HCPCS 92928

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

Other services Work RVU per service 10.96 (2020 fee schedule)

5,273
95th percentile among 6,116 codes billed · 2020
$84M
97th percentile among 6,116 codes billed · 2020
187K
89th percentile among 6,116 codes billed · 2020
27
57th percentile among 6,116 codes billed · 2020
85
53rd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M2020: $84M paid20202021: $82M paid20212022: $75M paid20222023: $73M paid20232024: $70M paid2024$70M$0$50M2020: $84M paid20202021: $82M paid20212022: $75M paid20222023: $73M paid20232024: $70M paid2024$70M$0$50M2020: $84M paid20202021: $82M paid20212022: $75M paid20222023: $73M paid20232024: $70M paid2024$70M$0$50M2020: $84M paid20202021: $82M paid20212022: $75M paid20222023: $73M paid20232024: $70M paid2024$70M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

02,0004,0002020: 5,273 providers20202021: 5,340 providers20212022: 5,084 providers20222023: 5,112 providers20232024: 5,030 providers20245,03002,0004,0002020: 5,273 providers20202021: 5,340 providers20212022: 5,084 providers20222023: 5,112 providers20232024: 5,030 providers20245,03002,0004,0002020: 5,273 providers20202021: 5,340 providers20212022: 5,084 providers20222023: 5,112 providers20232024: 5,030 providers20245,03002,0004,0002020: 5,273 providers20202021: 5,340 providers20212022: 5,084 providers20222023: 5,112 providers20232024: 5,030 providers20245,030

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
20245,030$69,817,918-4%167,246257910.96
20235,112$72,515,697-3%171,363268010.96
20225,084$75,022,844-9%172,220268010.96
20215,340$82,151,643-2%188,368278510.96
20205,273$83,661,358first year in data186,642278510.96

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
Florida413$7,903,99415,6392794
Texas434$6,533,76214,6592493
California362$5,285,76211,8802385
New York248$5,173,9189,83128108
Illinois216$3,423,5237,0952768
Ohio224$3,330,2897,5612876
Pennsylvania222$3,100,8026,7602664
Michigan182$2,768,4955,9412666
North Carolina164$2,616,4886,1072693
Georgia153$2,445,4885,6512883
Missouri148$2,391,4925,5173179
Tennessee159$2,199,5365,4702775
New Jersey150$2,038,5504,1602358
Virginia135$1,992,5204,4532579
Arkansas94$1,966,8174,85140113

Not listed: 6 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ284$5,308,7489,74024
Chicago-Naperville-Elgin, IL-IN159$2,302,1334,73624
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD105$1,556,4343,20527
Dallas-Fort Worth-Arlington, TX102$1,514,7893,54624
Detroit-Warren-Dearborn, MI88$1,361,3272,80026
Los Angeles-Long Beach-Anaheim, CA91$1,281,4932,80921
Miami-Fort Lauderdale-West Palm Beach, FL76$1,190,7782,26022
Phoenix-Mesa-Chandler, AZ87$1,152,8822,68025
Tampa-St. Petersburg-Clearwater, FL73$1,122,3682,41626
Oklahoma City, OK60$1,074,8062,47534
Houston-Pasadena-The Woodlands, TX94$1,048,6822,32718
Boston-Cambridge-Newton, MA-NH75$1,015,9002,16427
Washington-Arlington-Alexandria, DC-VA-MD-WV66$974,0101,99726
St. Louis, MO-IL65$956,2702,16326
San Antonio-New Braunfels, TX44$932,3031,77329

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 88 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 92928 nationally

Cardiology accounts for 48% of payment for 92928 nationally in 2020, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology2,64550%$40,419,01548%90,71434
Interventional Cardiology2,44546%$39,854,66548%90,03037
Internal Medicine1252.4%$1,690,1832.0%3,83131
Clinical Cardiac Electrophysiology120.23%$118,2860.14%26922

Not listed: 11 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 2020.

Top billers of 92928 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