HCPCS 93000

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

Other services Work RVU per service 0.17 (2021 fee schedule)

73,757
100th percentile among 6,253 codes billed · 2021
$109M
98th percentile among 6,253 codes billed · 2021
9.9M
99th percentile among 6,253 codes billed · 2021
37
67th percentile among 6,253 codes billed · 2021
615
83rd percentile among 6,253 codes billed · 2021
+1.2%
Medicare payment on the code vs 2020; billers +3.9% · 2021

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 York6,704$15,296,6351,201,68161780
California6,566$9,931,943823,27436536
Florida5,719$9,571,636868,82341648
Texas4,980$8,087,686779,29844689
New Jersey3,394$7,271,258608,33354844
Pennsylvania3,410$4,928,232444,50530661
Maryland2,607$4,816,495413,47543829
Massachusetts2,149$3,534,683305,10334672
Georgia2,675$3,481,460347,86939571
Virginia2,452$3,095,865283,51532546
Illinois2,620$3,085,952279,24237442
Arizona1,752$3,060,612292,34435809
North Carolina2,392$2,632,534261,86331481
Tennessee1,858$2,629,578275,99634644
Ohio2,497$2,568,850255,89533406

Not listed: 5 billers with an armed-forces or unknown state code (AE, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ7,557$18,531,3151,448,00069
Los Angeles-Long Beach-Anaheim, CA2,595$4,515,934366,61642
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,008$4,354,581373,13635
Washington-Arlington-Alexandria, DC-VA-MD-WV2,097$3,550,756297,03040
Miami-Fort Lauderdale-West Palm Beach, FL1,501$2,475,705214,96246
Chicago-Naperville-Elgin, IL-IN2,292$2,467,505220,74938
Baltimore-Columbia-Towson, MD1,408$2,441,077210,76545
Phoenix-Mesa-Chandler, AZ1,247$2,295,220218,84135
Boston-Cambridge-Newton, MA-NH1,496$2,255,718190,84735
Dallas-Fort Worth-Arlington, TX1,552$2,156,364209,18944
Houston-Pasadena-The Woodlands, TX1,142$1,956,653183,27951
Atlanta-Sandy Springs-Roswell, GA1,433$1,779,067172,64341
Detroit-Warren-Dearborn, MI1,351$1,558,203144,72143
Orlando-Kissimmee-Sanford, FL630$1,147,985106,78546
Tampa-St. Petersburg-Clearwater, FL752$1,038,04096,70741

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 2021.

Specialties billing 93000 nationally

Cardiology accounts for 53% of payment for 93000 nationally in 2021, across 41 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology13,59318%$58,080,79053%5,131,777378
Internal Medicine20,50528%$17,171,52116%1,555,41476
Interventional Cardiology2,9544.0%$10,091,8169.2%926,376314
Family Practice18,54425%$7,486,5946.8%713,26938
Clinical Cardiac Electrophysiology1,7232.3%$7,044,8036.4%623,844362
Nurse Practitioner8,74112%$4,728,9084.3%525,63360
Physician Assistant4,2795.8%$1,718,1311.6%186,52544
Advanced Heart Failure and Transplant Cardiology2410.33%$450,7750.41%39,532164
General Practice5770.78%$388,4710.36%35,38861
Portable X-Ray Supplier1030.14%$348,4500.32%28,454276
Emergency Medicine6660.90%$244,7950.22%21,78833
Nuclear Medicine350.05%$134,6550.12%11,460327
Pulmonary Disease2130.29%$133,7270.12%11,15552
Gastroenterology1290.17%$126,9920.12%10,49281
Geriatric Medicine1900.26%$121,0440.11%10,57656

Not listed: 25 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 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