HCPCS 90670

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

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

626
83rd percentile among 6,405 codes billed · 2023
$3.7M
81st percentile among 6,405 codes billed · 2023
15K
71st percentile among 6,405 codes billed · 2023
15
20th percentile among 6,405 codes billed · 2023
39
31st percentile among 6,405 codes billed · 2023
-74.1%
Medicare payment on the code vs 2022; billers -78.3%. 2023 changed hospital and observation visit codes · 2023

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
Florida41$894,4943,5491646
California95$664,8902,6711883
New York68$353,4461,4331652
New Jersey29$151,6286011436
Texas30$127,3485101334
Maryland27$112,1664491427
Oklahoma21$99,7053961535
Illinois27$98,4183951321
North Carolina21$94,7763861632
Pennsylvania19$89,4813601642
Virginia18$84,7753431634
Michigan22$83,6043521429
Ohio16$76,5373031341
Indiana18$71,8662901525
Arizona16$68,7872791728

Not listed: 29 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
New York-Newark-Jersey City, NY-NJ81$432,4601,74015
Los Angeles-Long Beach-Anaheim, CA35$280,2801,14119
Washington-Arlington-Alexandria, DC-VA-MD-WV23$103,40641514
Chicago-Naperville-Elgin, IL-IN26$97,95339114
San Francisco-Oakland-Fremont, CA15$87,50034716
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD14$74,74030117
Detroit-Warren-Dearborn, MI12$47,72019515

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 7 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 90670 nationally

Family Practice accounts for 33% of payment for 90670 nationally in 2023, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Family Practice26843%$1,209,80333%4,96519
Internal Medicine24239%$1,160,37731%4,68119
Nurse Practitioner436.9%$164,5464.4%67416
Mass Immunizer Roster Biller152.4%$103,2202.8%41127
Physician Assistant203.2%$72,9532.0%30215

Not listed: 14 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 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