HCPCS 78434

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

Imaging Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

751
83rd percentile among 6,326 codes billed · 2022
$7.9M
87th percentile among 6,326 codes billed · 2022
84K
84th percentile among 6,326 codes billed · 2022
57
78th percentile among 6,326 codes billed · 2022
314
75th percentile among 6,326 codes billed · 2022
+45.6%
Medicare payment on the code vs 2021; billers +44.7% · 2022

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
Florida95$1,170,0378,70573269
California51$1,131,70510,74483390
Illinois22$1,000,54110,75539468
New York74$916,6339,42771367
Texas60$879,0027,22381328
New Jersey24$411,7912,76499292
Louisiana44$388,7793,55952160
Maryland14$306,1342,145115386
Pennsylvania43$279,9243,35648212
Mississippi12$192,7491,53079311
Nevada30$189,0801,96750140
Kansas20$175,9991,83567189
Utah31$108,5543,326101201
Missouri20$76,1313,45388568
Washington14$40,8014323045

Not listed: 18 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ76$1,212,73610,59489
Chicago-Naperville-Elgin, IL-IN16$989,48810,64376
Los Angeles-Long Beach-Anaheim, CA31$951,8008,57494
Houston-Pasadena-The Woodlands, TX36$661,0034,80586
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD38$453,1483,64460
Las Vegas-Henderson-North Las Vegas, NV30$189,0801,96750
Miami-Fort Lauderdale-West Palm Beach, FL14$178,7821,20471
Cape Coral-Fort Myers, FL12$142,11993986
North Port-Bradenton-Sarasota, FL15$102,36997362
Albany-Schenectady-Troy, NY13$91,63091467
Kansas City, MO-KS28$86,3253,91783
Lafayette, LA11$75,51882780
Davenport-Moline-Rock Island, IA-IL12$43,01632523
Seattle-Tacoma-Bellevue, WA13$37,66840331
Salt Lake City-Murray, UT11$30,0751,385129

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 19 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 78434 nationally

Cardiology accounts for 62% of payment for 78434 nationally in 2022, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology54172%$4,916,11962%52,53997
Interventional Cardiology10414%$1,007,24013%8,82185
Nuclear Medicine314.1%$177,2362.2%3,373109
Clinical Cardiac Electrophysiology141.9%$83,0491.1%70650
Internal Medicine192.5%$70,0260.89%94850
Diagnostic Radiology243.2%$47,2100.60%1,46661

Not listed: 4 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 2022.

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