HCPCS 93970

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

Other services Work RVU per service 0.70 (2022 fee schedule)

21,730
99th percentile among 6,326 codes billed · 2022
$105M
98th percentile among 6,326 codes billed · 2022
1.4M
96th percentile among 6,326 codes billed · 2022
36
66th percentile among 6,326 codes billed · 2022
210
69th percentile among 6,326 codes billed · 2022
-4.6%
Medicare payment on the code vs 2021; billers -2.6% · 2022

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
California2,286$18,469,707189,81542293
New York1,621$14,004,066142,37043303
Florida1,882$11,035,429127,26439204
Texas1,759$7,545,19489,74131138
New Jersey772$5,238,20666,90141326
Maryland438$4,519,35655,68545345
Illinois966$4,343,10771,92944223
Arizona527$4,040,31040,96146245
Georgia668$2,625,59941,87040183
Pennsylvania882$2,587,43953,03738193
Michigan633$2,532,49543,10537259
Virginia517$2,249,71136,13438234
North Carolina733$2,163,47136,61632135
Tennessee531$1,768,80628,72030164
Ohio535$1,636,85038,93243222

Not listed: 4 billers with an armed-forces or unknown state code (AA, AP, XX); they are in the national totals.

Not listed: 3 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-NJ1,732$16,587,516170,87244
Los Angeles-Long Beach-Anaheim, CA926$10,791,82099,63646
Chicago-Naperville-Elgin, IL-IN772$4,022,30062,89448
Miami-Fort Lauderdale-West Palm Beach, FL518$3,163,69736,67044
Phoenix-Mesa-Chandler, AZ387$3,147,59331,68246
Washington-Arlington-Alexandria, DC-VA-MD-WV375$3,116,11630,49346
Baltimore-Columbia-Towson, MD254$2,733,15338,65740
Dallas-Fort Worth-Arlington, TX539$2,259,97725,76231
Houston-Pasadena-The Woodlands, TX451$2,162,09924,03329
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD545$2,117,90332,94042
Detroit-Warren-Dearborn, MI323$1,619,27625,18943
Tampa-St. Petersburg-Clearwater, FL276$1,612,41516,17331
San Diego-Chula Vista-Carlsbad, CA270$1,531,07418,67340
Atlanta-Sandy Springs-Roswell, GA395$1,521,63723,77944
Orlando-Kissimmee-Sanford, FL266$1,295,05317,19442

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 93970 nationally

Vascular Surgery accounts for 23% of payment for 93970 nationally in 2022, across 27 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery2,44511%$24,176,17123%310,644127
Diagnostic Radiology12,71058%$23,789,18923%591,09247
Cardiology2,32211%$16,673,46916%149,18464
Independent Diagnostic Testing Facility (IDTF)5072.3%$10,292,1629.8%95,370188
General Surgery6543.0%$6,128,1865.8%62,00495
Interventional Cardiology7273.3%$4,518,9554.3%42,54759
Internal Medicine5602.6%$4,304,5914.1%34,60862
Interventional Radiology7353.4%$4,006,0083.8%51,15370
Family Practice2160.99%$2,078,7222.0%14,92169
Thoracic Surgery880.40%$1,144,9871.1%9,983113
Podiatry1250.58%$993,2250.95%7,33759
General Practice590.27%$988,1930.94%9,249157
Emergency Medicine480.22%$900,2600.86%6,178129
Cardiac Surgery480.22%$560,7990.54%5,365112
Neurology350.16%$527,2140.50%4,945141

Not listed: 30 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 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