HCPCS 78815

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

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

6,624
96th percentile among 6,326 codes billed · 2022
$341M
99th percentile among 6,326 codes billed · 2022
688K
94th percentile among 6,326 codes billed · 2022
53
76th percentile among 6,326 codes billed · 2022
383
78th percentile among 6,326 codes billed · 2022
+6.8%
Medicare payment on the code vs 2021; billers -0.2% · 2022

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
California586$55,266,24873,89872439
Florida396$47,070,62659,23367553
New York335$34,206,17949,75770558
Texas574$26,671,89456,39439451
Maryland109$17,117,02618,77086583
Massachusetts166$14,465,50623,34261572
Arizona175$11,501,68217,54552396
New Jersey168$11,461,13216,10660322
Illinois342$10,344,22328,75650298
Pennsylvania242$10,052,51626,91762389
Arkansas97$8,085,38214,393106488
Alabama150$7,024,75511,31640311
Colorado115$6,497,79912,03856328
Virginia128$5,630,88615,29863379
Washington108$5,545,60211,74348401

Not listed: 4 billers with an armed-forces or unknown state code (AA, AP, XX); they are in the national totals.

Not listed: 4 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-NJ292$36,008,21649,09481
Los Angeles-Long Beach-Anaheim, CA183$14,453,99423,30670
Baltimore-Columbia-Towson, MD60$10,840,06913,17198
Miami-Fort Lauderdale-West Palm Beach, FL92$10,198,57115,08780
Dallas-Fort Worth-Arlington, TX188$10,155,82420,51131
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD113$9,136,96915,39396
Phoenix-Mesa-Chandler, AZ115$8,505,08714,05461
San Francisco-Oakland-Fremont, CA74$8,484,33010,39785
Washington-Arlington-Alexandria, DC-VA-MD-WV51$7,446,6637,956120
Boston-Cambridge-Newton, MA-NH132$7,436,09015,96253
Chicago-Naperville-Elgin, IL-IN251$7,143,73121,44255
Sacramento-Roseville-Folsom, CA36$6,693,5096,883125
Tampa-St. Petersburg-Clearwater, FL67$6,674,24810,41454
San Diego-Chula Vista-Carlsbad, CA68$6,177,1706,69468
Jacksonville, FL53$5,895,1236,93564

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 81 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 78815 nationally

Diagnostic Radiology accounts for 52% of payment for 78815 nationally in 2022, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology5,13077%$177,749,30052%476,76093
Nuclear Medicine3445.2%$47,160,87614%102,226297
Independent Diagnostic Testing Facility (IDTF)1572.4%$45,482,15213%38,646246
Hematology-Oncology4336.5%$36,520,43411%32,77776
Radiation Oncology1432.2%$13,531,3124.0%12,80390
Medical Oncology1912.9%$11,436,2463.4%10,33854
Interventional Radiology1021.5%$3,209,5120.94%7,77276
Internal Medicine400.60%$2,627,9370.77%2,78470
Gynecological Oncology160.24%$375,2500.11%35322
Urology110.17%$344,4450.10%33530
Pulmonary Disease140.21%$180,2300.05%24317

Not listed: 22 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 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