HCPCS 93000

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

Other services Work RVU per service 0.17 (2022 fee schedule)

72,023
100th percentile among 6,326 codes billed · 2022
$103M
98th percentile among 6,326 codes billed · 2022
9.8M
99th percentile among 6,326 codes billed · 2022
37
66th percentile among 6,326 codes billed · 2022
625
83rd percentile among 6,326 codes billed · 2022
-6.1%
Medicare payment on the code vs 2021; billers -2.4% · 2022

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 York6,735$14,466,8851,198,35660795
California6,563$9,872,365863,80936561
Florida5,702$9,089,661874,64942667
Texas4,924$7,722,286787,71044718
New Jersey3,400$6,923,076612,23653850
Pennsylvania3,339$4,696,877450,16630668
Maryland2,602$4,523,958413,21842823
Massachusetts2,076$3,310,174304,37134701
Georgia2,595$3,196,707337,55238574
Virginia2,341$3,013,334292,00533585
Arizona1,765$2,996,889302,56033831
Illinois2,531$2,878,399273,61437451
Tennessee1,812$2,430,168269,53137645
North Carolina2,248$2,373,850250,24533482
Ohio2,408$2,214,973234,07531380

Not listed: 6 billers with an armed-forces or unknown state code (AA, AE, XX); 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ7,592$17,561,9881,447,40566
Los Angeles-Long Beach-Anaheim, CA2,670$4,489,471384,76139
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,990$4,178,733380,47336
Washington-Arlington-Alexandria, DC-VA-MD-WV2,057$3,421,804303,21241
Miami-Fort Lauderdale-West Palm Beach, FL1,493$2,398,486218,94346
Chicago-Naperville-Elgin, IL-IN2,244$2,325,642217,88937
Baltimore-Columbia-Towson, MD1,408$2,295,662211,51544
Phoenix-Mesa-Chandler, AZ1,244$2,254,178227,33033
Boston-Cambridge-Newton, MA-NH1,441$2,146,398193,45335
Dallas-Fort Worth-Arlington, TX1,516$2,044,834209,52245
Houston-Pasadena-The Woodlands, TX1,190$1,979,150195,34549
Atlanta-Sandy Springs-Roswell, GA1,408$1,660,090170,31039
Detroit-Warren-Dearborn, MI1,289$1,431,046139,81442
Orlando-Kissimmee-Sanford, FL669$1,063,939105,97944
Tampa-St. Petersburg-Clearwater, FL754$953,46694,76739

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 2022.

Specialties billing 93000 nationally

Cardiology accounts for 53% of payment for 93000 nationally in 2022, across 43 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology13,50619%$54,546,19753%5,089,463377
Internal Medicine19,35427%$15,124,23215%1,447,79475
Interventional Cardiology3,0564.2%$9,932,3109.7%961,829315
Clinical Cardiac Electrophysiology1,7492.4%$6,951,6056.8%648,903371
Family Practice17,37924%$6,570,1646.4%659,03038
Nurse Practitioner9,20313%$5,016,9604.9%585,13364
Physician Assistant4,5106.3%$1,813,1871.8%207,17046
Advanced Heart Failure and Transplant Cardiology2340.32%$410,1070.40%37,742161
Portable X-Ray Supplier1000.14%$328,0840.32%27,910279
General Practice5100.71%$316,3900.31%30,44860
Emergency Medicine6840.95%$240,9530.23%22,64233
Nuclear Medicine360.05%$119,0610.12%10,679297
Pulmonary Disease1840.26%$112,1340.11%9,81753
Gastroenterology1170.16%$107,4980.10%9,32880
Nephrology1180.16%$101,9680.10%8,63273

Not listed: 21 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 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