HCPCS 71260

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

Imaging Work RVU per service 1.16 (2022 fee schedule)

20,091
99th percentile among 6,326 codes billed · 2022
$83M
97th percentile among 6,326 codes billed · 2022
1.7M
97th percentile among 6,326 codes billed · 2022
53
76th percentile among 6,326 codes billed · 2022
253
72nd percentile among 6,326 codes billed · 2022
-9.3%
Medicare payment on the code vs 2021; billers -1.7% · 2022

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
California1,640$7,296,068128,56545255
Texas1,616$6,197,720129,00246266
Florida1,184$6,063,68698,30944300
New York1,132$5,505,826103,19151320
Illinois882$3,516,43774,56863235
Pennsylvania931$3,484,76777,72255259
Minnesota758$3,134,45261,38353230
Massachusetts556$3,078,08961,57259397
North Carolina671$2,695,23158,20957240
Maryland394$2,631,14641,26575311
Tennessee523$2,507,04051,29757268
Virginia496$2,390,60948,93662266
Ohio694$2,294,06453,14950221
Michigan639$2,264,59252,96357242
Missouri468$2,029,26147,94269273

Not listed: 6 billers with an armed-forces or unknown state code (AA, AP, XX); they are in the national totals.

Not listed: 4 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,072$5,464,64696,56248
Chicago-Naperville-Elgin, IL-IN655$2,607,34056,46463
Los Angeles-Long Beach-Anaheim, CA540$2,597,78046,13844
Boston-Cambridge-Newton, MA-NH442$2,531,37949,24256
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD468$2,092,74142,06656
Minneapolis-St. Paul-Bloomington, MN-WI575$1,942,30141,18151
Houston-Pasadena-The Woodlands, TX396$1,896,45544,01846
Dallas-Fort Worth-Arlington, TX552$1,847,59837,10643
Baltimore-Columbia-Towson, MD265$1,706,30427,16670
Washington-Arlington-Alexandria, DC-VA-MD-WV253$1,520,46323,59956
Phoenix-Mesa-Chandler, AZ249$1,410,73025,51258
Miami-Fort Lauderdale-West Palm Beach, FL296$1,163,67921,93542
Seattle-Tacoma-Bellevue, WA278$1,137,30622,23754
St. Louis, MO-IL253$1,108,68326,00663
Nashville-Davidson--Murfreesboro--Franklin, TN189$1,051,51920,57352

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 2022.

Specialties billing 71260 nationally

Diagnostic Radiology accounts for 88% of payment for 71260 nationally in 2022, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology17,92789%$73,045,57288%1,521,34185
Independent Diagnostic Testing Facility (IDTF)3411.7%$2,683,9293.2%33,31198
Hematology-Oncology5032.5%$2,238,0462.7%38,50877
Interventional Radiology5882.9%$2,127,1292.6%42,51572
Nuclear Medicine840.42%$1,002,0211.2%13,893165
Medical Oncology1930.96%$696,8420.84%12,50865
Radiation Oncology1370.68%$468,8020.56%8,18860
Internal Medicine750.37%$242,6050.29%3,86752
Family Practice510.25%$97,3090.12%1,51630
Urology380.19%$42,3580.05%81822
Pulmonary Disease220.11%$37,1660.04%64429
Gynecological Oncology170.08%$31,6360.04%71942
Nurse Practitioner140.07%$15,0690.02%25618

Not listed: 32 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 2022.

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