HCPCS 93970

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

Other services Work RVU per service 0.70 (2020 fee schedule)

21,620
99th percentile among 6,116 codes billed · 2020
$96M
98th percentile among 6,116 codes billed · 2020
1.3M
96th percentile among 6,116 codes billed · 2020
35
66th percentile among 6,116 codes billed · 2020
193
69th percentile among 6,116 codes billed · 2020

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
California2,078$15,168,451158,95339258
New York1,555$11,569,789122,11238269
Florida1,918$10,786,163122,97239175
Texas1,825$7,194,86589,28829140
New Jersey764$4,755,80158,84641256
Illinois937$4,232,90968,63846212
Maryland480$3,920,04448,78541262
Arizona528$3,651,31937,60440245
Michigan625$2,625,29644,23538250
Georgia643$2,574,16639,18138195
Pennsylvania894$2,508,92451,37335182
North Carolina693$2,216,26836,02333139
Virginia482$2,016,49734,02039221
Tennessee570$1,765,09530,63433167
Ohio569$1,653,29139,61740226

Not listed: 3 billers with an armed-forces or unknown state code (AA, XX, 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,641$13,976,233145,73143
Los Angeles-Long Beach-Anaheim, CA829$8,538,88482,89242
Chicago-Naperville-Elgin, IL-IN760$3,773,05158,57449
Miami-Fort Lauderdale-West Palm Beach, FL513$2,752,77534,52843
Phoenix-Mesa-Chandler, AZ377$2,733,85127,61339
Washington-Arlington-Alexandria, DC-VA-MD-WV400$2,613,15926,66438
Baltimore-Columbia-Towson, MD267$2,474,37334,25339
Dallas-Fort Worth-Arlington, TX516$2,026,46822,85427
Houston-Pasadena-The Woodlands, TX489$2,014,72924,25227
Tampa-St. Petersburg-Clearwater, FL283$2,004,54918,95734
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD542$2,003,90632,40138
Detroit-Warren-Dearborn, MI313$1,727,12026,58546
Atlanta-Sandy Springs-Roswell, GA375$1,419,94621,14040
Orlando-Kissimmee-Sanford, FL272$1,283,03516,33940
San Diego-Chula Vista-Carlsbad, CA220$1,196,99215,16442

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 2020.

Specialties billing 93970 nationally

Diagnostic Radiology accounts for 23% of payment for 93970 nationally in 2020, across 27 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology12,87060%$22,600,90923%569,65944
Vascular Surgery2,34111%$21,915,46123%285,230122
Cardiology2,27211%$16,043,37917%142,32663
Independent Diagnostic Testing Facility (IDTF)5082.3%$9,204,3749.6%86,086169
General Surgery6793.1%$5,668,9005.9%61,58691
Internal Medicine6082.8%$3,960,1744.1%33,39955
Interventional Cardiology6182.9%$3,879,2024.0%36,70359
Interventional Radiology6863.2%$3,018,8963.1%40,59359
Family Practice2321.1%$2,190,2062.3%15,41566
Thoracic Surgery1030.48%$1,357,3191.4%11,528112
Podiatry1360.63%$1,042,3681.1%7,65556
General Practice600.28%$973,8301.0%6,786113
Cardiac Surgery510.24%$583,2590.61%6,151121
Emergency Medicine360.17%$478,5610.50%3,33593
Portable X-Ray Supplier120.06%$450,3860.47%4,745395

Not listed: 29 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 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