HCPCS 72197

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

Imaging Work RVU per service 2.20 (2024 fee schedule)

5,267
95th percentile among 6,471 codes billed · 2024
$50M
96th percentile among 6,471 codes billed · 2024
348K
92nd percentile among 6,471 codes billed · 2024
38
65th percentile among 6,471 codes billed · 2024
205
67th percentile among 6,471 codes billed · 2024
+14.6%
Medicare payment on the code vs 2023; billers +11.3% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $30M paid20202021: $37M paid20212022: $41M paid20222023: $44M paid20232024: $50M paid2024$50M$0$20M$40M2020: $30M paid20202021: $37M paid20212022: $41M paid20222023: $44M paid20232024: $50M paid2024$50M$0$20M$40M2020: $30M paid20202021: $37M paid20212022: $41M paid20222023: $44M paid20232024: $50M paid2024$50M$0$20M$40M2020: $30M paid20202021: $37M paid20212022: $41M paid20222023: $44M paid20232024: $50M paid2024$50M

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

Billers

02,0004,0002020: 3,674 providers20202021: 4,108 providers20212022: 4,470 providers20222023: 4,732 providers20232024: 5,267 providers20245,26702,0004,0002020: 3,674 providers20202021: 4,108 providers20212022: 4,470 providers20222023: 4,732 providers20232024: 5,267 providers20245,26702,0004,0002020: 3,674 providers20202021: 4,108 providers20212022: 4,470 providers20222023: 4,732 providers20232024: 5,267 providers20245,26702,0004,0002020: 3,674 providers20202021: 4,108 providers20212022: 4,470 providers20222023: 4,732 providers20232024: 5,267 providers20245,267

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
20245,267$50,423,013+15%348,355382052.20
20234,732$44,006,208+9%287,696361862.20
20224,470$40,546,833+9%256,506341792.20
20214,108$37,072,441+23%220,308311652.20
20203,674$30,190,966first year in data176,669281432.20

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
California565$7,106,05340,59342234
New York386$6,667,52237,39151296
Florida376$4,863,58727,44438219
Texas361$3,373,23924,64733196
Massachusetts208$2,154,08415,36137233
Pennsylvania209$2,009,74216,00146238
New Jersey132$1,989,3459,54740204
Maryland123$1,823,7999,41457176
Illinois264$1,621,47313,86238135
Arizona101$1,544,2049,39055285
Virginia126$1,400,90010,31850231
North Carolina178$1,297,97211,21639163
Minnesota170$1,259,6957,64225152
Ohio157$1,021,3019,82834191
Georgia127$851,1398,87441215

Not listed: 3 billers with an armed-forces or unknown state code (AA, AP, ZZ); 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ372$7,123,07038,12152
Los Angeles-Long Beach-Anaheim, CA196$2,836,23215,27239
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD140$1,889,86011,72846
Boston-Cambridge-Newton, MA-NH183$1,553,22412,34037
Baltimore-Columbia-Towson, MD95$1,421,0567,58058
Chicago-Naperville-Elgin, IL-IN216$1,353,44911,80940
San Francisco-Oakland-Fremont, CA80$1,100,1036,50449
Phoenix-Mesa-Chandler, AZ74$1,067,8316,59556
Miami-Fort Lauderdale-West Palm Beach, FL81$1,049,1576,79633
Dallas-Fort Worth-Arlington, TX109$1,022,6737,34532
Jacksonville, FL50$937,8934,73554
Washington-Arlington-Alexandria, DC-VA-MD-WV69$936,4875,22958
Houston-Pasadena-The Woodlands, TX123$870,4268,16544
San Diego-Chula Vista-Carlsbad, CA68$850,2764,70752
Cape Coral-Fort Myers, FL25$628,0922,97924

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 83 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 72197 nationally

Diagnostic Radiology accounts for 87% of payment for 72197 nationally in 2024, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology4,82692%$43,798,24487%315,45665
Independent Diagnostic Testing Facility (IDTF)2364.5%$5,056,41410%22,33295
Interventional Radiology561.1%$397,1820.79%3,25258
Urology450.85%$325,2190.64%1,91943
Nuclear Medicine130.25%$176,2140.35%1,07182
Radiation Oncology200.38%$143,4530.28%88044
Hematology-Oncology120.23%$45,1200.09%32027

Not listed: 17 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 2024.

Top billers of 72197 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