HCPCS 93458

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

Other services Work RVU per service 5.60 (2023 fee schedule)

7,990
96th percentile among 6,405 codes billed · 2023
$81M
97th percentile among 6,405 codes billed · 2023
381K
92nd percentile among 6,405 codes billed · 2023
37
66th percentile among 6,405 codes billed · 2023
117
58th percentile among 6,405 codes billed · 2023
-1.0%
Medicare payment on the code vs 2022; billers -0.4% · 2023

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
Florida676$9,365,55736,57841150
Texas799$8,251,24932,7683199
California646$5,177,49926,91730116
New York367$4,549,80820,97839156
Arizona221$3,261,11010,69540113
Illinois317$3,111,08514,97040108
Ohio320$2,804,55214,88341101
Georgia249$2,515,35313,13343117
Pennsylvania280$2,350,30912,0293690
Michigan296$2,256,08410,9953078
Louisiana191$2,231,6558,1033095
New Jersey237$2,134,18010,4713998
Missouri198$2,053,4479,98742118
North Carolina231$2,013,35711,06534128
Tennessee247$1,911,18010,6713499

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ453$4,994,88922,76235
Phoenix-Mesa-Chandler, AZ159$2,443,3967,51540
Chicago-Naperville-Elgin, IL-IN251$2,204,23910,92637
Houston-Pasadena-The Woodlands, TX205$1,695,4416,58926
Dallas-Fort Worth-Arlington, TX190$1,678,6357,67830
Tampa-St. Petersburg-Clearwater, FL123$1,427,9405,49836
Los Angeles-Long Beach-Anaheim, CA207$1,365,5826,98624
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD135$1,361,7916,63244
Miami-Fort Lauderdale-West Palm Beach, FL117$1,292,4675,40434
Oklahoma City, OK79$1,229,1015,31656
Detroit-Warren-Dearborn, MI153$1,214,9915,58130
Wichita, KS31$1,181,7603,55282
Orlando-Kissimmee-Sanford, FL109$1,126,5344,42534
Atlanta-Sandy Springs-Roswell, GA108$1,076,0265,56142
St. Louis, MO-IL92$1,050,0334,52938

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 2023.

Specialties billing 93458 nationally

Cardiology accounts for 44% of payment for 93458 nationally in 2023, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Cardiology4,15952%$36,063,10144%183,73344
Interventional Cardiology3,35642%$33,307,94141%173,90552
Ambulatory Surgical Center760.95%$8,785,36311%8,812116
Internal Medicine2733.4%$1,972,0472.4%10,15337
Clinical Cardiac Electrophysiology360.45%$204,9710.25%1,01228
Cardiac Surgery130.16%$167,6090.21%75158
Advanced Heart Failure and Transplant Cardiology290.36%$157,4790.19%73725
Peripheral Vascular Disease140.18%$121,2450.15%57841
Hospitalist110.14%$89,6650.11%46843

Not listed: 8 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 2023.

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