HCPCS 77295

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

Imaging Work RVU per service 4.29 (2021 fee schedule)

3,278
93rd percentile among 6,253 codes billed · 2021
$26M
93rd percentile among 6,253 codes billed · 2021
113K
86th percentile among 6,253 codes billed · 2021
28
56th percentile among 6,253 codes billed · 2021
75
49th percentile among 6,253 codes billed · 2021
-7.0%
Medicare payment on the code vs 2020; billers -1.0% · 2021

Trend

Medicare payment on the code

$0$20M2020: $28M paid20202021: $26M paid20212022: $23M paid20222023: $21M paid20232024: $19M paid2024$19M$0$20M2020: $28M paid20202021: $26M paid20212022: $23M paid20222023: $21M paid20232024: $19M paid2024$19M$0$20M2020: $28M paid20202021: $26M paid20212022: $23M paid20222023: $21M paid20232024: $19M paid2024$19M$0$20M2020: $28M paid20202021: $26M paid20212022: $23M paid20222023: $21M paid20232024: $19M paid2024$19M

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

Billers

02,0002020: 3,312 providers20202021: 3,278 providers20212022: 3,120 providers20222023: 3,008 providers20232024: 2,835 providers20242,83502,0002020: 3,312 providers20202021: 3,278 providers20212022: 3,120 providers20222023: 3,008 providers20232024: 2,835 providers20242,83502,0002020: 3,312 providers20202021: 3,278 providers20212022: 3,120 providers20222023: 3,008 providers20232024: 2,835 providers20242,83502,0002020: 3,312 providers20202021: 3,278 providers20212022: 3,120 providers20222023: 3,008 providers20232024: 2,835 providers20242,835

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
20242,835$18,923,845-9%86,77425664.29
20233,008$20,742,746-8%93,97326684.29
20223,120$22,589,171-12%101,44127724.29
20213,278$25,726,734-7%112,76528754.29
20203,312$27,662,454first year in data119,05730804.29

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
California286$2,634,2259,8103071
Florida227$2,329,3887,9932880
Texas196$1,767,2826,4642869
New York185$1,385,2155,9072374
Illinois134$1,043,3064,9093180
Pennsylvania183$1,032,7435,1322554
Washington107$906,1173,8942985
Virginia84$882,7733,94743106
North Carolina118$849,3764,2243467
Ohio136$764,6383,8252453
Massachusetts104$760,7983,6943273
Maryland75$721,0272,8323494
Georgia98$715,2113,3322878
Tennessee72$639,4563,14934101
Arizona77$636,8632,1892552

Not listed: 6 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-NJ183$1,496,8926,54528
Chicago-Naperville-Elgin, IL-IN99$824,7033,89135
Los Angeles-Long Beach-Anaheim, CA88$667,0972,76023
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD98$618,6553,14727
Washington-Arlington-Alexandria, DC-VA-MD-WV51$614,2422,24641
Dallas-Fort Worth-Arlington, TX43$568,0841,70337
Boston-Cambridge-Newton, MA-NH80$548,9862,72434
Phoenix-Mesa-Chandler, AZ59$472,6011,60125
Houston-Pasadena-The Woodlands, TX80$466,4102,28623
Seattle-Tacoma-Bellevue, WA60$445,7422,12426
San Francisco-Oakland-Fremont, CA40$419,4081,64235
Baltimore-Columbia-Towson, MD50$408,7901,81832
Atlanta-Sandy Springs-Roswell, GA53$382,6041,76926
Miami-Fort Lauderdale-West Palm Beach, FL45$318,0211,26423
Tampa-St. Petersburg-Clearwater, FL32$309,6921,11832

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 64 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 77295 nationally

Radiation Oncology accounts for 97% of payment for 77295 nationally in 2021, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Radiation Oncology3,21598%$25,080,86497%109,98934
Radiation Therapy Center220.67%$303,8741.2%1,33461
Diagnostic Radiology260.79%$204,3310.79%75229

Not listed: 7 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 77295 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