HCPCS 91322

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

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

31,346
99th percentile among 6,471 codes billed · 2024
$565M
100th percentile among 6,471 codes billed · 2024
3.7M
98th percentile among 6,471 codes billed · 2024
54
74th percentile among 6,471 codes billed · 2024
362
75th percentile among 6,471 codes billed · 2024
+14.8%
Medicare payment on the code vs 2023; billers +6.8% · 2024

Trend

Medicare payment on the code

$0$250M$500M2023: $492M paid20232024: $565M paid2024$565M$0$250M$500M2023: $492M paid20232024: $565M paid2024$565M$0$250M$500M2023: $492M paid20232024: $565M paid2024$565M$0$250M$500M2023: $492M paid20232024: $565M paid2024$565M

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

Billers

020K2023: 29K providers20232024: 31K providers202431K020K2023: 29K providers20232024: 31K providers202431K020K2023: 29K providers20232024: 31K providers202431K020K2023: 29K providers20232024: 31K providers202431K

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
202431,346$564,768,020+15%3,668,923543620.00
202329,357$492,127,173not in the 2022 file3,490,45468324

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
California2,668$56,555,025371,07853531
Idaho122$43,251,894282,7146810,517
New York1,504$31,958,170206,67767510
Florida1,684$30,742,235200,10964306
Pennsylvania1,751$27,959,103180,58659346
Massachusetts737$25,244,063163,918120737
Illinois1,217$21,715,199140,41454384
Texas1,699$21,032,440136,11847235
Colorado520$17,752,038114,88360247
Maryland754$17,590,885114,10987476
Virginia947$17,407,692113,24368440
Wisconsin1,464$17,367,868112,31731300
New Jersey801$16,920,382109,16776461
Ohio1,279$16,775,558108,49658246
North Carolina1,311$16,076,976104,49042265

Not listed: 3 billers with an armed-forces or unknown state code (AE, ZZ); they are in the national totals.

Not listed: 3 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, ID43$42,014,321274,74751
New York-Newark-Jersey City, NY-NJ1,313$31,907,894206,32776
Los Angeles-Long Beach-Anaheim, CA676$16,915,865111,49168
Boston-Cambridge-Newton, MA-NH517$16,866,356109,540114
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD783$15,986,311103,51070
Chicago-Naperville-Elgin, IL-IN867$15,128,57297,82845
Washington-Arlington-Alexandria, DC-VA-MD-WV774$14,721,82495,99953
Denver-Aurora-Centennial, CO216$13,749,84988,77561
San Francisco-Oakland-Fremont, CA476$8,296,62454,52130
Minneapolis-St. Paul-Bloomington, MN-WI644$8,065,07152,60826
Miami-Fort Lauderdale-West Palm Beach, FL407$7,019,60445,71148
Baltimore-Columbia-Towson, MD295$6,889,60544,48596
Dallas-Fort Worth-Arlington, TX528$6,643,38642,95952
Seattle-Tacoma-Bellevue, WA410$6,173,70840,19945
Orlando-Kissimmee-Sanford, FL177$5,852,32037,79651

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 91322 nationally

Mass Immunizer Roster Biller accounts for 59% of payment for 91322 nationally in 2024, across 18 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller17,48556%$334,121,65159%2,168,684124
Centralized Flu4,80115%$159,733,89828%1,034,020215
Pharmacy1,5825.0%$26,678,7354.7%172,675109
Family Practice3,32311%$17,481,1973.1%115,82835
Internal Medicine2,0036.4%$13,730,5222.4%90,84445
Nurse Practitioner1,2794.1%$5,013,1600.89%33,26926
Public Health or Welfare Agency1130.36%$1,719,1690.30%11,891105
Physician Assistant3861.2%$1,319,2390.23%8,68222
Clinical Laboratory590.19%$1,252,1230.22%8,130138
Pediatric Medicine470.15%$894,6320.16%5,863125
General Practice260.08%$342,8380.06%2,31789
Geriatric Medicine450.14%$333,9030.06%2,21049
All Other Suppliers140.04%$320,2240.06%2,086149
Preventive Medicine200.06%$236,4050.04%1,59180
Emergency Medicine270.09%$193,6580.03%1,34950

Not listed: 26 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 91322 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