HCPCS 76942

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

Imaging Work RVU per service 0.67 (2021 fee schedule)

24,212
99th percentile among 6,253 codes billed · 2021
$31M
94th percentile among 6,253 codes billed · 2021
941K
95th percentile among 6,253 codes billed · 2021
23
48th percentile among 6,253 codes billed · 2021
102
56th percentile among 6,253 codes billed · 2021
+7.9%
Medicare payment on the code vs 2020; billers +6.6% · 2021

Trend

Medicare payment on the code

$0$20M2020: $28M paid20202021: $31M paid20212022: $31M paid20222023: $19M paid20232024: $18M paid2024$18M$0$20M2020: $28M paid20202021: $31M paid20212022: $31M paid20222023: $19M paid20232024: $18M paid2024$18M$0$20M2020: $28M paid20202021: $31M paid20212022: $31M paid20222023: $19M paid20232024: $18M paid2024$18M$0$20M2020: $28M paid20202021: $31M paid20212022: $31M paid20222023: $19M paid20232024: $18M paid2024$18M

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

Billers

010K20K2020: 23K providers20202021: 24K providers20212022: 25K providers20222023: 13K providers20232024: 13K providers202413K010K20K2020: 23K providers20202021: 24K providers20212022: 25K providers20222023: 13K providers20232024: 13K providers202413K010K20K2020: 23K providers20202021: 24K providers20212022: 25K providers20222023: 13K providers20232024: 13K providers202413K010K20K2020: 23K providers20202021: 24K providers20212022: 25K providers20222023: 13K providers20232024: 13K providers202413K

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
202412,714$17,928,568-7%508,079231180.67
202313,333$19,215,843-37%534,556221180.67
202225,055$30,603,722+0%969,711241030.67
202124,212$30,602,399+8%940,852231020.67
202022,705$28,364,978first year in data864,41723990.67

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
California2,186$3,712,78396,33623121
Florida1,463$2,988,90479,57028177
Texas1,729$2,768,89581,3792395
New York1,246$2,095,98253,28224133
Illinois1,021$1,175,59436,93822115
Ohio978$1,050,52536,7032394
Arizona688$958,17427,90924114
Virginia694$908,32528,20927110
Pennsylvania921$906,74730,3952289
North Carolina825$876,87630,5122890
Michigan773$830,85426,87623107
New Jersey525$751,72519,0622297
Maryland457$750,41120,37425140
Georgia646$627,35621,0782282
Missouri557$623,05621,62826108

Not listed: 8 billers with an armed-forces or unknown state code (AA, AE, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,296$2,346,84956,52724
Dallas-Fort Worth-Arlington, TX574$1,516,19041,82525
Los Angeles-Long Beach-Anaheim, CA729$1,343,66532,77223
Chicago-Naperville-Elgin, IL-IN824$1,007,54831,05922
Miami-Fort Lauderdale-West Palm Beach, FL346$972,41723,63225
Washington-Arlington-Alexandria, DC-VA-MD-WV432$688,55318,06425
Phoenix-Mesa-Chandler, AZ472$682,63919,59624
Houston-Pasadena-The Woodlands, TX400$499,53915,50123
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD424$494,53615,34523
Detroit-Warren-Dearborn, MI350$474,20514,41225
Boston-Cambridge-Newton, MA-NH492$457,66815,12121
San Diego-Chula Vista-Carlsbad, CA267$341,7259,41421
Baltimore-Columbia-Towson, MD244$339,36210,14725
Atlanta-Sandy Springs-Roswell, GA361$337,60011,20920
Jacksonville, FL170$316,4289,38737

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 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 76942 nationally

Anesthesiology accounts for 38% of payment for 76942 nationally in 2021, across 32 specialties on claims.

observed calculated calculated calculated calculated calculated
Anesthesiology12,96154%$11,590,67838%443,96334
Physical Medicine and Rehabilitation6432.7%$1,952,1926.4%43,70368
Urology2,0368.4%$1,945,1576.4%52,73226
Diagnostic Radiology2,2389.2%$1,563,5975.1%56,89625
Pain Management4271.8%$1,442,0674.7%33,54679
Certified Registered Nurse Anesthetist (CRNA)1,8867.8%$1,218,5754.0%49,22826
Nurse Practitioner2611.1%$1,180,4563.9%31,749122
Podiatry4561.9%$1,148,7413.8%25,06155
Family Practice2340.97%$1,064,3383.5%24,233104
Interventional Pain Management2761.1%$1,061,4463.5%23,61686
Orthopedic Surgery2911.2%$801,8302.6%17,35360
Physician Assistant3501.4%$742,2682.4%21,66662
Rheumatology1110.46%$591,1001.9%12,089109
Interventional Radiology7783.2%$578,1811.9%20,51126
Internal Medicine1130.47%$470,5581.5%10,52893

Not listed: 24 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 76942 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