HCPCS 93458

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

Other services Work RVU per service 5.60 (2021 fee schedule)

8,296
96th percentile among 6,253 codes billed · 2021
$88M
97th percentile among 6,253 codes billed · 2021
406K
92nd percentile among 6,253 codes billed · 2021
38
67th percentile among 6,253 codes billed · 2021
124
60th percentile among 6,253 codes billed · 2021
+1.8%
Medicare payment on the code vs 2020; billers +0.1% · 2021

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
Texas815$8,916,62634,48533114
Florida687$8,602,39434,68438131
California661$5,449,43326,87830111
New York375$4,829,41921,07037142
Illinois327$3,548,74516,67344110
Ohio339$3,329,38616,72140120
Georgia266$2,878,10014,58847129
Pennsylvania284$2,632,38913,07038104
Louisiana199$2,627,5009,11833106
Arizona213$2,617,16710,13140107
Michigan306$2,555,99812,5913491
North Carolina250$2,527,05713,07340137
Missouri227$2,467,98611,13641114
Arkansas143$2,346,51911,59960196
New Jersey246$2,340,83510,8643896

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-NJ462$5,244,76822,43135
Chicago-Naperville-Elgin, IL-IN260$2,486,30011,77038
Dallas-Fort Worth-Arlington, TX197$1,852,6978,17631
Phoenix-Mesa-Chandler, AZ149$1,728,4276,62838
Houston-Pasadena-The Woodlands, TX209$1,653,5516,75227
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD124$1,431,5416,77648
St. Louis, MO-IL113$1,388,2155,37138
Los Angeles-Long Beach-Anaheim, CA210$1,383,6876,73524
Miami-Fort Lauderdale-West Palm Beach, FL125$1,343,5415,51329
Oklahoma City, OK86$1,342,6645,99656
Detroit-Warren-Dearborn, MI159$1,269,2706,09433
Little Rock-North Little Rock-Conway, AR66$1,215,4345,60254
Orlando-Kissimmee-Sanford, FL112$1,165,8314,09327
Atlanta-Sandy Springs-Roswell, GA115$1,142,6955,76843
Tampa-St. Petersburg-Clearwater, FL121$1,115,2535,16035

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 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 93458 nationally

Cardiology accounts for 50% of payment for 93458 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology4,59855%$43,526,67650%209,67846
Interventional Cardiology3,28140%$35,400,84240%176,11854
Ambulatory Surgical Center420.51%$5,482,7916.3%5,851139
Internal Medicine2372.9%$2,035,8312.3%9,60741
Clinical Cardiac Electrophysiology480.58%$321,1000.37%1,33028
Advanced Heart Failure and Transplant Cardiology320.39%$236,3630.27%92429
Cardiac Surgery120.14%$170,7450.19%76364
Peripheral Vascular Disease120.14%$116,1210.13%55646

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 2021.

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