HCPCS 90480

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

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

54,794
100th percentile among 6,471 codes billed · 2024
$315M
99th percentile among 6,471 codes billed · 2024
8.3M
99th percentile among 6,471 codes billed · 2024
75
80th percentile among 6,471 codes billed · 2024
450
78th percentile among 6,471 codes billed · 2024
+23.4%
Medicare payment on the code vs 2023; billers +16.7% · 2024

Trend

Medicare payment on the code

$0$200M2023: $256M paid20232024: $315M paid2024$315M$0$200M2023: $256M paid20232024: $315M paid2024$315M$0$200M2023: $256M paid20232024: $315M paid2024$315M$0$200M2023: $256M paid20232024: $315M paid2024$315M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2023–2024.

Billers

025K50K2023: 47K providers20232024: 55K providers202455K025K50K2023: 47K providers20232024: 55K providers202455K025K50K2023: 47K providers20232024: 55K providers202455K025K50K2023: 47K providers20232024: 55K providers202455K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2023–2024.

observed calculated calculated calculated calculated calculated reported
202454,794$315,441,742+23%8,303,881754500.00
202346,950$255,705,645not in the 2022 file6,890,02186393

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2023–2024.

By state

observed calculated calculated calculated calculated calculated
California4,483$32,728,013790,06581641
Idaho225$28,295,693661,225871,116
Florida3,059$19,988,895502,60896421
New York2,588$17,348,829423,33385578
Pennsylvania3,052$14,738,704378,64565395
Massachusetts1,594$14,153,357346,70081749
Texas3,288$12,483,616352,63780269
Illinois2,140$11,872,955312,81688422
Colorado1,058$10,986,601297,70059379
Virginia1,688$10,335,574276,019107504
New Jersey1,418$9,436,862231,535101502
Maryland1,396$9,412,298229,35179530
Ohio2,081$9,170,852261,01193353
North Carolina2,107$8,099,878226,10168334
Washington1,161$6,930,708183,05769549

Not listed: 6 billers with an armed-forces or unknown state code (AE, AP, ZZ); they are in the national totals.

Not listed: 2 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
Boise City, ID104$27,718,620643,01058
New York-Newark-Jersey City, NY-NJ2,354$18,656,225442,435100
Boston-Cambridge-Newton, MA-NH1,229$9,724,709237,12557
Los Angeles-Long Beach-Anaheim, CA1,336$9,620,107231,59186
Chicago-Naperville-Elgin, IL-IN1,518$8,907,406225,65672
Denver-Aurora-Centennial, CO447$8,646,302225,88975
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,234$8,452,459208,77087
Washington-Arlington-Alexandria, DC-VA-MD-WV1,305$8,222,514195,80869
San Francisco-Oakland-Fremont, CA711$5,660,224129,68649
Miami-Fort Lauderdale-West Palm Beach, FL759$4,337,593106,22273
Baltimore-Columbia-Towson, MD669$4,216,812103,81171
Orlando-Kissimmee-Sanford, FL359$4,059,47599,76975
Minneapolis-St. Paul-Bloomington, MN-WI1,355$3,917,976107,87526
Seattle-Tacoma-Bellevue, WA649$3,583,68690,56147
Dallas-Fort Worth-Arlington, TX865$3,305,00295,90094

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 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 90480 nationally

Mass Immunizer Roster Biller accounts for 52% of payment for 90480 nationally in 2024, across 25 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller24,79245%$164,776,54352%4,642,892187
Centralized Flu9,80718%$109,287,33635%2,661,200271
Family Practice7,68114%$11,316,1583.6%271,77935
Pharmacy2,0923.8%$11,308,0773.6%284,380136
Internal Medicine5,3179.7%$10,750,9533.4%249,31047
Nurse Practitioner3,2736.0%$3,518,1691.1%85,67226
Public Health or Welfare Agency1520.28%$909,7990.29%23,532155
Physician Assistant9171.7%$867,2270.27%20,80523
Clinical Laboratory770.14%$411,3550.13%10,700139
Pediatric Medicine1060.19%$391,8050.12%9,10586
Infectious Disease500.09%$300,8850.10%6,446129
Geriatric Medicine1210.22%$275,2830.09%6,57454
Emergency Medicine540.10%$186,8930.06%4,06075
General Practice530.10%$182,8020.06%4,32082
All Other Suppliers290.05%$159,2300.05%3,826132

Not listed: 25 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 90480 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