HCPCS 70496

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

Imaging Work RVU per service 1.75 (2022 fee schedule)

11,646
98th percentile among 6,326 codes billed · 2022
$40M
95th percentile among 6,326 codes billed · 2022
595K
94th percentile among 6,326 codes billed · 2022
35
65th percentile among 6,326 codes billed · 2022
143
63rd percentile among 6,326 codes billed · 2022
+2.9%
Medicare payment on the code vs 2021; billers +2.0% · 2022

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
California1,074$3,628,43350,90935125
Texas758$2,744,83940,02833164
Florida690$2,517,09835,11535138
New York550$2,283,61330,32338156
Minnesota454$1,762,86926,22142155
Pennsylvania554$1,721,71726,30835120
Illinois533$1,622,83224,08734117
Massachusetts373$1,408,39220,70940138
North Carolina368$1,298,35719,68334149
Washington192$1,283,11619,18258313
Michigan363$1,271,52619,68437146
Ohio355$1,223,52419,17437143
Virginia280$1,104,49616,58440180
Colorado233$1,094,35116,12643198
Georgia303$1,058,39616,07637147

Not listed: 6 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ496$2,150,28027,66939
Minneapolis-St. Paul-Bloomington, MN-WI315$1,407,72021,06950
Chicago-Naperville-Elgin, IL-IN426$1,327,29319,55735
Los Angeles-Long Beach-Anaheim, CA361$1,217,62716,89631
Boston-Cambridge-Newton, MA-NH302$1,081,91215,88038
Seattle-Tacoma-Bellevue, WA117$926,17813,67275
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD260$910,35113,10039
Dallas-Fort Worth-Arlington, TX252$885,86312,21028
Houston-Pasadena-The Woodlands, TX174$736,08611,05040
Atlanta-Sandy Springs-Roswell, GA163$689,08810,37845
Baltimore-Columbia-Towson, MD167$618,8768,49034
Denver-Aurora-Centennial, CO109$583,5948,78050
Phoenix-Mesa-Chandler, AZ127$578,8097,79542
Washington-Arlington-Alexandria, DC-VA-MD-WV149$559,8377,78339
Miami-Fort Lauderdale-West Palm Beach, FL182$537,3817,86634

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 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 70496 nationally

Diagnostic Radiology accounts for 95% of payment for 70496 nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology11,07295%$38,126,95795%568,46451
Interventional Radiology3553.0%$1,272,0973.2%19,30654
Independent Diagnostic Testing Facility (IDTF)940.81%$368,4950.92%2,16223
Neurology260.22%$85,6370.21%1,15244
Nuclear Medicine180.15%$70,3910.18%1,01156
Cardiology120.10%$58,4370.15%51743
Radiation Oncology140.12%$37,8560.09%55640

Not listed: 18 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 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