HCPCS 91320

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

Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

36,800
99th percentile among 6,471 codes billed · 2024
$664M
100th percentile among 6,471 codes billed · 2024
4.5M
98th percentile among 6,471 codes billed · 2024
59
76th percentile among 6,471 codes billed · 2024
367
75th percentile among 6,471 codes billed · 2024
+57.2%
Medicare payment on the code vs 2023; billers +35.9% · 2024

Trend

Medicare payment on the code

$0$250M$500M2023: $422M paid20232024: $664M paid2024$664M$0$250M$500M2023: $422M paid20232024: $664M paid2024$664M$0$250M$500M2023: $422M paid20232024: $664M paid2024$664M$0$250M$500M2023: $422M paid20232024: $664M paid2024$664M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2023–2024.

Billers

020K40K2023: 27K providers20232024: 37K providers202437K020K40K2023: 27K providers20232024: 37K providers202437K020K40K2023: 27K providers20232024: 37K providers202437K020K40K2023: 27K providers20232024: 37K providers202437K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2023–2024.

observed calculated calculated calculated calculated calculated reported
202436,800$663,520,364+57%4,506,697593670.00
202327,083$422,068,649not in the 2022 file3,323,18360356

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2023–2024.

By state

observed calculated calculated calculated calculated calculated
California2,899$58,978,068407,49670499
Idaho179$55,770,848378,714551,588
Florida2,443$43,529,572297,79771315
New York1,636$31,478,494212,63554510
Texas2,438$30,796,091208,72959234
Pennsylvania2,155$28,802,424194,38446321
Massachusetts1,123$26,535,319180,06249671
Colorado818$26,241,909178,18850301
Illinois1,334$24,608,270166,88569381
Virginia1,222$23,545,721159,48681414
Ohio1,328$20,880,008140,51971310
New Jersey949$17,880,591120,46664453
North Carolina1,323$17,514,864118,14556283
Maryland946$16,732,157113,66264390
Indiana943$14,466,77397,25863312

Not listed: 3 billers with an armed-forces or unknown state code (AE, AP); 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 2024.

Top metro areas

observed calculated calculated calculated calculated
Boise City, ID92$54,328,781368,74647
New York-Newark-Jersey City, NY-NJ1,534$34,414,450232,73167
Denver-Aurora-Centennial, CO368$19,913,470135,02950
Boston-Cambridge-Newton, MA-NH892$18,482,706125,56742
Chicago-Naperville-Elgin, IL-IN898$18,188,389123,50274
Los Angeles-Long Beach-Anaheim, CA991$16,826,173116,86864
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD786$15,418,611103,93566
Washington-Arlington-Alexandria, DC-VA-MD-WV826$14,351,29197,89167
San Francisco-Oakland-Fremont, CA371$10,560,36573,02499
Miami-Fort Lauderdale-West Palm Beach, FL560$8,814,30859,97161
Orlando-Kissimmee-Sanford, FL300$8,799,31461,76354
Baltimore-Columbia-Towson, MD498$8,550,22458,02161
Minneapolis-St. Paul-Bloomington, MN-WI781$7,790,46354,38627
Dallas-Fort Worth-Arlington, TX614$7,594,94651,23166
Phoenix-Mesa-Chandler, AZ416$7,545,07051,60574

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 2024.

Specialties billing 91320 nationally

Mass Immunizer Roster Biller accounts for 53% of payment for 91320 nationally in 2024, across 21 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller17,15347%$351,408,65653%2,377,966139
Centralized Flu7,76821%$237,017,68136%1,605,367207
Internal Medicine3,4259.3%$22,058,4413.3%154,07345
Family Practice4,44512%$21,488,5893.2%150,06834
Pharmacy1,0692.9%$16,879,9912.5%115,133108
Nurse Practitioner1,9285.2%$7,092,9721.1%49,86926
Physician Assistant5081.4%$1,591,1290.24%11,15122
Public Health or Welfare Agency620.17%$1,571,6010.24%11,283182
Infectious Disease310.08%$773,3490.12%5,355173
Geriatric Medicine820.22%$613,3970.09%4,30553
Pediatric Medicine550.15%$430,2300.06%3,01755
Hospitalist340.09%$358,2480.05%2,51574
Clinical Laboratory380.10%$344,7480.05%2,36262
Emergency Medicine270.07%$340,7360.05%2,42690
All Other Suppliers170.05%$284,1750.04%1,915113

Not listed: 24 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 2024.

Top billers of 91320 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