HCPCS 93970

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

Other services Work RVU per service 0.70 (2023 fee schedule)

20,939
99th percentile among 6,405 codes billed · 2023
$103M
98th percentile among 6,405 codes billed · 2023
1.4M
96th percentile among 6,405 codes billed · 2023
35
64th percentile among 6,405 codes billed · 2023
214
69th percentile among 6,405 codes billed · 2023
-2.0%
Medicare payment on the code vs 2022; billers -3.6% · 2023

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$19,220,290196,65942302
New York1,593$13,698,445141,97441324
Florida1,846$11,175,687134,58840204
Texas1,741$7,481,30289,07731150
New Jersey761$5,574,70470,03842335
Illinois910$4,115,48164,75941214
Maryland428$3,997,25847,22544322
Arizona519$3,945,46339,70947259
Georgia646$2,563,82739,99039207
Pennsylvania835$2,487,45850,27638200
Michigan554$2,243,09338,69835265
Virginia481$2,103,79233,19238229
North Carolina699$2,022,53634,56932143
Tennessee493$1,721,26327,13130168
Ohio516$1,580,66637,12340221

Not listed: 7 billers with an armed-forces or unknown state code (AA, AE, 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,696$16,564,889174,12845
Los Angeles-Long Beach-Anaheim, CA924$11,132,227103,28946
Chicago-Naperville-Elgin, IL-IN742$3,833,64057,37043
Phoenix-Mesa-Chandler, AZ398$3,136,68531,17448
Washington-Arlington-Alexandria, DC-VA-MD-WV339$3,045,39529,21942
Miami-Fort Lauderdale-West Palm Beach, FL479$2,853,91333,68143
Dallas-Fort Worth-Arlington, TX547$2,287,42125,78329
Houston-Pasadena-The Woodlands, TX461$2,268,38425,84730
Baltimore-Columbia-Towson, MD254$2,261,41430,94242
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD516$2,066,98133,16844
Tampa-St. Petersburg-Clearwater, FL273$1,985,29824,25636
San Diego-Chula Vista-Carlsbad, CA258$1,623,86919,80042
Atlanta-Sandy Springs-Roswell, GA389$1,504,05922,77139
Detroit-Warren-Dearborn, MI292$1,495,44823,32745
Riverside-San Bernardino-Ontario, CA196$1,433,51713,87636

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 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 93970 nationally

Vascular Surgery accounts for 24% of payment for 93970 nationally in 2023, across 26 specialties on claims.

observed calculated calculated calculated calculated calculated
Vascular Surgery2,47812%$24,495,16124%309,481125
Diagnostic Radiology11,94857%$22,215,08122%546,77446
Cardiology2,28311%$16,273,94016%148,08765
Independent Diagnostic Testing Facility (IDTF)5102.4%$9,942,5639.7%95,957188
General Surgery6012.9%$5,954,5335.8%59,21999
Interventional Cardiology7293.5%$4,500,8854.4%43,32959
Interventional Radiology7483.6%$4,059,0474.0%52,72170
Internal Medicine5472.6%$4,029,3153.9%33,01460
Family Practice2070.99%$1,986,7711.9%14,67771
Thoracic Surgery840.40%$1,183,7771.2%9,995119
General Practice520.25%$1,065,0201.0%9,634185
Podiatry1380.66%$1,028,0701.0%7,81057
Emergency Medicine480.23%$936,1640.91%6,528136
Neurology320.15%$596,3760.58%5,162161
Obstetrics & Gynecology190.09%$507,6690.49%3,378178

Not listed: 32 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 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