HCPCS 78815

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

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

6,566
96th percentile among 6,405 codes billed · 2023
$365M
99th percentile among 6,405 codes billed · 2023
750K
95th percentile among 6,405 codes billed · 2023
57
77th percentile among 6,405 codes billed · 2023
410
78th percentile among 6,405 codes billed · 2023
+7.0%
Medicare payment on the code vs 2022; billers -0.9% · 2023

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$61,029,40382,24274544
Florida373$45,437,46161,29268597
New York325$37,887,58054,99780657
Texas600$28,529,24662,57241448
Maryland112$19,417,82823,385105716
Massachusetts156$14,724,72525,49165631
New Jersey161$13,360,54918,68859384
Arizona161$12,199,18517,07655484
Illinois365$11,266,21231,21847282
Pennsylvania220$10,427,44129,39879400
Arkansas100$8,369,65415,21990425
Virginia130$7,215,46717,83379436
Alabama149$7,095,11211,62837264
Colorado116$6,836,69512,79056355
Tennessee152$5,849,25216,77871370

Not listed: 3 billers with an armed-forces or unknown state code (AA, AP, XX); they are in the national totals.

Not listed: 3 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
New York-Newark-Jersey City, NY-NJ272$40,504,17256,837114
Los Angeles-Long Beach-Anaheim, CA186$15,833,25226,00865
Baltimore-Columbia-Towson, MD63$12,256,32416,828146
Dallas-Fort Worth-Arlington, TX210$11,540,36723,45937
San Francisco-Oakland-Fremont, CA79$9,255,13111,19675
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD113$9,142,04416,798108
Miami-Fort Lauderdale-West Palm Beach, FL89$8,673,60115,99482
Washington-Arlington-Alexandria, DC-VA-MD-WV57$8,609,2299,529133
Phoenix-Mesa-Chandler, AZ95$8,370,46112,84970
Chicago-Naperville-Elgin, IL-IN268$8,040,91423,80351
Boston-Cambridge-Newton, MA-NH121$7,190,39716,62350
Tampa-St. Petersburg-Clearwater, FL60$7,011,70710,55165
Sacramento-Roseville-Folsom, CA37$6,941,1356,732115
San Diego-Chula Vista-Carlsbad, CA61$6,318,5966,87882
Jacksonville, FL58$6,092,8827,25570

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 2023.

Specialties billing 78815 nationally

Diagnostic Radiology accounts for 53% of payment for 78815 nationally in 2023, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology5,03177%$191,720,05553%522,028104
Nuclear Medicine3555.4%$53,649,41715%116,239327
Independent Diagnostic Testing Facility (IDTF)1492.3%$45,313,80812%38,301257
Hematology-Oncology4697.1%$38,255,74010%33,58572
Radiation Oncology1422.2%$14,640,3824.0%13,77797
Medical Oncology1792.7%$11,756,1203.2%10,43058
Interventional Radiology1041.6%$3,498,9490.96%8,85485
Internal Medicine360.55%$2,236,8670.61%2,32365
Urology220.34%$578,9520.16%61428
Gynecological Oncology170.26%$449,0120.12%41825
Pulmonary Disease130.20%$126,1440.03%23418

Not listed: 21 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 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