HCPCS 78434

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

Imaging Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

1,017
86th percentile among 6,405 codes billed · 2023
$11M
89th percentile among 6,405 codes billed · 2023
117K
86th percentile among 6,405 codes billed · 2023
60
78th percentile among 6,405 codes billed · 2023
345
76th percentile among 6,405 codes billed · 2023
+44.1%
Medicare payment on the code vs 2022; billers +35.4% · 2023

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
California103$1,928,05918,13260550
Florida118$1,562,76611,52868321
Texas103$1,521,05112,22064370
Illinois32$1,264,14514,15581713
New York73$891,1179,44178371
Pennsylvania78$731,1856,38372191
Louisiana44$666,4365,68893241
New Jersey36$440,2823,28560243
Nevada25$386,6184,00439603
Maryland16$337,4012,397106403
Mississippi12$285,1382,292162386
Kansas28$245,5832,23150155
Arizona28$120,2052,11137155
Utah36$109,8353,599100233
Missouri19$70,3413,20476474

Not listed: 17 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
Los Angeles-Long Beach-Anaheim, CA66$1,569,22014,11452
Houston-Pasadena-The Woodlands, TX61$1,214,5268,759110
Chicago-Naperville-Elgin, IL-IN25$1,199,48613,48980
New York-Newark-Jersey City, NY-NJ86$1,196,65310,88578
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD67$951,0876,94575
Las Vegas-Henderson-North Las Vegas, NV23$386,0293,97339
Miami-Fort Lauderdale-West Palm Beach, FL15$238,0071,59580
Wichita, KS12$222,8551,18134
Lafayette, LA12$172,0401,567127
Cape Coral-Fort Myers, FL11$162,9541,08571
Washington-Arlington-Alexandria, DC-VA-MD-WV11$162,2661,09751
North Port-Bradenton-Sarasota, FL14$159,8101,28267
Oxnard-Thousand Oaks-Ventura, CA12$149,7041,24369
Orlando-Kissimmee-Sanford, FL11$107,40176461
Albany-Schenectady-Troy, NY14$99,9851,01061

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 26 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 78434 nationally

Cardiology accounts for 61% of payment for 78434 nationally in 2023, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology71170%$6,976,86961%73,264103
Interventional Cardiology15015%$1,736,86315%14,975100
Clinical Cardiac Electrophysiology333.2%$245,4792.2%1,82855
Nuclear Medicine373.6%$198,5261.7%3,60998
Internal Medicine323.1%$138,5971.2%1,85358
Diagnostic Radiology323.1%$77,2690.68%2,54379

Not listed: 6 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 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