HCPCS 92928

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

Other services Work RVU per service 10.96 (2021 fee schedule)

5,340
95th percentile among 6,253 codes billed · 2021
$82M
97th percentile among 6,253 codes billed · 2021
188K
89th percentile among 6,253 codes billed · 2021
27
55th percentile among 6,253 codes billed · 2021
85
52nd percentile among 6,253 codes billed · 2021
-1.8%
Medicare payment on the code vs 2020; billers +1.3% · 2021

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
Florida418$7,332,37615,6502898
Texas434$6,212,25314,4982590
New York247$5,711,03010,71729108
California374$5,575,59712,7672480
Illinois230$3,697,8187,9122873
Ohio227$3,276,4767,6112880
Pennsylvania236$3,231,4157,2842576
Michigan186$2,630,5985,8452474
North Carolina164$2,582,7926,1672795
Georgia164$2,360,7395,5962678
New Jersey160$2,215,7054,6402565
Missouri150$2,203,6175,1182879
Virginia135$2,024,0494,6482780
Tennessee149$1,953,2444,9932580
Indiana154$1,908,8044,8032865

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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ297$6,050,77211,16226
Chicago-Naperville-Elgin, IL-IN180$2,651,3595,64125
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD113$1,701,7343,63424
Dallas-Fort Worth-Arlington, TX111$1,530,7053,73126
Los Angeles-Long Beach-Anaheim, CA106$1,516,1543,37321
Detroit-Warren-Dearborn, MI95$1,326,6242,84323
Miami-Fort Lauderdale-West Palm Beach, FL75$1,198,8482,33826
Tampa-St. Petersburg-Clearwater, FL77$1,153,9302,51225
Phoenix-Mesa-Chandler, AZ92$1,134,9642,72724
Houston-Pasadena-The Woodlands, TX94$1,043,5722,38920
Washington-Arlington-Alexandria, DC-VA-MD-WV71$1,030,6312,12924
St. Louis, MO-IL71$990,4552,16622
Atlanta-Sandy Springs-Roswell, GA70$987,5032,31628
Boston-Cambridge-Newton, MA-NH69$981,5312,14426
Oklahoma City, OK61$946,6182,26329

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 90 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 92928 nationally

Interventional Cardiology accounts for 50% of payment for 92928 nationally in 2021, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Interventional Cardiology2,57748%$40,831,86550%94,41837
Cardiology2,58748%$38,499,05447%88,35734
Internal Medicine1212.3%$1,634,9492.0%3,79131

Not listed: 12 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 2021.

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