HCPCS 90834

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

Other services Work RVU per service 2.24 (2021 fee schedule)

13,346
98th percentile among 6,253 codes billed · 2021
$195M
99th percentile among 6,253 codes billed · 2021
2.8M
98th percentile among 6,253 codes billed · 2021
132
89th percentile among 6,253 codes billed · 2021
642
83rd percentile among 6,253 codes billed · 2021
+0.5%
Medicare payment on the code vs 2020; billers -11.3% · 2021

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 York1,570$40,013,001519,625241939
Massachusetts1,061$18,553,005283,358209665
California782$17,207,040215,818179835
New Jersey605$11,372,812156,143190697
Texas481$11,191,191156,5421671,127
Florida626$9,412,278133,823126629
Pennsylvania677$8,497,571122,726117538
Maryland545$8,048,454120,781159615
Illinois480$7,724,054107,687136717
Michigan570$5,738,75691,11399432
Virginia336$4,675,91171,978153558
Minnesota452$3,481,91354,61993294
North Carolina367$3,345,69754,27384465
Indiana401$3,284,66954,80493349
Ohio416$3,156,76648,02484344

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,653$45,493,480584,013268
Boston-Cambridge-Newton, MA-NH689$12,433,905187,843208
Los Angeles-Long Beach-Anaheim, CA309$8,772,466108,012246
Chicago-Naperville-Elgin, IL-IN426$7,166,49398,529139
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD411$6,078,31484,085152
Miami-Fort Lauderdale-West Palm Beach, FL230$4,505,95362,029163
Washington-Arlington-Alexandria, DC-VA-MD-WV249$3,976,44956,607180
Baltimore-Columbia-Towson, MD258$3,767,41555,864143
San Antonio-New Braunfels, TX114$3,629,87851,386259
Detroit-Warren-Dearborn, MI289$3,344,18151,446101
Providence-Warwick, RI-MA169$2,587,68141,423181
Houston-Pasadena-The Woodlands, TX92$2,337,04632,181221
Dallas-Fort Worth-Arlington, TX124$2,280,84431,499122
Minneapolis-St. Paul-Bloomington, MN-WI277$2,269,04734,95695
San Diego-Chula Vista-Carlsbad, CA100$2,125,49026,178143

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 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 90834 nationally

Psychologist, Clinical accounts for 52% of payment for 90834 nationally in 2021, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Psychologist, Clinical4,95937%$101,485,66152%1,255,449253
Licensed Clinical Social Worker7,26754%$78,114,44940%1,336,900184
Psychiatry6965.2%$10,592,9805.4%138,774199
Nurse Practitioner2822.1%$3,006,0871.5%44,956159
Certified Clinical Nurse Specialist550.41%$1,102,7940.57%16,169294
Family Practice350.26%$214,5110.11%2,86782
Internal Medicine110.08%$210,2870.11%2,700245

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 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