HCPCS 97162

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

Other services Work RVU per service 1.54 (2024 fee schedule)

36,625
99th percentile among 6,471 codes billed · 2024
$98M
98th percentile among 6,471 codes billed · 2024
1.3M
96th percentile among 6,471 codes billed · 2024
27
54th percentile among 6,471 codes billed · 2024
94
53rd percentile among 6,471 codes billed · 2024
+0.9%
Medicare payment on the code vs 2023; billers +3.0% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $59M paid20202021: $87M paid20212022: $91M paid20222023: $97M paid20232024: $98M paid2024$98M$0$50M$100M2020: $59M paid20202021: $87M paid20212022: $91M paid20222023: $97M paid20232024: $98M paid2024$98M$0$50M$100M2020: $59M paid20202021: $87M paid20212022: $91M paid20222023: $97M paid20232024: $98M paid2024$98M$0$50M$100M2020: $59M paid20202021: $87M paid20212022: $91M paid20222023: $97M paid20232024: $98M paid2024$98M

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

Billers

020K40K2020: 27K providers20202021: 32K providers20212022: 34K providers20222023: 36K providers20232024: 37K providers202437K020K40K2020: 27K providers20202021: 32K providers20212022: 34K providers20222023: 36K providers20232024: 37K providers202437K020K40K2020: 27K providers20202021: 32K providers20212022: 34K providers20222023: 36K providers20232024: 37K providers202437K020K40K2020: 27K providers20202021: 32K providers20212022: 34K providers20222023: 36K providers20232024: 37K providers202437K

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
202436,625$98,071,723+1%1,346,46027941.54
202335,551$97,204,404+7%1,309,32927941.54
202233,634$91,063,796+5%1,220,74727921.54
202131,861$86,789,181+48%1,137,16826911.54
202027,103$58,557,133first year in data916,30325841.20

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
California3,499$12,491,259160,29832121
New York2,595$8,302,950104,39129104
Florida1,679$6,169,69486,15834142
New Jersey1,920$5,144,18365,1772777
Texas1,704$4,322,14060,9572691
Illinois1,724$4,094,52855,9132580
Pennsylvania1,432$3,566,52749,4732780
Virginia1,147$3,234,33244,4673097
Maryland1,101$3,226,96842,1922794
North Carolina1,126$2,596,85237,2142581
Georgia1,032$2,578,32236,8642887
Arizona914$2,519,86235,64428105
Washington1,068$2,454,80133,7622480
Massachusetts838$2,254,24429,6952786
Tennessee884$2,065,14530,3872685

Not listed: 5 billers with an armed-forces or unknown state code (AA, AE, 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ3,288$10,443,431128,85129
Los Angeles-Long Beach-Anaheim, CA1,222$4,053,84651,61630
Chicago-Naperville-Elgin, IL-IN1,454$3,442,35346,50724
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,098$2,774,34336,90928
Washington-Arlington-Alexandria, DC-VA-MD-WV871$2,323,98829,87525
Boston-Cambridge-Newton, MA-NH658$1,678,52521,96227
Phoenix-Mesa-Chandler, AZ635$1,658,90123,48427
Baltimore-Columbia-Towson, MD583$1,617,33821,32427
San Diego-Chula Vista-Carlsbad, CA525$1,499,40919,61128
Atlanta-Sandy Springs-Roswell, GA625$1,397,60419,51026
Miami-Fort Lauderdale-West Palm Beach, FL413$1,391,77819,10930
Detroit-Warren-Dearborn, MI568$1,199,91816,44923
San Francisco-Oakland-Fremont, CA331$1,176,42113,61231
Seattle-Tacoma-Bellevue, WA563$1,128,26615,08622
Dallas-Fort Worth-Arlington, TX532$1,114,51215,65522

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 97162 nationally

Physical Therapist in Private Practice accounts for 99% of payment for 97162 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice36,20299%$96,906,90099%1,330,57237
Orthopedic Surgery1650.45%$477,8810.49%6,57940
Physical Medicine and Rehabilitation950.26%$294,7660.30%3,90941
Internal Medicine170.05%$81,0880.08%1,06863
Family Practice250.07%$59,0160.06%83433
Neurology250.07%$54,7040.06%74230
Otolaryngology140.04%$39,1640.04%56741
Podiatry130.04%$25,8330.03%33125

Not listed: 22 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 97162 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