HCPCS 93000

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

Other services Work RVU per service 0.17 (2020 fee schedule)

71,003
100th percentile among 6,116 codes billed · 2020
$108M
98th percentile among 6,116 codes billed · 2020
8.8M
99th percentile among 6,116 codes billed · 2020
37
68th percentile among 6,116 codes billed · 2020
546
83rd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M$100M2020: $108M paid20202021: $109M paid20212022: $103M paid20222023: $104M paid20232024: $100M paid2024$100M$0$50M$100M2020: $108M paid20202021: $109M paid20212022: $103M paid20222023: $104M paid20232024: $100M paid2024$100M$0$50M$100M2020: $108M paid20202021: $109M paid20212022: $103M paid20222023: $104M paid20232024: $100M paid2024$100M$0$50M$100M2020: $108M paid20202021: $109M paid20212022: $103M paid20222023: $104M paid20232024: $100M paid2024$100M

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

Billers

050K2020: 71K providers20202021: 74K providers20212022: 72K providers20222023: 71K providers20232024: 68K providers202468K050K2020: 71K providers20202021: 74K providers20212022: 72K providers20222023: 71K providers20232024: 68K providers202468K050K2020: 71K providers20202021: 74K providers20212022: 72K providers20222023: 71K providers20232024: 68K providers202468K050K2020: 71K providers20202021: 74K providers20212022: 72K providers20222023: 71K providers20232024: 68K providers202468K

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
202468,409$100,048,209-4%9,777,098376590.17
202371,016$103,710,595+1%9,908,195376460.17
202272,023$102,667,958-6%9,848,419376250.17
202173,757$109,372,347+1%9,929,142376150.17
202071,003$108,098,397first year in data8,770,657375460.17

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
New York6,648$14,811,5261,044,73357680
Florida5,555$9,737,713786,66043591
California6,086$9,465,086699,25036474
Texas4,878$8,153,324701,68943635
New Jersey3,272$6,941,291513,42752723
Pennsylvania3,259$4,494,451362,84630534
Maryland2,537$4,357,232337,00839655
Georgia2,568$3,727,314327,11440555
Virginia2,415$3,131,794255,73630500
Arizona1,672$3,087,663260,43836722
Massachusetts1,919$3,060,512237,84233561
Illinois2,495$3,019,478242,50336402
Tennessee1,848$2,898,969267,57434613
North Carolina2,327$2,685,558237,76331431
Ohio2,430$2,529,123225,02530354

Not listed: 8 billers with an armed-forces or unknown state code (AE, PW, XX, ZZ); 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ7,439$17,785,0511,239,69863
Los Angeles-Long Beach-Anaheim, CA2,401$4,272,790307,52740
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,890$3,883,260294,81836
Washington-Arlington-Alexandria, DC-VA-MD-WV1,945$3,238,785244,14538
Miami-Fort Lauderdale-West Palm Beach, FL1,443$2,444,662188,59348
Chicago-Naperville-Elgin, IL-IN2,167$2,385,659189,12136
Phoenix-Mesa-Chandler, AZ1,179$2,282,773192,17336
Dallas-Fort Worth-Arlington, TX1,493$2,227,779190,90644
Baltimore-Columbia-Towson, MD1,398$2,176,864170,60341
Houston-Pasadena-The Woodlands, TX1,156$2,003,446167,93848
Boston-Cambridge-Newton, MA-NH1,328$1,894,451144,62034
Atlanta-Sandy Springs-Roswell, GA1,369$1,856,631158,40241
Detroit-Warren-Dearborn, MI1,318$1,639,181133,97941
Orlando-Kissimmee-Sanford, FL606$1,220,635101,30749
Tampa-St. Petersburg-Clearwater, FL738$1,081,94489,45240

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 2020.

Specialties billing 93000 nationally

Cardiology accounts for 53% of payment for 93000 nationally in 2020, across 45 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology13,68219%$56,799,20353%4,492,715328
Internal Medicine20,43829%$18,287,58217%1,480,50172
Interventional Cardiology2,7983.9%$9,670,3358.9%789,187282
Family Practice17,82725%$8,010,1487.4%680,48438
Clinical Cardiac Electrophysiology1,6592.3%$6,384,9125.9%507,489306
Nurse Practitioner7,58311%$4,250,4303.9%423,44556
Physician Assistant3,7025.2%$1,539,4421.4%150,70741
General Practice5670.80%$420,5890.39%34,12060
Advanced Heart Failure and Transplant Cardiology2040.29%$397,2700.37%32,085157
Portable X-Ray Supplier930.13%$377,5510.35%27,170292
Emergency Medicine6640.94%$286,8690.27%22,39334
Pulmonary Disease2090.29%$144,7750.13%10,81852
Gastroenterology1300.18%$139,1280.13%10,18378
Cardiac Surgery410.06%$137,6760.13%10,795263
Nuclear Medicine340.05%$137,0990.13%10,502309

Not listed: 19 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 93000 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