HCPCS 72197

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

Imaging Work RVU per service 2.20 (2023 fee schedule)

4,732
95th percentile among 6,405 codes billed · 2023
$44M
95th percentile among 6,405 codes billed · 2023
288K
91st percentile among 6,405 codes billed · 2023
36
65th percentile among 6,405 codes billed · 2023
186
67th percentile among 6,405 codes billed · 2023
+8.5%
Medicare payment on the code vs 2022; billers +5.9% · 2023

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
California501$6,299,22634,35738250
New York359$6,051,25232,52645258
Florida332$4,472,67323,24940199
Texas321$2,888,19220,09432198
Massachusetts187$1,860,03212,07940214
Pennsylvania199$1,656,18212,80638205
New Jersey121$1,633,5577,43035186
Maryland116$1,568,9307,48555158
Arizona95$1,454,0458,29249286
Illinois248$1,418,32911,36135111
Virginia112$1,385,2909,29654209
Minnesota144$1,082,4736,43325126
North Carolina155$970,4048,08035121
Georgia118$781,7237,53737187
Ohio133$780,2047,43536156

Not listed: 4 billers with an armed-forces or unknown state code (AA, XX, ZZ); 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ342$6,351,18532,66448
Los Angeles-Long Beach-Anaheim, CA169$2,553,41113,58333
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD138$1,571,2479,14937
Boston-Cambridge-Newton, MA-NH160$1,322,4199,44640
Baltimore-Columbia-Towson, MD94$1,253,5856,18155
Chicago-Naperville-Elgin, IL-IN209$1,204,1979,78536
Phoenix-Mesa-Chandler, AZ71$982,2175,66350
Miami-Fort Lauderdale-West Palm Beach, FL72$953,9875,60836
Washington-Arlington-Alexandria, DC-VA-MD-WV65$884,7014,73554
San Diego-Chula Vista-Carlsbad, CA63$799,6804,18747
Jacksonville, FL48$792,5383,82848
Dallas-Fort Worth-Arlington, TX99$777,6145,64625
Houston-Pasadena-The Woodlands, TX118$760,9956,85338
San Francisco-Oakland-Fremont, CA65$755,1334,47849
Cape Coral-Fort Myers, FL20$687,0712,92335

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 79 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 72197 nationally

Diagnostic Radiology accounts for 88% of payment for 72197 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology4,36892%$38,661,43588%262,17160
Independent Diagnostic Testing Facility (IDTF)2024.3%$4,262,2959.7%18,06289
Interventional Radiology450.95%$278,7560.63%2,23550
Urology481.0%$257,1810.58%1,49131
Nuclear Medicine140.30%$145,7920.33%93367
Radiation Oncology150.32%$113,1800.26%70647

Not listed: 15 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 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