HCPCS 71260

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

Imaging Work RVU per service 1.16 (2021 fee schedule)

20,438
98th percentile among 6,253 codes billed · 2021
$92M
97th percentile among 6,253 codes billed · 2021
1.8M
97th percentile among 6,253 codes billed · 2021
55
77th percentile among 6,253 codes billed · 2021
264
73rd percentile among 6,253 codes billed · 2021
-5.8%
Medicare payment on the code vs 2020; billers +0.2% · 2021

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
California1,622$7,347,262123,89645240
Texas1,626$6,714,007133,09048285
Florida1,207$6,546,29999,05645284
New York1,177$6,073,671110,87549352
Pennsylvania961$4,045,65687,61462264
Illinois874$3,886,03979,17664260
Massachusetts581$3,466,91868,14563393
Minnesota747$3,386,39264,37556249
North Carolina658$3,001,17861,66862260
Maryland383$2,850,68543,53678353
Tennessee513$2,804,77555,31059325
Virginia516$2,690,29152,19963298
Ohio731$2,558,96356,99151218
Michigan666$2,490,82056,43957229
Missouri477$2,289,35052,59679319

Not listed: 4 billers with an armed-forces or unknown state code (AA, AP, XX); they are in the national totals.

Not listed: 3 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-NJ1,092$6,000,894103,47550
Boston-Cambridge-Newton, MA-NH464$2,895,03755,54560
Chicago-Naperville-Elgin, IL-IN659$2,842,03259,64561
Los Angeles-Long Beach-Anaheim, CA517$2,472,13143,13144
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD472$2,402,09747,15864
Minneapolis-St. Paul-Bloomington, MN-WI570$2,136,67043,60553
Dallas-Fort Worth-Arlington, TX554$2,033,35938,86544
Houston-Pasadena-The Woodlands, TX397$1,964,22743,88843
Baltimore-Columbia-Towson, MD256$1,873,05528,47176
Washington-Arlington-Alexandria, DC-VA-MD-WV260$1,669,77625,50159
Phoenix-Mesa-Chandler, AZ270$1,613,61827,60955
St. Louis, MO-IL262$1,282,99629,33169
Miami-Fort Lauderdale-West Palm Beach, FL289$1,243,75421,93537
Seattle-Tacoma-Bellevue, WA289$1,197,34422,42850
Nashville-Davidson--Murfreesboro--Franklin, TN185$1,186,16022,84956

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 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 71260 nationally

Diagnostic Radiology accounts for 88% of payment for 71260 nationally in 2021, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology18,25189%$80,464,31088%1,618,09389
Independent Diagnostic Testing Facility (IDTF)3341.6%$2,908,3793.2%33,855101
Hematology-Oncology5292.6%$2,638,8692.9%41,85079
Interventional Radiology5622.7%$2,178,6142.4%42,60876
Nuclear Medicine800.39%$1,028,5031.1%13,485169
Medical Oncology1910.93%$801,5560.88%13,39670
Radiation Oncology1390.68%$569,0270.62%9,36467
Internal Medicine890.44%$313,6000.34%4,70953
Family Practice630.31%$145,9450.16%2,05533
Pulmonary Disease300.15%$56,9010.06%90330
Urology370.18%$45,8220.05%87524
Gynecological Oncology150.07%$39,9900.04%82455
Nurse Practitioner140.07%$20,3480.02%32523

Not listed: 33 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 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