HCPCS 93458

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

Other services Work RVU per service 5.60 (2020 fee schedule)

8,289
97th percentile among 6,116 codes billed · 2020
$86M
97th percentile among 6,116 codes billed · 2020
397K
92nd percentile among 6,116 codes billed · 2020
36
67th percentile among 6,116 codes billed · 2020
120
60th percentile among 6,116 codes billed · 2020

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% (2023 changed hospital and observation visit codes)381,256371175.60
20228,020$81,865,458-7%380,038361185.60
20218,296$87,603,224– (Not compared: 2021 changed office visit values)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
Texas829$9,087,44034,86731111
Florida698$8,380,97834,47038131
California652$5,152,37825,16728106
New York369$4,466,78419,68737131
Illinois320$3,277,11414,95037110
Ohio333$3,195,44515,78239111
Georgia259$2,946,17814,36845136
Louisiana204$2,679,8089,58034103
Missouri220$2,622,90711,46243128
North Carolina248$2,618,58113,29539142
Michigan306$2,614,69612,7033390
Pennsylvania274$2,518,78512,2243898
Tennessee265$2,428,62912,70142110
Arkansas140$2,269,96111,27261202
Oklahoma167$2,238,02810,41445159

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ451$4,673,86620,00032
Chicago-Naperville-Elgin, IL-IN246$2,137,2349,81533
Dallas-Fort Worth-Arlington, TX199$1,775,8437,72527
Houston-Pasadena-The Woodlands, TX213$1,708,5506,73627
St. Louis, MO-IL109$1,429,2435,14337
Phoenix-Mesa-Chandler, AZ136$1,406,7376,00934
Oklahoma City, OK90$1,394,2926,26355
Los Angeles-Long Beach-Anaheim, CA208$1,316,4896,38422
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD124$1,300,4275,97445
Detroit-Warren-Dearborn, MI157$1,259,1535,96129
Orlando-Kissimmee-Sanford, FL112$1,235,4324,24129
Miami-Fort Lauderdale-West Palm Beach, FL121$1,164,1745,11632
Atlanta-Sandy Springs-Roswell, GA115$1,135,8155,50343
Tampa-St. Petersburg-Clearwater, FL125$1,109,1955,02633
Little Rock-North Little Rock-Conway, AR62$1,064,3525,01954

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 2020.

Specialties billing 93458 nationally

Cardiology accounts for 53% of payment for 93458 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology4,77958%$45,605,76053%215,75945
Interventional Cardiology3,09737%$33,054,74538%161,55352
Ambulatory Surgical Center340.41%$4,177,6904.9%4,624136
Internal Medicine2432.9%$2,060,6232.4%9,64140
Clinical Cardiac Electrophysiology510.62%$360,7110.42%1,54130
Cardiac Surgery150.18%$205,1770.24%94863
Advanced Heart Failure and Transplant Cardiology280.34%$178,5060.21%77728
Peripheral Vascular Disease130.16%$126,2590.15%60046

Not listed: 11 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 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