HCPCS 93970

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

Other services Work RVU per service 0.70 (2021 fee schedule)

22,312
99th percentile among 6,253 codes billed · 2021
$110M
98th percentile among 6,253 codes billed · 2021
1.5M
96th percentile among 6,253 codes billed · 2021
37
67th percentile among 6,253 codes billed · 2021
213
70th percentile among 6,253 codes billed · 2021
–
Not compared: 2021 changed office visit values · 2021

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% (2023 changed hospital and observation visit codes)1,382,354352140.70
202221,730$104,798,754-5%1,427,861362100.70
202122,312$109,843,876– (Not compared: 2021 changed office visit values)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
California2,248$17,656,031182,76042284
New York1,659$14,447,651144,35043308
Florida1,875$12,131,235132,79342205
Texas1,807$7,844,26993,56431151
New Jersey769$5,642,19768,32944342
Illinois973$4,656,20476,31548233
Maryland456$4,236,91751,83545273
Arizona563$4,166,69342,86943265
Michigan646$2,892,21148,59443270
Georgia668$2,835,75743,86742203
Pennsylvania910$2,749,32456,41040189
North Carolina743$2,547,80440,75733163
Virginia496$2,327,45237,71539251
Tennessee586$1,970,17732,35133167
Ohio586$1,826,03643,91741228

Not listed: 3 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,727$17,184,473171,72246
Los Angeles-Long Beach-Anaheim, CA913$9,652,56992,64944
Chicago-Naperville-Elgin, IL-IN779$4,227,86165,82952
Miami-Fort Lauderdale-West Palm Beach, FL531$3,246,55138,76147
Washington-Arlington-Alexandria, DC-VA-MD-WV399$3,209,93731,92542
Phoenix-Mesa-Chandler, AZ399$3,164,07131,95643
Baltimore-Columbia-Towson, MD260$2,528,30534,96243
Tampa-St. Petersburg-Clearwater, FL256$2,363,79719,40335
Dallas-Fort Worth-Arlington, TX533$2,286,76624,98128
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD533$2,199,87034,02343
Houston-Pasadena-The Woodlands, TX486$2,181,76125,46328
Detroit-Warren-Dearborn, MI322$1,875,67629,00053
Atlanta-Sandy Springs-Roswell, GA394$1,652,08924,70344
San Diego-Chula Vista-Carlsbad, CA251$1,513,76918,43145
Orlando-Kissimmee-Sanford, FL273$1,398,71818,43545

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 2021.

Specialties billing 93970 nationally

Vascular Surgery accounts for 24% of payment for 93970 nationally in 2021, across 27 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery2,44811%$26,220,33424%326,980134
Diagnostic Radiology13,15259%$25,496,37823%631,99248
Cardiology2,41111%$17,868,25916%156,20765
Independent Diagnostic Testing Facility (IDTF)5222.3%$9,940,2039.0%91,436175
General Surgery6733.0%$6,375,8625.8%64,38196
Internal Medicine6102.7%$4,623,8164.2%36,89360
Interventional Cardiology6933.1%$4,385,7304.0%40,90659
Interventional Radiology7203.2%$3,776,1683.4%48,97568
Family Practice2421.1%$2,024,5701.8%14,05258
Thoracic Surgery970.43%$1,589,5341.4%12,741131
General Practice610.27%$1,135,5681.0%9,415154
Podiatry1230.55%$1,055,2570.96%7,49861
Emergency Medicine380.17%$596,3910.54%4,140109
Cardiac Surgery510.23%$582,9940.53%5,573109
Portable X-Ray Supplier150.07%$546,4710.50%5,494366

Not listed: 31 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 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