HCPCS 71260

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

Imaging Work RVU per service 1.24 (2020 fee schedule)

20,392
99th percentile among 6,116 codes billed · 2020
$97M
98th percentile among 6,116 codes billed · 2020
1.7M
97th percentile among 6,116 codes billed · 2020
54
78th percentile among 6,116 codes billed · 2020
253
73rd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M$100M2020: $97M paid20202021: $92M paid20212022: $83M paid20222023: $85M paid20232024: $84M paid2024$84M$0$50M$100M2020: $97M paid20202021: $92M paid20212022: $83M paid20222023: $85M paid20232024: $84M paid2024$84M$0$50M$100M2020: $97M paid20202021: $92M paid20212022: $83M paid20222023: $85M paid20232024: $84M paid2024$84M$0$50M$100M2020: $97M paid20202021: $92M paid20212022: $83M paid20222023: $85M paid20232024: $84M paid2024$84M

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

Billers

010K20K2020: 20K providers20202021: 20K providers20212022: 20K providers20222023: 20K providers20232024: 21K providers202421K010K20K2020: 20K providers20202021: 20K providers20212022: 20K providers20222023: 20K providers20232024: 21K providers202421K010K20K2020: 20K providers20202021: 20K providers20212022: 20K providers20222023: 20K providers20232024: 21K providers202421K010K20K2020: 20K providers20202021: 20K providers20212022: 20K providers20222023: 20K providers20232024: 21K providers202421K

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
202420,603$83,625,206-2%1,782,658542631.16
202320,343$85,260,101+3%1,751,984542621.16
202220,091$83,081,686-9%1,684,310532531.16
202120,438$91,600,669-6%1,788,452552641.16
202020,392$97,211,330first year in data1,728,646542531.24

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
California1,573$7,466,501112,77143227
Florida1,316$7,394,419105,99245252
Texas1,596$7,158,644128,95549284
New York1,151$6,045,225100,29546318
Pennsylvania968$4,306,04884,88160254
Illinois846$3,987,31173,37763248
Massachusetts573$3,369,65560,46561387
North Carolina648$3,295,03162,01359271
Minnesota686$3,203,06555,83353241
Tennessee526$3,191,54256,37363269
Maryland404$2,954,83741,59273336
Ohio746$2,839,46257,07750209
Virginia496$2,821,34250,27765264
Michigan674$2,725,71255,35257230
Missouri480$2,614,10753,12576330

Not listed: 3 billers with an armed-forces or unknown state code (AA, 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,055$5,968,36892,84849
Chicago-Naperville-Elgin, IL-IN625$2,828,37853,79660
Boston-Cambridge-Newton, MA-NH462$2,812,03549,48956
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD471$2,601,30546,78464
Los Angeles-Long Beach-Anaheim, CA487$2,406,02637,72041
Dallas-Fort Worth-Arlington, TX535$2,181,43937,72141
Houston-Pasadena-The Woodlands, TX372$2,011,83340,72851
Minneapolis-St. Paul-Bloomington, MN-WI512$1,988,17336,36948
Baltimore-Columbia-Towson, MD266$1,932,17027,16369
Phoenix-Mesa-Chandler, AZ266$1,682,08726,14854
Washington-Arlington-Alexandria, DC-VA-MD-WV263$1,610,48322,03453
St. Louis, MO-IL276$1,519,66230,62771
Nashville-Davidson--Murfreesboro--Franklin, TN196$1,326,76223,09549
Seattle-Tacoma-Bellevue, WA294$1,312,71022,54950
Miami-Fort Lauderdale-West Palm Beach, FL299$1,265,84220,76836

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 2020.

Specialties billing 71260 nationally

Diagnostic Radiology accounts for 88% of payment for 71260 nationally in 2020, across 15 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology18,15089%$85,131,92888%1,558,51186
Hematology-Oncology5652.8%$3,027,3513.1%43,75877
Independent Diagnostic Testing Facility (IDTF)3191.6%$2,974,0963.1%31,952100
Interventional Radiology5322.6%$2,227,8142.3%38,82373
Medical Oncology2231.1%$977,9801.0%15,20468
Nuclear Medicine740.36%$891,6120.92%12,341167
Radiation Oncology1450.71%$664,1380.68%9,95069
Internal Medicine870.43%$443,7410.46%5,89368
Family Practice730.36%$199,6320.21%2,47434
Pulmonary Disease330.16%$82,6910.09%1,13134
Hematology130.06%$54,9150.06%63749
Emergency Medicine180.09%$47,3670.05%76743
Urology360.18%$46,4900.05%77822
Gynecological Oncology180.09%$44,4950.05%86348
Cardiology120.06%$39,3850.04%36430

Not listed: 30 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 2020.

Top billers of 71260 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