HCPCS 70496

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

Imaging Work RVU per service 1.75 (2023 fee schedule)

12,155
98th percentile among 6,405 codes billed · 2023
$45M
96th percentile among 6,405 codes billed · 2023
682K
94th percentile among 6,405 codes billed · 2023
38
67th percentile among 6,405 codes billed · 2023
158
64th percentile among 6,405 codes billed · 2023
+13.1%
Medicare payment on the code vs 2022; billers +4.4% · 2023

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
California1,102$4,204,09159,64639141
Texas782$3,211,66347,61037203
Florida770$2,805,39639,66037137
New York555$2,603,90035,18143193
Minnesota464$1,988,83730,33143188
Pennsylvania580$1,937,60129,97438137
Illinois563$1,843,83127,60636129
Massachusetts389$1,591,18323,77547154
North Carolina395$1,539,35623,49637166
Michigan353$1,433,76222,44340188
Ohio386$1,347,41121,31337154
Washington209$1,315,93819,85754333
Virginia291$1,251,45419,08642192
Tennessee346$1,201,58018,45033162
Colorado234$1,199,87217,99446227

Not listed: 7 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ509$2,441,21931,93643
Minneapolis-St. Paul-Bloomington, MN-WI334$1,644,66125,33658
Chicago-Naperville-Elgin, IL-IN436$1,470,14421,79737
Los Angeles-Long Beach-Anaheim, CA380$1,399,80719,76133
Boston-Cambridge-Newton, MA-NH315$1,222,57818,12843
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD279$1,117,20616,21746
Dallas-Fort Worth-Arlington, TX259$975,49013,88132
Seattle-Tacoma-Bellevue, WA135$954,38714,18859
Houston-Pasadena-The Woodlands, TX181$865,73913,27244
Atlanta-Sandy Springs-Roswell, GA168$735,00211,25153
Denver-Aurora-Centennial, CO109$687,28310,38861
Baltimore-Columbia-Towson, MD158$672,6569,23738
Phoenix-Mesa-Chandler, AZ126$658,1549,11154
Washington-Arlington-Alexandria, DC-VA-MD-WV151$656,9349,35342
San Francisco-Oakland-Fremont, CA153$599,1368,30843

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 2023.

Specialties billing 70496 nationally

Diagnostic Radiology accounts for 95% of payment for 70496 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology11,52795%$43,148,95795%651,66057
Interventional Radiology3923.2%$1,437,5593.2%22,25957
Independent Diagnostic Testing Facility (IDTF)1130.93%$444,9340.98%2,61423
Neurology250.21%$84,1600.19%1,03942
Nuclear Medicine180.15%$61,7330.14%97554
Radiation Oncology130.11%$49,3240.11%74457

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 2023.

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