HCPCS 78815

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

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

6,635
96th percentile among 6,253 codes billed · 2021
$319M
99th percentile among 6,253 codes billed · 2021
650K
94th percentile among 6,253 codes billed · 2021
50
75th percentile among 6,253 codes billed · 2021
362
77th percentile among 6,253 codes billed · 2021
+4.0%
Medicare payment on the code vs 2020; billers -0.7% · 2021

Trend

Medicare payment on the code

$0$200M$400M2020: $307M paid20202021: $319M paid20212022: $341M paid20222023: $365M paid20232024: $396M paid2024$396M$0$200M$400M2020: $307M paid20202021: $319M paid20212022: $341M paid20222023: $365M paid20232024: $396M paid2024$396M$0$200M$400M2020: $307M paid20202021: $319M paid20212022: $341M paid20222023: $365M paid20232024: $396M paid2024$396M$0$200M$400M2020: $307M paid20202021: $319M paid20212022: $341M paid20222023: $365M paid20232024: $396M paid2024$396M

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

Billers

02,5005,0002020: 6,681 providers20202021: 6,635 providers20212022: 6,624 providers20222023: 6,566 providers20232024: 6,683 providers20246,68302,5005,0002020: 6,681 providers20202021: 6,635 providers20212022: 6,624 providers20222023: 6,566 providers20232024: 6,683 providers20246,68302,5005,0002020: 6,681 providers20202021: 6,635 providers20212022: 6,624 providers20222023: 6,566 providers20232024: 6,683 providers20246,68302,5005,0002020: 6,681 providers20202021: 6,635 providers20212022: 6,624 providers20222023: 6,566 providers20232024: 6,683 providers20246,683

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
20246,683$395,726,973+9%816,970614580.00
20236,566$364,587,265+7%749,707574100.00
20226,624$340,870,644+7%687,875533830.00
20216,635$319,117,689+4%650,350503620.00
20206,681$306,941,068first year in data636,031503280.00

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
California543$49,628,90464,27173396
Florida396$46,285,39858,61963568
New York337$33,738,03648,68466551
Texas550$24,127,82650,69038381
Maryland110$14,769,91117,04493417
Massachusetts159$12,888,34121,36363578
Arizona178$11,304,27216,54048342
New Jersey171$10,900,87615,60252313
Pennsylvania251$8,669,05424,59551347
Illinois328$8,657,98925,83946285
Alabama151$6,959,76711,25238298
Arkansas79$6,706,69412,325102473
Virginia141$6,018,29815,13059403
Colorado122$5,642,28410,94744330
Washington105$5,429,56011,43757393

Not listed: 3 billers with an armed-forces or unknown state code (AA, XX); 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-NJ299$35,347,20148,05375
Los Angeles-Long Beach-Anaheim, CA166$12,093,26019,75969
Miami-Fort Lauderdale-West Palm Beach, FL87$9,508,07514,59779
Baltimore-Columbia-Towson, MD58$9,463,82311,538115
Dallas-Fort Worth-Arlington, TX172$9,030,00218,33935
Phoenix-Mesa-Chandler, AZ124$8,094,34812,90950
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD110$7,894,99814,19087
San Francisco-Oakland-Fremont, CA78$7,508,1899,86284
Washington-Arlington-Alexandria, DC-VA-MD-WV57$7,213,2327,781100
Tampa-St. Petersburg-Clearwater, FL65$6,890,92810,87656
Boston-Cambridge-Newton, MA-NH130$6,473,07514,61548
San Diego-Chula Vista-Carlsbad, CA58$5,983,3186,58887
Sacramento-Roseville-Folsom, CA36$5,853,4956,241108
Chicago-Naperville-Elgin, IL-IN243$5,525,30619,32550
Cape Coral-Fort Myers, FL22$5,434,3755,46631

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 78 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 78815 nationally

Diagnostic Radiology accounts for 51% of payment for 78815 nationally in 2021, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology5,18778%$163,823,84451%449,73787
Nuclear Medicine3425.2%$45,994,78614%98,310287
Independent Diagnostic Testing Facility (IDTF)1592.4%$42,605,65613%36,252228
Hematology-Oncology4316.5%$34,715,50111%30,75071
Radiation Oncology1442.2%$12,375,6713.9%11,54780
Medical Oncology1832.8%$11,438,3513.6%10,50257
Interventional Radiology901.4%$2,873,8750.90%7,39382
Internal Medicine400.60%$2,830,6600.89%2,87072
Pulmonary Disease110.17%$100,4790.03%22520

Not listed: 20 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 78815 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