HCPCS 78816

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

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

1,586
89th percentile among 6,253 codes billed · 2021
$29M
94th percentile among 6,253 codes billed · 2021
64K
82nd percentile among 6,253 codes billed · 2021
25
52nd percentile among 6,253 codes billed · 2021
118
59th percentile among 6,253 codes billed · 2021
+17.8%
Medicare payment on the code vs 2020; billers +9.9% · 2021

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
California170$4,643,9596,88826116
Florida127$4,087,3526,55628136
New York117$4,047,2936,56335181
Texas104$1,868,9255,65131165
Maryland47$1,593,4052,25731123
Massachusetts43$1,159,0862,19727213
Pennsylvania76$895,5202,5592379
New Jersey41$766,2321,1722263
Arizona42$751,8231,56725116
Virginia45$751,3961,81525105
Washington38$722,0351,3973573
Arkansas26$670,8501,70843179
Alabama18$547,4646552293
Colorado28$474,8419752062
Illinois61$442,8341,6171868

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

Not listed: 18 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-NJ121$4,250,7316,42533
Baltimore-Columbia-Towson, MD34$1,221,1821,90040
Dallas-Fort Worth-Arlington, TX40$908,2852,43847
Los Angeles-Long Beach-Anaheim, CA47$875,7401,71524
San Diego-Chula Vista-Carlsbad, CA19$828,0341,02636
Miami-Fort Lauderdale-West Palm Beach, FL35$790,6791,51436
Sacramento-Roseville-Folsom, CA17$746,37282744
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD44$723,3041,50423
Washington-Arlington-Alexandria, DC-VA-MD-WV17$703,03259425
San Francisco-Oakland-Fremont, CA26$583,7631,13932
Phoenix-Mesa-Chandler, AZ34$576,1371,40225
Boston-Cambridge-Newton, MA-NH28$565,5391,65126
Tampa-St. Petersburg-Clearwater, FL17$450,5851,76348
Jacksonville, FL11$428,73743943
San Jose-Sunnyvale-Santa Clara, CA16$386,22697131

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 32 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 78816 nationally

Diagnostic Radiology accounts for 47% of payment for 78816 nationally in 2021, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology1,06567%$13,487,28547%38,38236
Nuclear Medicine26217%$6,617,67523%17,69668
Independent Diagnostic Testing Facility (IDTF)825.2%$3,986,50814%3,34141
Hematology-Oncology875.5%$2,123,8477.4%1,92722
Medical Oncology281.8%$772,5722.7%72926
Radiation Oncology231.5%$697,7792.4%69430
Interventional Radiology181.1%$369,0851.3%84347

Not listed: 10 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 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