HCPCS 97162

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

Other services Work RVU per service 1.20 (2020 fee schedule)

27,103
99th percentile among 6,116 codes billed · 2020
$59M
97th percentile among 6,116 codes billed · 2020
916K
95th percentile among 6,116 codes billed · 2020
25
54th percentile among 6,116 codes billed · 2020
84
53rd percentile among 6,116 codes billed · 2020

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% (2023 changed hospital and observation visit codes)1,309,32927941.54
202233,634$91,063,796+5%1,220,74727921.54
202131,861$86,789,181– (Not compared: 2021 changed office visit values)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
California2,656$7,126,721105,54529103
New York1,918$4,967,34870,0482791
Florida1,332$4,087,37864,55932136
New Jersey1,393$2,979,00642,5192569
Illinois1,302$2,337,32536,1222164
Texas1,068$2,324,67537,4042690
Pennsylvania1,066$2,023,41131,7342464
Virginia889$2,014,34031,5292594
Maryland837$1,886,27427,5992682
North Carolina803$1,762,31928,80227101
Washington893$1,724,77927,6672378
Georgia799$1,698,09826,9902678
Arizona721$1,499,61024,8952588
Massachusetts626$1,367,06620,2992387
Michigan801$1,362,78421,7742161

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

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,375$6,085,76184,00927
Los Angeles-Long Beach-Anaheim, CA850$2,087,04430,34026
Chicago-Naperville-Elgin, IL-IN1,077$1,904,15629,14221
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD849$1,688,50825,11924
Washington-Arlington-Alexandria, DC-VA-MD-WV633$1,313,71019,14122
Baltimore-Columbia-Towson, MD441$949,41513,99927
Miami-Fort Lauderdale-West Palm Beach, FL321$946,55914,73328
Phoenix-Mesa-Chandler, AZ476$936,02115,46324
Boston-Cambridge-Newton, MA-NH462$863,29912,77722
Atlanta-Sandy Springs-Roswell, GA476$856,53413,20523
Detroit-Warren-Dearborn, MI458$792,10112,21321
San Diego-Chula Vista-Carlsbad, CA310$714,03210,86926
Seattle-Tacoma-Bellevue, WA416$671,29510,48020
San Francisco-Oakland-Fremont, CA255$633,1928,64027
North Port-Bradenton-Sarasota, FL140$590,5379,51449

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 97162 nationally

Physical Therapist in Private Practice accounts for 98% of payment for 97162 nationally in 2020, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice26,58898%$57,344,22398%897,79034
Orthopedic Surgery2090.77%$495,7990.85%7,55936
Physical Medicine and Rehabilitation1030.38%$309,1060.53%4,62045
Internal Medicine230.08%$77,8820.13%1,19052
Family Practice270.10%$49,8010.09%79529
Neurology220.08%$45,5040.08%68131
Interventional Pain Management160.06%$36,5760.06%57436
Otolaryngology240.09%$32,4900.06%49221
Podiatry120.04%$20,4450.03%29425

Not listed: 18 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 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