HCPCS 71260

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

Imaging Work RVU per service 1.16 (2023 fee schedule)

20,343
99th percentile among 6,405 codes billed · 2023
$85M
97th percentile among 6,405 codes billed · 2023
1.8M
97th percentile among 6,405 codes billed · 2023
54
75th percentile among 6,405 codes billed · 2023
262
72nd percentile among 6,405 codes billed · 2023
+2.6%
Medicare payment on the code vs 2022; billers +1.3% · 2023

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
California1,707$7,926,451139,97748280
Texas1,675$6,457,550137,18848283
Florida1,216$5,933,96599,26142289
New York1,117$5,609,919107,11255326
Pennsylvania946$3,703,13283,47659270
Illinois917$3,661,71578,43661233
Massachusetts550$3,300,93367,52362468
Minnesota759$3,191,29864,01358225
North Carolina704$2,870,67362,56257257
Maryland388$2,572,23240,97778312
Virginia520$2,557,70352,21961302
Tennessee526$2,444,93851,18857279
Ohio726$2,425,04955,50347221
Michigan609$2,249,46153,01760235
New Jersey541$2,160,92037,81043212

Not listed: 10 billers with an armed-forces or unknown state code (AA, AP, XX, ZZ); 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,054$5,662,386102,47853
Chicago-Naperville-Elgin, IL-IN681$2,798,69261,10062
Los Angeles-Long Beach-Anaheim, CA544$2,714,31348,15547
Boston-Cambridge-Newton, MA-NH431$2,700,67953,63859
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD488$2,306,67647,27060
Dallas-Fort Worth-Arlington, TX590$2,064,14643,05945
Minneapolis-St. Paul-Bloomington, MN-WI573$1,973,08743,76556
Houston-Pasadena-The Woodlands, TX414$1,917,96444,49047
Baltimore-Columbia-Towson, MD262$1,745,26228,27978
Washington-Arlington-Alexandria, DC-VA-MD-WV249$1,410,48021,73854
Phoenix-Mesa-Chandler, AZ246$1,255,62023,10557
Seattle-Tacoma-Bellevue, WA291$1,207,25624,44652
San Francisco-Oakland-Fremont, CA227$1,166,39720,70647
St. Louis, MO-IL262$1,162,46927,36663
Nashville-Davidson--Murfreesboro--Franklin, TN199$1,049,78821,57554

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 2023.

Specialties billing 71260 nationally

Diagnostic Radiology accounts for 88% of payment for 71260 nationally in 2023, across 15 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology18,09289%$75,232,34888%1,585,93588
Independent Diagnostic Testing Facility (IDTF)3441.7%$2,639,4323.1%33,38397
Hematology-Oncology5102.5%$2,210,9692.6%37,91874
Interventional Radiology6583.2%$2,179,6982.6%45,88470
Nuclear Medicine720.35%$1,019,6611.2%13,646190
Medical Oncology1940.95%$696,5490.82%12,63265
Radiation Oncology1350.66%$462,2860.54%8,50463
Internal Medicine780.38%$245,7320.29%3,95551
Family Practice540.27%$119,6590.14%1,90035
Urology410.20%$42,3930.05%91522
Emergency Medicine120.06%$38,8160.05%66455
Pulmonary Disease210.10%$31,8020.04%56027
Gynecological Oncology170.08%$30,5620.04%68240
Physician Assistant150.07%$25,4000.03%38225
Nurse Practitioner140.07%$16,4200.02%28620

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 2023.

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