HCPCS 97162

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

Other services Work RVU per service 1.54 (2022 fee schedule)

33,634
99th percentile among 6,326 codes billed · 2022
$91M
97th percentile among 6,326 codes billed · 2022
1.2M
96th percentile among 6,326 codes billed · 2022
27
55th percentile among 6,326 codes billed · 2022
92
54th percentile among 6,326 codes billed · 2022
+4.9%
Medicare payment on the code vs 2021; billers +5.6% · 2022

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
California3,325$11,520,108145,73630117
New York2,380$7,571,61591,4342899
Florida1,518$5,864,80379,11035151
New Jersey1,817$4,905,43660,2662677
Illinois1,674$3,973,19552,1782471
Texas1,455$3,933,88954,0972699
Pennsylvania1,329$3,278,24544,1372675
Maryland1,021$3,099,80038,7322995
Virginia1,024$2,864,17337,8752889
North Carolina969$2,554,12035,9172699
Washington1,025$2,470,24233,8462483
Georgia973$2,446,91735,5232885
Massachusetts781$2,265,43428,6612895
Arizona836$2,255,45331,78927104
Michigan1,059$2,161,04829,2432360

Not listed: 7 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ3,047$9,609,129113,95227
Los Angeles-Long Beach-Anaheim, CA1,139$3,718,26546,17728
Chicago-Naperville-Elgin, IL-IN1,418$3,380,20043,92124
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,036$2,638,40933,53527
Washington-Arlington-Alexandria, DC-VA-MD-WV784$2,173,67526,76626
Boston-Cambridge-Newton, MA-NH619$1,550,29819,49026
Baltimore-Columbia-Towson, MD516$1,498,21118,92628
Miami-Fort Lauderdale-West Palm Beach, FL385$1,427,90018,71933
Phoenix-Mesa-Chandler, AZ573$1,422,89620,10826
Detroit-Warren-Dearborn, MI610$1,316,39117,41524
San Diego-Chula Vista-Carlsbad, CA452$1,307,42716,82828
Atlanta-Sandy Springs-Roswell, GA560$1,243,53917,99926
San Francisco-Oakland-Fremont, CA329$1,079,86412,70328
Seattle-Tacoma-Bellevue, WA507$1,057,32214,02621
Dallas-Fort Worth-Arlington, TX452$1,011,90313,83323

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 2022.

Specialties billing 97162 nationally

Physical Therapist in Private Practice accounts for 98% of payment for 97162 nationally in 2022, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice33,15099%$89,642,87198%1,202,13336
Orthopedic Surgery1910.57%$551,5930.61%7,29638
Physical Medicine and Rehabilitation880.26%$343,6460.38%4,30349
Internal Medicine240.07%$103,5100.11%1,32955
Family Practice260.08%$70,2920.08%95737
Neurology270.08%$59,9520.07%77829
Otolaryngology200.06%$48,3030.05%67234
Interventional Pain Management120.04%$34,5500.04%46739
Podiatry120.04%$23,7770.03%28924
Rheumatology120.04%$20,5920.02%26922

Not listed: 19 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 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