HCPCS 90480

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

Other services

46,950
100th percentile among 6,405 codes billed · 2023
$256M
99th percentile among 6,405 codes billed · 2023
6.9M
99th percentile among 6,405 codes billed · 2023
86
84th percentile among 6,405 codes billed · 2023
393
77th percentile among 6,405 codes billed · 2023

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
California3,778$24,142,439582,14897474
Idaho211$20,246,872483,661771,226
Florida2,993$15,429,080406,38989365
New York2,262$14,511,348350,65298487
Colorado879$14,131,252396,28477310
Pennsylvania2,622$12,241,830335,00085344
Massachusetts1,134$10,663,741262,128164687
Texas3,057$10,202,169294,25975229
Illinois1,565$9,233,778255,279127412
Ohio1,869$8,375,984238,007112301
Virginia1,474$8,080,376217,482116397
New Jersey1,252$8,003,755194,968118430
Maryland1,083$6,958,371171,512100466
North Carolina1,749$6,389,635186,21175313
Michigan1,515$5,902,410163,33684293

Not listed: 3 billers with an armed-forces or unknown state code (AE); they are in the national totals.

Not listed: 3 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
Boise City, ID91$19,696,432466,28266
New York-Newark-Jersey City, NY-NJ2,124$15,835,636371,989117
Denver-Aurora-Centennial, CO390$12,319,156341,63682
Boston-Cambridge-Newton, MA-NH872$7,425,696180,737131
Los Angeles-Long Beach-Anaheim, CA1,226$6,911,527163,83284
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,071$6,783,633167,784115
Chicago-Naperville-Elgin, IL-IN1,023$6,580,537175,333126
Washington-Arlington-Alexandria, DC-VA-MD-WV976$5,849,117138,44692
San Francisco-Oakland-Fremont, CA470$4,064,32493,808129
Miami-Fort Lauderdale-West Palm Beach, FL711$3,359,50185,63765
Baltimore-Columbia-Towson, MD513$3,150,62078,96495
Seattle-Tacoma-Bellevue, WA489$2,827,58970,077109
Minneapolis-St. Paul-Bloomington, MN-WI888$2,801,25878,20424
Dallas-Fort Worth-Arlington, TX808$2,700,29878,56083
Detroit-Warren-Dearborn, MI721$2,658,35970,69878

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 2023.

Specialties billing 90480 nationally

Mass Immunizer Roster Biller accounts for 54% of payment for 90480 nationally in 2023, across 24 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller25,39854%$138,294,96454%3,827,032151
Centralized Flu8,98819%$92,251,79536%2,407,867268
Pharmacy1,9654.2%$8,683,8443.4%242,603123
Family Practice4,3489.3%$5,793,3022.3%145,75734
Internal Medicine3,0626.5%$5,211,2852.0%127,26242
Nurse Practitioner1,9274.1%$1,734,2300.68%44,73923
Public Health or Welfare Agency1550.33%$791,8020.31%21,051136
Clinical Laboratory1450.31%$649,4630.25%17,403120
Pediatric Medicine670.14%$527,8480.21%12,032180
Physician Assistant4570.97%$356,8750.14%9,32920
Infectious Disease280.06%$242,9570.10%5,719204
All Other Suppliers320.07%$136,5330.05%3,477109
General Practice440.09%$120,2650.05%3,06970
Geriatric Medicine590.13%$100,7710.04%2,47742
Hospitalist320.07%$100,1990.04%2,40775

Not listed: 22 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 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