HCPCS 90834

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

Other services Work RVU per service 2.24 (2022 fee schedule)

11,741
98th percentile among 6,326 codes billed · 2022
$165M
99th percentile among 6,326 codes billed · 2022
2.4M
98th percentile among 6,326 codes billed · 2022
128
89th percentile among 6,326 codes billed · 2022
640
83rd percentile among 6,326 codes billed · 2022
-15.3%
Medicare payment on the code vs 2021; billers -12.0% · 2022

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 York1,426$34,724,346462,595237948
Massachusetts934$14,724,277230,898194641
California702$14,574,397186,852166829
New Jersey601$10,720,065150,579186715
Texas423$9,812,852142,0851811,116
Florida541$7,857,465114,230122597
Maryland528$7,403,316114,734174598
Pennsylvania586$7,282,481107,250113558
Illinois409$6,565,90693,646131795
Michigan478$4,638,64274,56496427
Virginia303$3,824,34160,563142500
Minnesota402$2,850,39046,14786290
Ohio358$2,657,40940,91366304
Indiana328$2,578,87643,93396333
North Carolina315$2,409,43539,97777381

Not listed: 1 billers with an armed-forces or unknown state code (AE); 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,543$40,211,318530,689262
Boston-Cambridge-Newton, MA-NH605$9,877,227154,032188
Los Angeles-Long Beach-Anaheim, CA268$7,435,59493,207211
Chicago-Naperville-Elgin, IL-IN392$6,340,90989,760137
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD368$5,742,71380,887163
Washington-Arlington-Alexandria, DC-VA-MD-WV233$3,898,25457,827191
Miami-Fort Lauderdale-West Palm Beach, FL199$3,689,28451,554169
Baltimore-Columbia-Towson, MD255$3,366,88051,427160
San Antonio-New Braunfels, TX97$3,251,79947,584298
Detroit-Warren-Dearborn, MI242$2,855,00744,320105
Houston-Pasadena-The Woodlands, TX93$2,138,66230,633191
Providence-Warwick, RI-MA144$1,998,44532,817186
Minneapolis-St. Paul-Bloomington, MN-WI252$1,951,73131,38596
Dallas-Fort Worth-Arlington, TX107$1,923,66327,732152
San Diego-Chula Vista-Carlsbad, CA93$1,766,52122,117136

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 2022.

Specialties billing 90834 nationally

Psychologist, Clinical accounts for 51% of payment for 90834 nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Psychologist, Clinical4,32137%$84,411,30651%1,068,841247
Licensed Clinical Social Worker6,44255%$67,082,43341%1,170,669182
Psychiatry5634.8%$9,086,0055.5%119,819213
Nurse Practitioner2932.5%$3,093,9571.9%47,621163
Certified Clinical Nurse Specialist490.42%$862,3700.52%13,196269
Family Practice310.26%$170,6660.10%2,32675
Internal Medicine120.10%$147,5540.09%1,962164

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 2022.

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