HCPCS 90834

Other service (ClaimLight category; the code descriptor is not shown)

Other services Work RVU per service 2.00 (2020 fee schedule)

15,042
98th percentile among 6,116 codes billed · 2020
$194M
99th percentile among 6,116 codes billed · 2020
3.1M
98th percentile among 6,116 codes billed · 2020
130
90th percentile among 6,116 codes billed · 2020
628
84th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M$200M2020: $194M paid20202021: $195M paid20212022: $165M paid20222023: $145M paid20232024: $140M paid2024$140M$0$100M$200M2020: $194M paid20202021: $195M paid20212022: $165M paid20222023: $145M paid20232024: $140M paid2024$140M$0$100M$200M2020: $194M paid20202021: $195M paid20212022: $165M paid20222023: $145M paid20232024: $140M paid2024$140M$0$100M$200M2020: $194M paid20202021: $195M paid20212022: $165M paid20222023: $145M paid20232024: $140M paid2024$140M

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

Billers

010K2020: 15K providers20202021: 13K providers20212022: 12K providers20222023: 11K providers20232024: 10K providers202410K010K2020: 15K providers20202021: 13K providers20212022: 12K providers20222023: 11K providers20232024: 10K providers202410K010K2020: 15K providers20202021: 13K providers20212022: 12K providers20222023: 11K providers20232024: 10K providers202410K010K2020: 15K providers20202021: 13K providers20212022: 12K providers20222023: 11K providers20232024: 10K providers202410K

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
202410,253$140,257,392-3%2,079,4201206442.35
202310,713$145,125,769-12%2,202,9641266362.24
202211,741$165,178,475-15%2,428,8841286402.24
202113,346$195,114,701+0%2,803,0721326422.24
202015,042$194,207,589first year in data3,100,9801306282.00

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
New York1,768$38,965,180576,712222902
Massachusetts1,200$18,772,528314,523205650
California875$17,231,519241,270169859
New Jersey691$11,427,150173,156189673
Texas559$11,215,479174,9461621,085
Florida686$9,018,376140,622120653
Pennsylvania777$8,886,140139,361110534
Illinois554$7,281,651111,285114618
Maryland553$7,094,636116,822159583
Michigan678$6,067,583107,034100417
Virginia356$4,348,04973,729162586
North Carolina423$3,784,49568,05294535
Indiana458$3,536,21965,660101367
Minnesota490$3,366,08958,25188289
Connecticut289$3,192,62453,005133478

Not listed: 2 billers with an armed-forces or unknown state code (AE, ZZ); they are in the national totals.

Not listed: 2 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-NJ1,816$44,065,025636,939257
Boston-Cambridge-Newton, MA-NH761$12,299,145202,127200
Los Angeles-Long Beach-Anaheim, CA328$8,785,656119,157232
Chicago-Naperville-Elgin, IL-IN482$6,620,21199,441121
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD450$6,178,24693,350162
Miami-Fort Lauderdale-West Palm Beach, FL254$4,067,75561,370150
Detroit-Warren-Dearborn, MI329$3,578,45861,168100
Washington-Arlington-Alexandria, DC-VA-MD-WV250$3,477,19654,154167
San Antonio-New Braunfels, TX120$3,455,68153,466298
Baltimore-Columbia-Towson, MD266$3,361,22454,843154
Providence-Warwick, RI-MA206$2,752,60448,199180
Houston-Pasadena-The Woodlands, TX119$2,509,12438,477168
Dallas-Fort Worth-Arlington, TX142$2,463,29838,151146
San Diego-Chula Vista-Carlsbad, CA122$2,100,16229,129140
Minneapolis-St. Paul-Bloomington, MN-WI303$2,099,10835,79084

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 2020.

Specialties billing 90834 nationally

Psychologist, Clinical accounts for 52% of payment for 90834 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Psychologist, Clinical5,59637%$101,364,99552%1,398,186250
Licensed Clinical Social Worker8,24955%$77,716,50340%1,476,920179
Psychiatry7645.1%$11,193,8815.8%161,025211
Nurse Practitioner2801.9%$2,200,9801.1%37,260133
Certified Clinical Nurse Specialist600.40%$1,023,4950.53%16,875281
Family Practice270.18%$210,6060.11%3,116115
Geriatric Psychiatry110.07%$86,4240.04%1,360124
Physician Assistant130.09%$64,6120.03%1,14088

Not listed: 21 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 90834 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