HCPCS 78816

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

Imaging Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

1,443
88th percentile among 6,116 codes billed · 2020
$24M
93rd percentile among 6,116 codes billed · 2020
55K
81st percentile among 6,116 codes billed · 2020
23
50th percentile among 6,116 codes billed · 2020
105
57th percentile among 6,116 codes billed · 2020

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
California154$3,854,6495,6292391
New York112$3,556,6795,73034153
Florida136$3,369,6166,74224155
Texas87$1,458,1704,13729116
New Jersey38$1,002,7101,1842277
Massachusetts35$916,6471,75627162
Maryland37$871,4451,5033083
Pennsylvania72$811,2202,2852382
Arizona43$706,4711,37818137
Arkansas28$689,3341,86539146
Virginia46$648,6731,5122572
Washington33$575,2151,1943385
Alabama19$527,7096191962
Colorado25$387,4929272059
Tennessee24$354,2258542372

Not listed: 1 billers with an armed-forces or unknown state code (AA); they are in the national totals.

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ110$3,856,9255,67435
Los Angeles-Long Beach-Anaheim, CA48$759,1491,53525
Dallas-Fort Worth-Arlington, TX35$750,6191,83745
Baltimore-Columbia-Towson, MD26$714,4881,25834
San Diego-Chula Vista-Carlsbad, CA15$696,61590744
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD43$678,9021,29820
Miami-Fort Lauderdale-West Palm Beach, FL33$653,9111,47035
Sacramento-Roseville-Folsom, CA14$625,36265444
Washington-Arlington-Alexandria, DC-VA-MD-WV21$603,13355421
Phoenix-Mesa-Chandler, AZ32$476,8101,15518
Boston-Cambridge-Newton, MA-NH22$440,5631,30228
San Francisco-Oakland-Fremont, CA22$388,38074021
Jacksonville, FL14$388,35644025
Fayetteville-Springdale-Rogers, AR16$366,41874835
Tampa-St. Petersburg-Clearwater, FL18$349,0321,63227

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 28 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 78816 nationally

Diagnostic Radiology accounts for 46% of payment for 78816 nationally in 2020, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology94565%$11,038,69646%31,44133
Nuclear Medicine26518%$5,485,60823%15,95160
Independent Diagnostic Testing Facility (IDTF)704.9%$3,311,61914%2,90842
Hematology-Oncology845.8%$2,063,4648.5%1,88722
Radiation Oncology201.4%$810,9413.3%75138
Medical Oncology281.9%$745,8213.1%72926
Interventional Radiology110.76%$296,9991.2%34331

Not listed: 7 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 2020.

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