HCPCS 93970

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

Other services Work RVU per service 0.70 (2024 fee schedule)

20,375
99th percentile among 6,471 codes billed · 2024
$99M
98th percentile among 6,471 codes billed · 2024
1.3M
96th percentile among 6,471 codes billed · 2024
34
62nd percentile among 6,471 codes billed · 2024
218
68th percentile among 6,471 codes billed · 2024
-3.9%
Medicare payment on the code vs 2023; billers -2.7% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $96M paid20202021: $110M paid20212022: $105M paid20222023: $103M paid20232024: $99M paid2024$99M$0$50M$100M2020: $96M paid20202021: $110M paid20212022: $105M paid20222023: $103M paid20232024: $99M paid2024$99M$0$50M$100M2020: $96M paid20202021: $110M paid20212022: $105M paid20222023: $103M paid20232024: $99M paid2024$99M$0$50M$100M2020: $96M paid20202021: $110M paid20212022: $105M paid20222023: $103M paid20232024: $99M paid2024$99M

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

Billers

010K20K2020: 22K providers20202021: 22K providers20212022: 22K providers20222023: 21K providers20232024: 20K providers202420K010K20K2020: 22K providers20202021: 22K providers20212022: 22K providers20222023: 21K providers20232024: 20K providers202420K010K20K2020: 22K providers20202021: 22K providers20212022: 22K providers20222023: 21K providers20232024: 20K providers202420K010K20K2020: 22K providers20202021: 22K providers20212022: 22K providers20222023: 21K providers20232024: 20K providers202420K

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
202420,375$98,652,659-4%1,341,339342180.70
202320,939$102,680,906-2%1,382,354352140.70
202221,730$104,798,754-5%1,427,861362100.70
202122,312$109,843,876+14%1,489,486372130.70
202021,620$96,352,811first year in data1,340,026351930.70

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
California2,297$20,030,609206,96842321
New York1,558$12,778,292138,78541313
Florida1,747$10,342,338122,92036196
Texas1,684$7,222,15285,74630152
New Jersey758$5,332,92268,46240346
Illinois900$4,013,69663,30842218
Arizona524$3,823,81039,47843254
Maryland412$3,555,89443,31542324
Georgia661$2,517,04738,83636212
Pennsylvania786$2,376,05547,60536194
Virginia465$2,090,99933,79639256
Michigan529$2,068,08635,15233239
North Carolina688$1,843,63233,01530133
Tennessee487$1,623,84826,12233147
Ohio508$1,518,26736,77343226

Not listed: 6 billers with an armed-forces or unknown state code (AA, AP, XX); 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,679$15,491,856170,58244
Los Angeles-Long Beach-Anaheim, CA947$11,637,948110,45046
Chicago-Naperville-Elgin, IL-IN741$3,783,49656,36045
Phoenix-Mesa-Chandler, AZ388$3,036,97830,64445
Washington-Arlington-Alexandria, DC-VA-MD-WV339$2,790,20228,29640
Miami-Fort Lauderdale-West Palm Beach, FL476$2,667,55230,56836
Dallas-Fort Worth-Arlington, TX530$2,233,32725,10928
Houston-Pasadena-The Woodlands, TX462$2,151,80725,49232
Baltimore-Columbia-Towson, MD243$2,005,29428,30340
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD496$1,929,91230,95042
Tampa-St. Petersburg-Clearwater, FL262$1,740,00921,69733
San Diego-Chula Vista-Carlsbad, CA246$1,694,25819,91244
Riverside-San Bernardino-Ontario, CA200$1,545,42515,22738
Atlanta-Sandy Springs-Roswell, GA397$1,525,98122,58137
Detroit-Warren-Dearborn, MI275$1,373,31121,11342

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 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 93970 nationally

Vascular Surgery accounts for 24% of payment for 93970 nationally in 2024, across 29 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery2,54312%$23,983,04824%307,627121
Diagnostic Radiology11,48256%$20,379,82521%511,98245
Cardiology2,14911%$15,539,74916%141,43066
Independent Diagnostic Testing Facility (IDTF)4882.4%$9,188,7679.3%94,063193
General Surgery5892.9%$5,782,1605.9%58,42199
Interventional Cardiology7643.7%$4,512,4544.6%44,61558
Internal Medicine5352.6%$4,124,3454.2%34,55065
Interventional Radiology8003.9%$3,988,4344.0%52,94766
Family Practice2181.1%$2,082,6982.1%15,79472
General Practice580.28%$1,186,7571.2%10,778186
Thoracic Surgery800.39%$962,2490.98%9,183115
Emergency Medicine520.26%$922,7970.94%6,671128
Podiatry970.48%$851,2500.86%6,44566
Nurse Practitioner670.33%$760,2100.77%5,87688
Cardiac Surgery400.20%$596,5010.60%5,443136

Not listed: 25 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 93970 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