HCPCS 93458

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

Other services Work RVU per service 5.60 (2022 fee schedule)

8,020
96th percentile among 6,326 codes billed · 2022
$82M
97th percentile among 6,326 codes billed · 2022
380K
92nd percentile among 6,326 codes billed · 2022
36
66th percentile among 6,326 codes billed · 2022
118
59th percentile among 6,326 codes billed · 2022
-6.5%
Medicare payment on the code vs 2021; billers -3.3% · 2022

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
Florida698$8,953,47035,07939130
Texas788$8,468,27032,95532106
California634$5,230,15726,37929120
New York361$4,765,26120,75837145
Illinois313$3,113,54714,72839105
Ohio325$2,950,56715,13640102
Arizona208$2,698,0049,7863998
Georgia253$2,603,96713,38445113
Louisiana198$2,546,2998,8673599
Pennsylvania269$2,292,55011,5203899
Michigan299$2,263,51911,3543186
New Jersey232$2,185,89010,31836102
Missouri210$2,170,6069,99439110
North Carolina239$2,165,07111,44735127
Arkansas137$2,110,86010,64563189

Not listed: 1 billers with an armed-forces or unknown state code (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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ445$5,179,79022,25333
Chicago-Naperville-Elgin, IL-IN247$2,203,76310,70035
Phoenix-Mesa-Chandler, AZ145$1,850,3986,47039
Dallas-Fort Worth-Arlington, TX194$1,788,8007,83531
Houston-Pasadena-The Woodlands, TX200$1,771,6126,85727
Los Angeles-Long Beach-Anaheim, CA205$1,358,5156,79324
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD125$1,337,5366,41145
Miami-Fort Lauderdale-West Palm Beach, FL120$1,324,9425,44931
Tampa-St. Petersburg-Clearwater, FL126$1,305,0665,38636
Oklahoma City, OK80$1,210,6555,23453
Detroit-Warren-Dearborn, MI157$1,130,3875,52729
St. Louis, MO-IL99$1,129,2314,48635
Little Rock-North Little Rock-Conway, AR63$1,120,8245,30151
Wichita, KS31$1,092,5383,31377
Atlanta-Sandy Springs-Roswell, GA111$1,088,4685,53738

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 2022.

Specialties billing 93458 nationally

Cardiology accounts for 47% of payment for 93458 nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology4,31054%$38,423,62047%189,41144
Interventional Cardiology3,28341%$33,535,32641%169,24752
Ambulatory Surgical Center550.69%$6,956,4928.5%7,373134
Internal Medicine2483.1%$1,889,6902.3%9,27537
Clinical Cardiac Electrophysiology350.44%$235,9920.29%1,02629
Advanced Heart Failure and Transplant Cardiology300.37%$179,2760.22%76425
Peripheral Vascular Disease130.16%$131,0460.16%60647

Not listed: 12 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 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