HCPCS 92928

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

Other services Work RVU per service 10.96 (2022 fee schedule)

5,084
95th percentile among 6,326 codes billed · 2022
$75M
97th percentile among 6,326 codes billed · 2022
172K
88th percentile among 6,326 codes billed · 2022
26
54th percentile among 6,326 codes billed · 2022
80
51st percentile among 6,326 codes billed · 2022
-8.7%
Medicare payment on the code vs 2021; billers -4.8% · 2022

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
Florida403$7,483,45415,1782792
New York242$5,520,16210,33130104
Texas403$5,291,10612,7252470
California348$5,093,32311,9022581
Illinois215$3,577,4257,5162981
Ohio213$3,022,1867,0712872
Pennsylvania219$2,812,4876,4012466
Michigan176$2,280,6825,1272165
North Carolina143$2,107,4895,1132789
Georgia154$2,073,8715,0352670
New Jersey152$2,015,2014,3162555
Virginia132$1,902,1064,4292674
Missouri142$1,847,4984,5202681
Arizona133$1,797,4453,9022467
Tennessee140$1,749,7314,5382582

Not listed: 1 billers with an armed-forces or unknown state code (ZZ); they are in the national totals.

Not listed: 4 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ289$5,937,52311,03026
Chicago-Naperville-Elgin, IL-IN165$2,577,0045,54425
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD110$1,558,8873,35826
Los Angeles-Long Beach-Anaheim, CA95$1,427,5083,24222
Dallas-Fort Worth-Arlington, TX98$1,340,2603,29827
Phoenix-Mesa-Chandler, AZ90$1,287,2612,69225
Detroit-Warren-Dearborn, MI94$1,230,5092,67622
Miami-Fort Lauderdale-West Palm Beach, FL65$1,100,4682,18727
Tampa-St. Petersburg-Clearwater, FL69$1,058,6592,33025
Houston-Pasadena-The Woodlands, TX95$1,023,0462,36820
Washington-Arlington-Alexandria, DC-VA-MD-WV70$1,001,2752,14423
Boston-Cambridge-Newton, MA-NH76$987,0082,20526
Atlanta-Sandy Springs-Roswell, GA65$864,2422,09126
Oklahoma City, OK53$818,1781,98627
St. Louis, MO-IL63$791,4631,87324

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 2022.

Specialties billing 92928 nationally

Interventional Cardiology accounts for 51% of payment for 92928 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Interventional Cardiology2,53650%$37,891,39651%88,70235
Cardiology2,35846%$33,640,48545%77,79233
Internal Medicine1312.6%$1,590,3972.1%3,72828

Not listed: 13 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 2022.

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