HCPCS 78434

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

Imaging Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

519
80th percentile among 6,253 codes billed · 2021
$5.4M
84th percentile among 6,253 codes billed · 2021
57K
81st percentile among 6,253 codes billed · 2021
65
81st percentile among 6,253 codes billed · 2021
306
75th percentile among 6,253 codes billed · 2021
+94.5%
Medicare payment on the code vs 2020; billers +41.0% · 2021

Trend

Medicare payment on the code

$0$20M$40M2020: $2.8M paid20202021: $5.4M paid20212022: $7.9M paid20222023: $11M paid20232024: $37M paid2024$37M$0$20M$40M2020: $2.8M paid20202021: $5.4M paid20212022: $7.9M paid20222023: $11M paid20232024: $37M paid2024$37M$0$20M$40M2020: $2.8M paid20202021: $5.4M paid20212022: $7.9M paid20222023: $11M paid20232024: $37M paid2024$37M$0$20M$40M2020: $2.8M paid20202021: $5.4M paid20212022: $7.9M paid20222023: $11M paid20232024: $37M paid2024$37M

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

Billers

01,0002020: 368 providers20202021: 519 providers20212022: 751 providers20222023: 1,017 providers20232024: 1,556 providers20241,55601,0002020: 368 providers20202021: 519 providers20212022: 751 providers20222023: 1,017 providers20232024: 1,556 providers20241,55601,0002020: 368 providers20202021: 519 providers20212022: 751 providers20222023: 1,017 providers20232024: 1,556 providers20241,55601,0002020: 368 providers20202021: 519 providers20212022: 751 providers20222023: 1,017 providers20232024: 1,556 providers20241,556

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
20241,556$37,077,265+227%158,810582960.00
20231,017$11,352,824+44%117,251603450.00
2022751$7,879,684+46%83,525573140.00
2021519$5,413,628+94%56,807653060.00
2020368$2,783,970first year in data35,221592680.00

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
Florida77$943,6306,64559240
California31$785,9287,219101702
Texas40$749,5236,268114444
New York55$519,3066,89977316
New Jersey19$385,5282,29997287
Maryland16$373,7082,560129414
Pennsylvania33$353,4283,75984287
Illinois18$279,5702,72170357
Nevada23$184,8081,68763147
Utah27$109,3503,211107223
Missouri16$71,3143,07494486
Washington14$47,6285673973
Louisiana12$26,4605153969
Ohio18$22,3748804494
Virginia11$14,6835425490

Not listed: 23 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-NJ58$821,8078,060100
Los Angeles-Long Beach-Anaheim, CA26$684,1876,20083
Houston-Pasadena-The Woodlands, TX27$556,6334,10590
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD31$506,4063,60488
Miami-Fort Lauderdale-West Palm Beach, FL15$185,3511,22177
Las Vegas-Henderson-North Las Vegas, NV23$184,8081,68763
Davenport-Moline-Rock Island, IA-IL16$129,6001,11275
North Port-Bradenton-Sarasota, FL11$114,18285786
Kansas City, MO-KS19$73,8833,19389
Albany-Schenectady-Troy, NY13$69,29981455
Seattle-Tacoma-Bellevue, WA12$40,37541536
Colorado Springs, CO11$9,08737834
Portland-South Portland, ME12$7,49832326

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 13 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 78434 nationally

Cardiology accounts for 73% of payment for 78434 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology39376%$3,967,19473%41,255105
Interventional Cardiology499.4%$504,5649.3%4,60794
Nuclear Medicine203.9%$168,9253.1%2,776139
Clinical Cardiac Electrophysiology152.9%$82,1521.5%63142
Diagnostic Radiology173.3%$35,0630.65%74244
Internal Medicine142.7%$31,7130.59%57941

Not listed: 3 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 78434 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