HCPCS 78816
Imaging service (ClaimLight category; the code descriptor is not shown)
Imaging Work RVU per service none (2023 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 2,229 | $43,620,648 | +16% | 96,985 | 26 | 134 | 0.00 |
| 2023 | 1,983 | $37,684,833 | +15% | 84,368 | 25 | 132 | 0.00 |
| 2022 | 1,740 | $32,844,278 | +15% | 71,406 | 25 | 122 | 0.00 |
| 2021 | 1,586 | $28,575,106 | +18% | 64,246 | 25 | 118 | 0.00 |
| 2020 | 1,443 | $24,253,455 | first year in data | 54,706 | 23 | 105 | 0.00 |
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 | |
|---|---|---|---|---|---|---|
| California | 207 | $6,474,429 | 9,914 | 31 | 140 | |
| Florida | 121 | $5,123,203 | 7,777 | 43 | 195 | |
| New York | 142 | $4,521,854 | 7,655 | 37 | 187 | |
| Texas | 153 | $2,808,870 | 7,986 | 24 | 201 | |
| Maryland | 58 | $2,061,868 | 2,671 | 32 | 116 | |
| Massachusetts | 60 | $1,747,930 | 3,392 | 23 | 237 | |
| New Jersey | 50 | $1,217,888 | 1,696 | 26 | 79 | |
| Virginia | 63 | $1,198,488 | 2,551 | 26 | 114 | |
| Arizona | 56 | $1,080,923 | 1,961 | 23 | 107 | |
| Pennsylvania | 81 | $1,064,232 | 2,970 | 29 | 78 | |
| Arkansas | 38 | $981,040 | 2,255 | 32 | 125 | |
| Colorado | 42 | $772,581 | 1,597 | 21 | 95 | |
| Illinois | 75 | $699,702 | 2,629 | 21 | 88 | |
| Washington | 34 | $627,352 | 1,792 | 50 | 106 | |
| Alabama | 22 | $504,179 | 634 | 19 | 59 |
Not listed: 3 billers with an armed-forces or unknown state code (AA, AP, XX); they are in the national totals.
Not listed: 14 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-NJ | 137 | $4,900,003 | 7,754 | 41 | |
| Baltimore-Columbia-Towson, MD | 38 | $1,458,772 | 2,101 | 37 | |
| Los Angeles-Long Beach-Anaheim, CA | 59 | $1,455,720 | 2,702 | 32 | |
| Dallas-Fort Worth-Arlington, TX | 57 | $1,281,350 | 3,274 | 25 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 35 | $1,254,446 | 1,255 | 25 | |
| Sacramento-Roseville-Folsom, CA | 17 | $973,239 | 835 | 47 | |
| San Francisco-Oakland-Fremont, CA | 25 | $933,691 | 1,561 | 38 | |
| San Diego-Chula Vista-Carlsbad, CA | 23 | $887,052 | 792 | 27 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 52 | $885,565 | 1,966 | 24 | |
| Jacksonville, FL | 15 | $848,614 | 817 | 32 | |
| Boston-Cambridge-Newton, MA-NH | 38 | $835,424 | 2,470 | 25 | |
| Phoenix-Mesa-Chandler, AZ | 41 | $816,640 | 1,606 | 24 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 34 | $762,774 | 1,565 | 46 | |
| Tampa-St. Petersburg-Clearwater, FL | 20 | $754,198 | 2,103 | 67 | |
| Chicago-Naperville-Elgin, IL-IN | 54 | $508,679 | 2,097 | 22 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 43 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 78816 nationally
Diagnostic Radiology accounts for 50% of payment for 78816 nationally in 2023, across 7 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Diagnostic Radiology | 1,379 | 70% | $18,692,511 | 50% | 52,069 | 38 |
| Nuclear Medicine | 288 | 15% | $8,231,048 | 22% | 22,058 | 77 |
| Independent Diagnostic Testing Facility (IDTF) | 83 | 4.2% | $4,585,793 | 12% | 3,824 | 46 |
| Hematology-Oncology | 128 | 6.5% | $3,126,051 | 8.3% | 2,793 | 22 |
| Radiation Oncology | 29 | 1.5% | $1,005,711 | 2.7% | 1,042 | 36 |
| Medical Oncology | 32 | 1.6% | $938,605 | 2.5% | 854 | 27 |
| Interventional Radiology | 25 | 1.3% | $510,754 | 1.4% | 1,054 | 42 |
Not listed: 8 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 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