HCPCS 71250

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

Imaging Work RVU per service 1.08 (2021 fee schedule)

21,786
99th percentile among 6,253 codes billed · 2021
$117M
98th percentile among 6,253 codes billed · 2021
2.2M
97th percentile among 6,253 codes billed · 2021
67
81st percentile among 6,253 codes billed · 2021
298
75th percentile among 6,253 codes billed · 2021
-4.4%
Medicare payment on the code vs 2020; billers -0.6% · 2021

Trend

Medicare payment on the code

$0$50M$100M2020: $122M paid20202021: $117M paid20212022: $119M paid20222023: $121M paid20232024: $122M paid2024$122M$0$50M$100M2020: $122M paid20202021: $117M paid20212022: $119M paid20222023: $121M paid20232024: $122M paid2024$122M$0$50M$100M2020: $122M paid20202021: $117M paid20212022: $119M paid20222023: $121M paid20232024: $122M paid2024$122M$0$50M$100M2020: $122M paid20202021: $117M paid20212022: $119M paid20222023: $121M paid20232024: $122M paid2024$122M

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

Billers

010K20K2020: 22K providers20202021: 22K providers20212022: 22K providers20222023: 22K providers20232024: 22K providers202422K010K20K2020: 22K providers20202021: 22K providers20212022: 22K providers20222023: 22K providers20232024: 22K providers202422K010K20K2020: 22K providers20202021: 22K providers20212022: 22K providers20222023: 22K providers20232024: 22K providers202422K010K20K2020: 22K providers20202021: 22K providers20212022: 22K providers20222023: 22K providers20232024: 22K providers202422K

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
202421,933$121,548,831+0%2,464,435713421.08
202321,854$121,176,703+2%2,372,584693241.08
202221,985$119,242,826+2%2,322,020703141.08
202121,786$116,659,486-4%2,196,601672981.08
202021,925$122,037,645first year in data2,133,142662811.16

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
Florida1,513$12,010,353182,43979368
New York1,337$11,847,325181,50473453
California1,763$10,388,395161,79760273
Texas1,676$7,252,342140,38854262
New Jersey612$5,098,78176,14485323
Pennsylvania1,018$4,878,409108,90172309
Maryland423$4,561,11766,161121379
Illinois903$4,418,07493,31374279
North Carolina707$3,420,16770,86062319
Arizona403$3,403,11953,68977462
Minnesota779$3,245,13263,74658216
Virginia541$3,204,53362,33874374
Massachusetts612$3,179,42666,49863341
Ohio772$2,960,18570,80667263
Tennessee562$2,540,94054,82468269

Not listed: 5 billers with an armed-forces or unknown state code (AA, AE, AP, XX); 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-NJ1,250$12,896,402187,99884
Los Angeles-Long Beach-Anaheim, CA615$4,083,82462,81160
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD513$3,581,12066,32779
Chicago-Naperville-Elgin, IL-IN692$3,439,88773,49974
Baltimore-Columbia-Towson, MD280$3,034,35043,255117
Phoenix-Mesa-Chandler, AZ285$2,658,38540,06073
Miami-Fort Lauderdale-West Palm Beach, FL364$2,649,27846,56183
Boston-Cambridge-Newton, MA-NH486$2,513,12351,89663
Washington-Arlington-Alexandria, DC-VA-MD-WV298$2,485,79836,83767
Dallas-Fort Worth-Arlington, TX533$2,305,54941,01850
Minneapolis-St. Paul-Bloomington, MN-WI607$2,173,55247,10257
Tampa-St. Petersburg-Clearwater, FL249$1,747,65024,62266
Houston-Pasadena-The Woodlands, TX415$1,611,34034,78950
Orlando-Kissimmee-Sanford, FL204$1,423,15522,62072
Atlanta-Sandy Springs-Roswell, GA333$1,344,18531,51858

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 71250 nationally

Diagnostic Radiology accounts for 90% of payment for 71250 nationally in 2021, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology19,29689%$104,446,42090%2,017,889105
Independent Diagnostic Testing Facility (IDTF)4682.1%$5,330,6724.6%58,589125
Interventional Radiology6202.8%$2,368,1252.0%47,99477
Pulmonary Disease1980.91%$1,185,2981.0%18,79795
Hematology-Oncology3281.5%$643,8140.55%11,42335
Nuclear Medicine720.33%$464,5470.40%7,08498
Internal Medicine1740.80%$452,7380.39%6,47737
Family Practice1150.53%$339,4600.29%5,00344
Radiation Oncology1090.50%$303,8170.26%5,30349
Cardiology790.36%$284,4290.24%3,66446
Medical Oncology1080.50%$187,0650.16%3,58933
Critical Care (Intensivists)240.11%$116,0400.10%1,68370
Emergency Medicine210.10%$71,0310.06%1,09752
Interventional Cardiology190.09%$68,7780.06%1,11559
Nurse Practitioner270.12%$55,6640.05%85632

Not listed: 29 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 71250 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