HCPCS 90653

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

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

7,164
96th percentile among 6,116 codes billed · 2020
$21M
92nd percentile among 6,116 codes billed · 2020
356K
92nd percentile among 6,116 codes billed · 2020
26
55th percentile among 6,116 codes billed · 2020
151
65th percentile among 6,116 codes billed · 2020

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
Texas482$1,513,99325,80029171
New York503$1,481,82325,29129159
California587$1,456,62825,03722134
Pennsylvania422$1,409,25923,91536156
Florida653$1,381,55023,69318111
Ohio401$1,088,47818,50532123
New Jersey270$762,84012,97728145
Massachusetts241$704,03911,97829146
Virginia190$657,84012,11830182
Oklahoma174$628,00910,70545154
Tennessee189$592,53510,04928173
Maryland191$577,6229,99126164
Michigan182$577,1479,80336155
North Carolina129$568,0909,61928161
South Carolina159$514,9488,74725165

Not listed: 1 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ535$1,564,16326,71928
Boston-Cambridge-Newton, MA-NH162$546,8139,31633
Washington-Arlington-Alexandria, DC-VA-MD-WV173$477,2278,42029
Los Angeles-Long Beach-Anaheim, CA184$411,0477,08021
Tulsa, OK96$360,9436,10951
Dallas-Fort Worth-Arlington, TX96$339,0205,74428
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD115$336,3295,76634
Orlando-Kissimmee-Sanford, FL52$334,9905,65323
Allentown-Bethlehem-Easton, PA-NJ114$324,4205,48435
Baltimore-Columbia-Towson, MD93$323,6735,52431
Boise City, ID88$296,2445,03934
Detroit-Warren-Dearborn, MI84$290,0794,92537
Dayton-Kettering-Beavercreek, OH104$287,4974,86236
Houston-Pasadena-The Woodlands, TX127$277,8134,75225
Miami-Fort Lauderdale-West Palm Beach, FL145$253,7844,40718

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 90 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 90653 nationally

Internal Medicine accounts for 29% of payment for 90653 nationally in 2020, across 21 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine1,69124%$5,940,17129%101,31760
Family Practice1,71424%$5,208,40325%88,67152
Mass Immunizer Roster Biller1,36319%$4,770,72323%81,38160
Centralized Flu78411%$1,336,4466.4%25,05232
Nurse Practitioner5437.6%$848,6444.1%14,46127
Pharmacy2413.4%$803,1473.9%13,55256
Physician Assistant2313.2%$408,3182.0%7,07731
General Practice590.82%$215,4661.0%3,66862
Pulmonary Disease961.3%$170,6380.82%2,91930
Cardiology550.77%$152,5160.74%2,61047
Rheumatology630.88%$140,2630.68%2,38738
Endocrinology530.74%$92,4040.45%1,59530
Clinical Laboratory160.22%$65,9280.32%1,10969
Nephrology190.27%$59,2070.29%1,01253
Allergy/ Immunology350.49%$53,6600.26%91726

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 2020.

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