HCPCS 70496

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

Imaging Work RVU per service 1.75 (2021 fee schedule)

11,423
97th percentile among 6,253 codes billed · 2021
$39M
95th percentile among 6,253 codes billed · 2021
565K
93rd percentile among 6,253 codes billed · 2021
34
64th percentile among 6,253 codes billed · 2021
139
62nd percentile among 6,253 codes billed · 2021
+16.4%
Medicare payment on the code vs 2020; billers +6.8% · 2021

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%681,715381581.75
202211,646$40,160,419+3%594,906351431.75
202111,423$39,013,717+16%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
California1,048$3,425,60946,95134109
Texas726$2,592,16637,14833153
Florida656$2,247,56530,40332128
New York540$2,190,38928,76937148
Pennsylvania536$1,718,33425,60433135
Minnesota444$1,624,04423,93338139
Illinois511$1,573,38722,84531117
Massachusetts389$1,397,20319,88034137
Michigan385$1,372,61820,85935158
North Carolina344$1,294,20619,03536152
Washington188$1,238,25417,65760300
Ohio371$1,233,29918,83034145
Tennessee316$1,103,21316,33733149
Colorado226$1,057,09715,51346190
Virginia276$1,023,29415,10638169

Not listed: 4 billers with an armed-forces or unknown state code (AA, AP, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ474$1,993,09825,44938
Chicago-Naperville-Elgin, IL-IN414$1,323,94419,11934
Minneapolis-St. Paul-Bloomington, MN-WI306$1,295,42319,14447
Boston-Cambridge-Newton, MA-NH321$1,084,56315,36631
Los Angeles-Long Beach-Anaheim, CA336$1,059,90814,40928
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD251$909,05812,65940
Seattle-Tacoma-Bellevue, WA108$836,05111,81780
Dallas-Fort Worth-Arlington, TX234$800,56510,96331
Houston-Pasadena-The Woodlands, TX161$684,37210,05543
Atlanta-Sandy Springs-Roswell, GA145$589,7008,72643
Denver-Aurora-Centennial, CO111$587,4258,76062
Phoenix-Mesa-Chandler, AZ137$558,1257,37737
Detroit-Warren-Dearborn, MI181$533,0488,00433
Baltimore-Columbia-Towson, MD151$521,2646,67230
San Francisco-Oakland-Fremont, CA140$493,8226,59636

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 2021.

Specialties billing 70496 nationally

Diagnostic Radiology accounts for 95% of payment for 70496 nationally in 2021, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology10,85795%$37,036,39195%539,53450
Interventional Radiology3523.1%$1,237,8713.2%18,50353
Independent Diagnostic Testing Facility (IDTF)890.78%$339,1830.87%1,97922
Neurology280.25%$91,0010.23%1,14941
Cardiology110.10%$67,8100.17%53649
Nuclear Medicine140.12%$51,0220.13%78256
Radiation Oncology120.11%$29,8090.08%46038

Not listed: 20 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 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