HCPCS 78816

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

Imaging Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

2,229
91st percentile among 6,471 codes billed · 2024
$44M
95th percentile among 6,471 codes billed · 2024
97K
85th percentile among 6,471 codes billed · 2024
26
52nd percentile among 6,471 codes billed · 2024
134
60th percentile among 6,471 codes billed · 2024
+15.8%
Medicare payment on the code vs 2023; billers +12.4% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $24M paid20202021: $29M paid20212022: $33M paid20222023: $38M paid20232024: $44M paid2024$44M$0$20M$40M2020: $24M paid20202021: $29M paid20212022: $33M paid20222023: $38M paid20232024: $44M paid2024$44M$0$20M$40M2020: $24M paid20202021: $29M paid20212022: $33M paid20222023: $38M paid20232024: $44M paid2024$44M$0$20M$40M2020: $24M paid20202021: $29M paid20212022: $33M paid20222023: $38M paid20232024: $44M paid2024$44M

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

Billers

01,0002,0002020: 1,443 providers20202021: 1,586 providers20212022: 1,740 providers20222023: 1,983 providers20232024: 2,229 providers20242,22901,0002,0002020: 1,443 providers20202021: 1,586 providers20212022: 1,740 providers20222023: 1,983 providers20232024: 2,229 providers20242,22901,0002,0002020: 1,443 providers20202021: 1,586 providers20212022: 1,740 providers20222023: 1,983 providers20232024: 2,229 providers20242,22901,0002,0002020: 1,443 providers20202021: 1,586 providers20212022: 1,740 providers20222023: 1,983 providers20232024: 2,229 providers20242,229

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
20242,229$43,620,648+16%96,985261340.00
20231,983$37,684,833+15%84,368251320.00
20221,740$32,844,278+15%71,406251220.00
20211,586$28,575,106+18%64,246251180.00
20201,443$24,253,455first year in data54,706231050.00

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
California233$7,394,21111,26930146
Florida135$5,925,7699,33141220
New York159$5,015,9428,32031155
Texas166$2,845,2028,94032185
Maryland63$2,415,9023,09032126
Massachusetts67$2,112,1794,24440232
Arizona76$1,593,1642,60221117
Virginia71$1,559,0333,25927135
Pennsylvania91$1,411,5823,62527102
New Jersey60$1,336,7632,0192394
Arkansas47$1,092,4802,3802989
Colorado43$889,1111,88624124
Washington50$821,3132,0613891
North Carolina71$715,6793,52521200
Illinois87$715,3612,6282073

Not listed: 2 billers with an armed-forces or unknown state code (AP, XX); they are in the national totals.

Not listed: 15 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ161$5,009,3328,40833
Los Angeles-Long Beach-Anaheim, CA68$1,842,3753,17130
Washington-Arlington-Alexandria, DC-VA-MD-WV38$1,604,2421,51528
Baltimore-Columbia-Towson, MD35$1,429,5302,15445
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD53$1,294,0522,27330
Dallas-Fort Worth-Arlington, TX56$1,263,2233,58838
Tampa-St. Petersburg-Clearwater, FL22$1,214,2052,38794
Boston-Cambridge-Newton, MA-NH49$1,206,0653,33540
Phoenix-Mesa-Chandler, AZ52$1,110,3211,95721
Miami-Fort Lauderdale-West Palm Beach, FL41$1,083,8902,08639
San Diego-Chula Vista-Carlsbad, CA23$1,021,72596632
Sacramento-Roseville-Folsom, CA15$927,01181942
San Francisco-Oakland-Fremont, CA30$814,4881,53020
Jacksonville, FL17$776,53799040
San Jose-Sunnyvale-Santa Clara, CA29$609,3132,33464

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 44 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 78816 nationally

Diagnostic Radiology accounts for 52% of payment for 78816 nationally in 2024, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology1,57771%$22,775,09652%61,42039
Nuclear Medicine30814%$8,521,98020%24,09478
Independent Diagnostic Testing Facility (IDTF)863.9%$5,233,82812%4,31650
Hematology-Oncology1446.5%$3,737,8158.6%3,28123
Radiation Oncology321.4%$1,160,1782.7%1,18137
Medical Oncology341.5%$1,110,6402.5%98529
Interventional Radiology251.1%$472,3121.1%1,05442

Not listed: 9 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 2024.

Top billers of 78816 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