HCPCS 90670

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

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

10,529
97th percentile among 6,253 codes billed · 2021
$49M
96th percentile among 6,253 codes billed · 2021
208K
89th percentile among 6,253 codes billed · 2021
15
21st percentile among 6,253 codes billed · 2021
33
27th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

Trend

Medicare payment on the code

$0$100M2020: $181M paid20202021: $49M paid20212022: $14M paid20222023: $3.7M paid20232024: $611K paid2024$611K$0$100M2020: $181M paid20202021: $49M paid20212022: $14M paid20222023: $3.7M paid20232024: $611K paid2024$611K$0$100M2020: $181M paid20202021: $49M paid20212022: $14M paid20222023: $3.7M paid20232024: $611K paid2024$611K$0$100M2020: $181M paid20202021: $49M paid20212022: $14M paid20222023: $3.7M paid20232024: $611K paid2024$611K

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

Billers

020K2020: 33K providers20202021: 11K providers20212022: 2,882 providers20222023: 626 providers20232024: 105 providers2024105020K2020: 33K providers20202021: 11K providers20212022: 2,882 providers20222023: 626 providers20232024: 105 providers2024105020K2020: 33K providers20202021: 11K providers20212022: 2,882 providers20222023: 626 providers20232024: 105 providers2024105020K2020: 33K providers20202021: 11K providers20212022: 2,882 providers20222023: 626 providers20232024: 105 providers2024105

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
2024105$611,137-83%2,50815570.00
2023626$3,698,341-74% (2023 changed hospital and observation visit codes)14,95215390.00
20222,882$14,278,872-71%58,32614320.00
202110,529$49,212,632– (Not compared: 2021 changed office visit values)207,66815330.00
202032,863$181,274,229first year in data808,23218510.00

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
Florida744$5,457,20022,8881531
California986$4,476,33318,8611538
Texas860$3,681,15415,5051532
Illinois513$2,209,2739,2911536
Colorado160$2,063,8808,6311531
New York498$1,998,5018,4131429
Idaho46$1,843,8237,689161,041
Maryland422$1,820,3157,6641534
New Jersey404$1,735,3397,4001535
Virginia420$1,717,2967,2901530
Pennsylvania458$1,692,9217,1401326
North Carolina359$1,392,6105,9181429
Indiana348$1,369,4215,8141430
Tennessee326$1,365,0545,7701533
South Carolina311$1,336,6445,6671536

Not listed: 1 billers with an armed-forces or unknown state code (AE); they are in the national totals.

Not listed: 4 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
New York-Newark-Jersey City, NY-NJ651$2,669,26911,30615
Orlando-Kissimmee-Sanford, FL59$2,650,34111,06914
Chicago-Naperville-Elgin, IL-IN419$1,778,7307,47715
Boise City, ID17$1,727,4597,19650
Denver-Aurora-Centennial, CO48$1,617,7626,75014
Los Angeles-Long Beach-Anaheim, CA337$1,513,3696,39815
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD287$1,131,5324,75214
Washington-Arlington-Alexandria, DC-VA-MD-WV261$1,101,8074,65215
Dallas-Fort Worth-Arlington, TX201$763,7953,23014
Baltimore-Columbia-Towson, MD179$743,3103,11615
Houston-Pasadena-The Woodlands, TX168$634,3202,66315
Boston-Cambridge-Newton, MA-NH154$585,3592,46414
Phoenix-Mesa-Chandler, AZ144$573,8932,42714
Atlanta-Sandy Springs-Roswell, GA142$563,9812,37115
St. Louis, MO-IL105$427,6001,79815

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 2021.

Specialties billing 90670 nationally

Family Practice accounts for 27% of payment for 90670 nationally in 2021, across 16 specialties on claims.

observed calculated calculated calculated calculated calculated
Family Practice3,30431%$13,177,67527%56,15217
Mass Immunizer Roster Biller2,83727%$12,344,44625%51,41118
Internal Medicine2,80027%$11,783,46224%50,10118
Centralized Flu6566.2%$8,146,50317%33,96052
Nurse Practitioner3943.7%$1,442,2532.9%6,16916
Physician Assistant1491.4%$550,1501.1%2,33916
Pharmacy820.78%$416,2350.85%1,73721
Pulmonary Disease540.51%$217,7490.44%92917
Geriatric Medicine310.29%$140,0590.28%59319
General Practice390.37%$133,9050.27%57215
Clinical Laboratory280.27%$120,0100.24%50118
Cardiology180.17%$84,3950.17%36020
Nephrology170.16%$72,7440.15%34320
Hospitalist150.14%$71,5640.15%30220
Allergy/ Immunology120.11%$70,0010.14%30826

Not listed: 23 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 90670 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