HCPCS 93458

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

Other services Work RVU per service 5.60 (2024 fee schedule)

7,915
96th percentile among 6,471 codes billed · 2024
$81M
97th percentile among 6,471 codes billed · 2024
376K
92nd percentile among 6,471 codes billed · 2024
36
64th percentile among 6,471 codes billed · 2024
119
58th percentile among 6,471 codes billed · 2024
-0.5%
Medicare payment on the code vs 2023; billers -0.9% · 2024

Trend

Medicare payment on the code

$0$50M2020: $86M paid20202021: $88M paid20212022: $82M paid20222023: $81M paid20232024: $81M paid2024$81M$0$50M2020: $86M paid20202021: $88M paid20212022: $82M paid20222023: $81M paid20232024: $81M paid2024$81M$0$50M2020: $86M paid20202021: $88M paid20212022: $82M paid20222023: $81M paid20232024: $81M paid2024$81M$0$50M2020: $86M paid20202021: $88M paid20212022: $82M paid20222023: $81M paid20232024: $81M paid2024$81M

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

Billers

05,0002020: 8,289 providers20202021: 8,296 providers20212022: 8,020 providers20222023: 7,990 providers20232024: 7,915 providers20247,91505,0002020: 8,289 providers20202021: 8,296 providers20212022: 8,020 providers20222023: 7,990 providers20232024: 7,915 providers20247,91505,0002020: 8,289 providers20202021: 8,296 providers20212022: 8,020 providers20222023: 7,990 providers20232024: 7,915 providers20247,91505,0002020: 8,289 providers20202021: 8,296 providers20212022: 8,020 providers20222023: 7,990 providers20232024: 7,915 providers20247,915

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
20247,915$80,688,243-0%376,348361195.60
20237,990$81,077,132-1%381,256371175.60
20228,020$81,865,458-7%380,038361185.60
20218,296$87,603,224+2%406,259381245.60
20208,289$86,067,046first year in data396,752361205.60

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
Florida681$9,450,84636,12539142
Texas792$8,689,99133,05533106
California635$5,154,79827,53531118
New York362$4,256,06120,26638147
Arizona233$3,791,11311,14537114
Illinois312$3,034,38614,43239105
Ohio310$2,770,54314,94443105
Georgia261$2,558,53713,22142114
Pennsylvania286$2,346,74712,0083587
Michigan293$2,133,42510,3422983
New Jersey233$2,113,36510,43438101
Oklahoma139$2,062,4078,76847159
Louisiana182$1,981,9527,3033092
Missouri200$1,936,8069,93239118
Virginia196$1,853,5729,89542117

Not listed: 3 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ451$4,764,57022,40933
Phoenix-Mesa-Chandler, AZ171$3,052,9608,27838
Chicago-Naperville-Elgin, IL-IN250$2,118,52510,57634
Dallas-Fort Worth-Arlington, TX196$1,836,6958,06934
Houston-Pasadena-The Woodlands, TX196$1,703,3086,36927
Oklahoma City, OK76$1,472,4095,51653
Tampa-St. Petersburg-Clearwater, FL118$1,415,9155,37936
Los Angeles-Long Beach-Anaheim, CA207$1,385,6597,31925
Miami-Fort Lauderdale-West Palm Beach, FL128$1,366,0475,60131
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD131$1,304,5416,28945
Detroit-Warren-Dearborn, MI145$1,108,0035,11730
Atlanta-Sandy Springs-Roswell, GA109$1,068,9935,47740
Wichita, KS32$1,056,5473,01674
Orlando-Kissimmee-Sanford, FL109$1,028,0724,15830
Amarillo, TX21$960,4431,87158

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 93458 nationally

Interventional Cardiology accounts for 42% of payment for 93458 nationally in 2024, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Interventional Cardiology3,50644%$33,559,15342%177,82351
Cardiology3,92450%$33,246,97241%173,18244
Ambulatory Surgical Center841.1%$10,859,53113%9,938118
Internal Medicine2893.7%$2,187,3962.7%11,39839
Clinical Cardiac Electrophysiology300.38%$187,0480.23%90930
Advanced Heart Failure and Transplant Cardiology240.30%$122,0700.15%59925
Hospitalist120.15%$115,2310.14%57048
Cardiac Surgery120.15%$112,7210.14%48440
Peripheral Vascular Disease120.15%$101,7660.13%50142

Not listed: 9 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 2024.

Top billers of 93458 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