers20222023: 12K providers20232024: 13K providers202413K

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
202412,590$48,854,982+8%757,050411711.75
202312,155$45,441,362+13% (2023 changed hospital and observation visit codes)681,715381581.75
202211,646$40,160,419+3%594,906351431.75
202111,423$39,013,717– (Not compared: 2021 changed office visit values)564,771341391.75
202010,696$33,526,468first year in data471,911301231.75

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
California927$2,778,91936,8793293
Texas693$2,244,71431,00731115
Florida627$1,955,46625,75228106
New York498$1,782,33722,83632123
Pennsylvania517$1,534,40422,11630131
Illinois493$1,297,15218,0782797
Michigan364$1,244,01418,17235139
Minnesota375$1,228,62117,65632120
North Carolina335$1,148,40016,50832145
Massachusetts338$1,124,62915,67432120
Ohio340$1,101,14816,43635135
Washington188$1,088,01114,99957230
Tennessee307$1,071,11115,44130148
Virginia259$931,78013,29838136
Colorado202$832,32211,94436187

Not listed: 4 billers with an armed-forces or unknown state code (AA, XX, ZZ); they are in the national totals.

Not listed: 2 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-NJ441$1,556,07719,31134
Chicago-Naperville-Elgin, IL-IN392$1,046,24314,48728
Minneapolis-St. Paul-Bloomington, MN-WI260$998,14814,32441
Boston-Cambridge-Newton, MA-NH267$864,99611,98232
Los Angeles-Long Beach-Anaheim, CA273$808,17210,64429
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD230$741,11010,28433
Seattle-Tacoma-Bellevue, WA104$725,6939,90166
Dallas-Fort Worth-Arlington, TX224$681,1399,11730
Houston-Pasadena-The Woodlands, TX147$524,2547,34539
Detroit-Warren-Dearborn, MI169$505,4817,32733
Atlanta-Sandy Springs-Roswell, GA140$497,0557,26433
Denver-Aurora-Centennial, CO98$492,9867,09546
Baltimore-Columbia-Towson, MD161$484,5896,22628
Phoenix-Mesa-Chandler, AZ126$476,5046,16137
Washington-Arlington-Alexandria, DC-VA-MD-WV139$428,9515,57029

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 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 70496 nationally

Diagnostic Radiology accounts for 95% of payment for 70496 nationally in 2020, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology10,20095%$31,827,13095%450,87244
Interventional Radiology3142.9%$1,036,7513.1%15,14048
Independent Diagnostic Testing Facility (IDTF)690.65%$267,3830.80%1,52722
Neurology220.21%$83,7270.25%1,00045
Nuclear Medicine190.18%$51,1530.15%71938

Not listed: 19 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 70496 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