HCPCS 90653

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

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

655
82nd percentile among 6,253 codes billed · 2021
$1.3M
72nd percentile among 6,253 codes billed · 2021
23K
74th percentile among 6,253 codes billed · 2021
22
46th percentile among 6,253 codes billed · 2021
97
55th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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– (Not compared: 2021 changed office visit values)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
California160$425,6947,17724154
Washington153$283,8554,7762473
Ohio55$117,5601,9922595
Arizona17$65,9881,11246166
Texas38$61,9191,0722275
Florida23$34,1115741757
Pennsylvania23$30,5395131945
Maryland19$30,4995152274
Kentucky16$28,9324862861
New Jersey14$23,8664011964
New York14$19,1093211455
Louisiana12$14,2892421451

Not listed: 28 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 2021.

Top metro areas

observed calculated calculated calculated calculated
Seattle-Tacoma-Bellevue, WA120$220,2773,70827
San Francisco-Oakland-Fremont, CA72$138,8052,33818
Merced, CA17$88,2831,49866
Los Angeles-Long Beach-Anaheim, CA31$75,2281,26638
Bremerton-Silverdale-Port Orchard, WA28$53,10189222
Phoenix-Mesa-Chandler, AZ13$46,22478047
Dallas-Fort Worth-Arlington, TX18$36,55161422
New York-Newark-Jersey City, NY-NJ22$34,70658316
Cleveland, OH11$21,52536625
Baltimore-Columbia-Towson, MD13$18,45431021
Pittsburgh, PA11$16,54927822

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 11 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 90653 nationally

Family Practice accounts for 43% of payment for 90653 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Family Practice27742%$570,25243%9,70535
Internal Medicine22534%$507,56238%8,56338
Nurse Practitioner609.2%$73,9715.5%1,24921
Mass Immunizer Roster Biller142.1%$40,9993.1%73352
Physician Assistant192.9%$28,9912.2%48826
Pulmonary Disease111.7%$17,3831.3%29227

Not listed: 17 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 2021.

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