HCPCS 70498

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

Imaging Work RVU per service 1.75 (2021 fee schedule)

11,783
97th percentile among 6,253 codes billed · 2021
$39M
95th percentile among 6,253 codes billed · 2021
586K
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
+15.4%
Medicare payment on the code vs 2020; billers +6.4% · 2021

Trend

Medicare payment on the code

$0$20M$40M2020: $34M paid20202021: $39M paid20212022: $41M paid20222023: $46M paid20232024: $49M paid2024$49M$0$20M$40M2020: $34M paid20202021: $39M paid20212022: $41M paid20222023: $46M paid20232024: $49M paid2024$49M$0$20M$40M2020: $34M paid20202021: $39M paid20212022: $41M paid20222023: $46M paid20232024: $49M paid2024$49M$0$20M$40M2020: $34M paid20202021: $39M paid20212022: $41M paid20222023: $46M 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: 12K providers20212022: 12K providers20222023: 12K providers20232024: 13K providers202413K05,00010K2020: 11K providers20202021: 12K providers20212022: 12K providers20222023: 12K providers20232024: 13K providers202413K05,00010K2020: 11K providers20202021: 12K providers20212022: 12K providers20222023: 12K providers20232024: 13K providers202413K05,00010K2020: 11K providers20202021: 12K 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
202412,868$48,928,168+7%785,257421741.75
202312,442$45,765,323+12%707,880391611.75
202212,021$40,687,171+3%618,948351441.75
202111,783$39,485,546+15%585,521341391.75
202011,076$34,225,669first year in data491,265311241.75

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$3,462,27948,45135111
Texas771$2,728,00439,69133155
Florida725$2,570,63834,06732128
New York545$2,148,63928,96937146
Pennsylvania543$1,715,23326,25933132
Illinois530$1,594,82723,59932117
Minnesota446$1,569,30024,16038140
Michigan393$1,360,91821,16734157
Massachusetts386$1,313,22119,51234127
North Carolina350$1,282,40219,65139150
Ohio378$1,210,85219,01533138
Washington188$1,165,22317,42159289
Tennessee330$1,106,87917,22632149
Colorado228$1,052,03115,88247189
Virginia278$999,81615,06238161

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-NJ482$2,018,62526,27539
Chicago-Naperville-Elgin, IL-IN424$1,342,57019,72435
Minneapolis-St. Paul-Bloomington, MN-WI310$1,268,12119,48447
Los Angeles-Long Beach-Anaheim, CA342$1,055,98414,72327
Boston-Cambridge-Newton, MA-NH322$1,016,69715,02731
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD257$932,68313,19340
Dallas-Fort Worth-Arlington, TX241$806,26411,26831
Seattle-Tacoma-Bellevue, WA108$784,84711,62369
Houston-Pasadena-The Woodlands, TX173$736,45610,86942
Atlanta-Sandy Springs-Roswell, GA151$579,2868,82943
Denver-Aurora-Centennial, CO113$574,4268,84161
Phoenix-Mesa-Chandler, AZ141$572,1167,90337
Detroit-Warren-Dearborn, MI186$537,7178,21033
Miami-Fort Lauderdale-West Palm Beach, FL184$502,7117,20629
Washington-Arlington-Alexandria, DC-VA-MD-WV143$493,8696,66036

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 2021.

Specialties billing 70498 nationally

Diagnostic Radiology accounts for 94% of payment for 70498 nationally in 2021, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology11,11494%$37,167,22194%556,51850
Interventional Radiology3663.1%$1,308,7823.3%19,66654
Independent Diagnostic Testing Facility (IDTF)1040.88%$395,8831.0%2,65326
Cardiology580.49%$231,6130.59%1,81631
Interventional Cardiology250.21%$80,4880.20%70828
Neurology250.21%$72,7320.18%1,03842
Nuclear Medicine140.12%$49,1510.12%78156
Radiation Oncology120.10%$28,5260.07%45538
Vascular Surgery160.14%$24,1840.06%30119

Not listed: 21 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 70498 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