HCPCS 91322

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

Drugs Drug code

29,357
99th percentile among 6,405 codes billed · 2023
$492M
100th percentile among 6,405 codes billed · 2023
3.5M
98th percentile among 6,405 codes billed · 2023
68
80th percentile among 6,405 codes billed · 2023
324
75th percentile among 6,405 codes billed · 2023

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
California2,248$39,895,737280,49167421
Idaho136$33,239,691232,590668,931
Florida1,794$31,485,807222,49078362
New York1,540$25,439,409180,20168400
Colorado476$24,620,842182,83082261
Pennsylvania1,696$23,016,109161,68464283
Texas1,991$21,865,389155,35653215
Massachusetts652$19,006,109134,560147602
Illinois848$17,458,038125,801106385
Ohio1,282$16,618,569116,91971235
Virginia912$15,491,850109,13084337
North Carolina1,213$13,727,80897,38850239
Michigan996$13,326,72994,53368274
Wisconsin752$13,167,79494,44066420
New Jersey781$13,128,91692,80377393

Not listed: 2 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 2023.

Top metro areas

observed calculated calculated calculated calculated
Boise City, ID49$31,978,680223,63947
New York-Newark-Jersey City, NY-NJ1,321$24,862,715176,50776
Denver-Aurora-Centennial, CO221$20,446,256153,22574
Boston-Cambridge-Newton, MA-NH449$12,863,88191,088142
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD731$12,533,32288,48386
Los Angeles-Long Beach-Anaheim, CA703$11,260,74579,03359
Chicago-Naperville-Elgin, IL-IN520$10,936,77779,46495
Washington-Arlington-Alexandria, DC-VA-MD-WV604$10,570,87074,23473
Miami-Fort Lauderdale-West Palm Beach, FL433$6,739,16747,56355
Dallas-Fort Worth-Arlington, TX550$6,022,35842,99057
Atlanta-Sandy Springs-Roswell, GA535$5,654,24139,67557
San Francisco-Oakland-Fremont, CA219$5,560,43039,15995
Baltimore-Columbia-Towson, MD291$5,329,25837,63789
Minneapolis-St. Paul-Bloomington, MN-WI436$5,222,55737,24424
Detroit-Warren-Dearborn, MI432$4,982,62335,25763

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 2023.

Specialties billing 91322 nationally

Mass Immunizer Roster Biller accounts for 61% of payment for 91322 nationally in 2023, across 19 specialties on claims.

observed calculated calculated calculated calculated calculated
Mass Immunizer Roster Biller19,00865%$301,989,29861%2,114,785111
Centralized Flu4,53615%$147,271,74530%1,072,026236
Pharmacy1,5025.1%$18,350,3013.7%128,89986
Family Practice1,7566.0%$8,428,9861.7%60,02134
Internal Medicine1,1453.9%$6,207,9621.3%44,00838
Nurse Practitioner7362.5%$2,435,7670.49%17,31924
Clinical Laboratory1250.43%$1,614,3610.33%11,36391
Pediatric Medicine300.10%$1,469,4420.30%10,399347
Public Health or Welfare Agency1190.41%$1,365,2120.28%10,18586
Physician Assistant1680.57%$507,1110.10%3,59021
General Practice230.08%$257,9370.05%1,85180
Infectious Disease110.04%$254,2610.05%1,799164
All Other Suppliers170.06%$250,1070.05%1,749103
Preventive Medicine210.07%$194,6800.04%1,40467
Emergency Medicine320.11%$161,1030.03%1,15336

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 2023.

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