HCPCS 90653

Drug (ClaimLight category; the code descriptor is not shown)

Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

43,932
99th percentile among 6,471 codes billed · 2024
$283M
99th percentile among 6,471 codes billed · 2024
3.5M
98th percentile among 6,471 codes billed · 2024
41
67th percentile among 6,471 codes billed · 2024
257
71st percentile among 6,471 codes billed · 2024

Trend

Medicare payment on the code

$0$200M2020: $21M paid20202021: $1.3M paid20212024: $283M paid2024$283M$0$200M2020: $21M paid20202021: $1.3M paid20212024: $283M paid2024$283M$0$200M2020: $21M paid20202021: $1.3M paid20212024: $283M paid2024$283M$0$200M2020: $21M paid20202021: $1.3M paid20212024: $283M paid2024$283M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

020K40K2020: 7,164 providers20202021: 655 providers20212022: 8 providers20222023: 3 providers20232024: 44K providers202444K020K40K2020: 7,164 providers20202021: 655 providers20212022: 8 providers20222023: 3 providers20232024: 44K providers202444K020K40K2020: 7,164 providers20202021: 655 providers20212022: 8 providers20222023: 3 providers20232024: 44K providers202444K020K40K2020: 7,164 providers20202021: 655 providers20212022: 8 providers20222023: 3 providers20232024: 44K providers202444K

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
202443,932$282,893,756no comparison: 2023 has fewer than 11 billers3,476,036412570.00
20233fewer than 11 billers: figures not shown0.00
20228fewer than 11 billers: figures not shown0.00
2021655$1,336,215-94%22,70422970.00
20207,164$20,741,463first year in data355,898261510.00

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
California4,461$28,389,827348,45938268
Florida3,008$26,579,019325,73751378
New York2,993$17,779,866218,15645221
Pennsylvania2,008$14,393,084176,07853259
Texas2,831$13,604,307167,51837181
Illinois1,645$9,534,180117,72644195
Virginia1,402$9,398,609116,51648264
North Carolina1,622$9,360,760114,83740230
Ohio1,707$8,601,432105,91738190
New Jersey1,326$8,581,760105,41249243
Massachusetts1,462$8,552,703104,91838239
Iowa512$8,519,983104,38675823
Maryland963$7,415,03190,98153283
Washington923$7,212,54888,32530374
Georgia1,273$7,186,51588,21538224

Not listed: 4 billers with an armed-forces or unknown state code (AE, XX, ZZ); 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,817$18,092,696222,09848
Los Angeles-Long Beach-Anaheim, CA1,330$7,914,08897,12234
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD984$7,311,70089,41954
Chicago-Naperville-Elgin, IL-IN1,160$6,473,88779,54842
Boston-Cambridge-Newton, MA-NH961$5,784,46470,99538
Miami-Fort Lauderdale-West Palm Beach, FL653$5,541,23268,08946
Denver-Aurora-Centennial, CO250$5,488,14067,10225
Washington-Arlington-Alexandria, DC-VA-MD-WV791$5,266,85364,71142
Atlanta-Sandy Springs-Roswell, GA681$4,032,94349,45339
Baltimore-Columbia-Towson, MD522$3,891,66847,75653
Seattle-Tacoma-Bellevue, WA531$3,678,83645,01126
Orlando-Kissimmee-Sanford, FL419$3,343,66040,94538
San Francisco-Oakland-Fremont, CA489$3,308,77740,48246
Minneapolis-St. Paul-Bloomington, MN-WI884$3,246,51539,76021
Houston-Pasadena-The Woodlands, TX673$2,971,35836,49737

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 90653 nationally

Mass Immunizer Roster Biller accounts for 45% of payment for 90653 nationally in 2024, across 29 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller14,38233%$126,031,48445%1,541,323107
Centralized Flu9,03021%$79,812,59428%975,530108
Internal Medicine6,22814%$25,706,8079.1%320,50351
Family Practice7,35417%$23,376,9858.3%292,99340
Pharmacy1,6623.8%$14,892,0175.3%182,208110
Nurse Practitioner2,8476.5%$5,779,6112.0%72,50825
Physician Assistant1,1252.6%$2,154,6360.76%27,00524
Clinical Laboratory600.14%$498,9520.18%6,103102
Pulmonary Disease1940.44%$434,0140.15%5,42928
Pediatric Medicine500.11%$429,9390.15%5,288106
Public Health or Welfare Agency180.04%$428,0170.15%5,285294
Cardiology1050.24%$404,6100.14%4,99448
Rheumatology1510.34%$354,8710.13%4,46230
General Practice850.19%$337,8180.12%4,26650
Geriatric Medicine900.20%$297,9660.11%3,73241

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 2024.

Top billers of 90653 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