HCPCS 97162

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

Other services Work RVU per service 1.54 (2023 fee schedule)

35,551
99th percentile among 6,405 codes billed · 2023
$97M
98th percentile among 6,405 codes billed · 2023
1.3M
96th percentile among 6,405 codes billed · 2023
27
55th percentile among 6,405 codes billed · 2023
94
54th percentile among 6,405 codes billed · 2023
+6.7%
Medicare payment on the code vs 2022; billers +5.7%. 2023 changed hospital and observation visit codes · 2023

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
California3,437$12,326,186155,18632120
New York2,530$8,117,87199,87428109
Florida1,659$6,173,61484,55934149
New Jersey1,967$5,338,66265,7712678
Texas1,604$4,210,60958,2702694
Illinois1,723$4,191,01455,7362575
Pennsylvania1,401$3,564,11848,4072781
Maryland1,089$3,327,21442,3282997
Virginia1,099$3,186,61442,4662995
Washington1,077$2,605,32135,2732481
Georgia1,016$2,590,58237,6322990
North Carolina1,034$2,516,28935,6672492
Arizona874$2,448,90134,44029107
Massachusetts776$2,326,24129,6193096
Michigan1,039$2,117,62029,2232364

Not listed: 6 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ3,272$10,374,395124,99828
Los Angeles-Long Beach-Anaheim, CA1,209$4,063,74950,76830
Chicago-Naperville-Elgin, IL-IN1,457$3,527,68946,41824
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,079$2,860,46836,58927
Washington-Arlington-Alexandria, DC-VA-MD-WV855$2,365,39529,54326
Boston-Cambridge-Newton, MA-NH636$1,695,72221,48328
Baltimore-Columbia-Towson, MD569$1,658,24921,24928
Phoenix-Mesa-Chandler, AZ605$1,567,69322,01627
Miami-Fort Lauderdale-West Palm Beach, FL414$1,447,77219,31731
Atlanta-Sandy Springs-Roswell, GA622$1,408,26920,31026
San Diego-Chula Vista-Carlsbad, CA483$1,381,57517,70927
Detroit-Warren-Dearborn, MI578$1,267,27317,07424
San Francisco-Oakland-Fremont, CA344$1,187,40313,62630
Seattle-Tacoma-Bellevue, WA561$1,166,02515,25822
Dallas-Fort Worth-Arlington, TX506$1,101,92015,09223

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 2023.

Specialties billing 97162 nationally

Physical Therapist in Private Practice accounts for 99% of payment for 97162 nationally in 2023, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Physical Therapist in Private Practice35,07899%$95,829,92599%1,291,28037
Orthopedic Surgery1880.53%$519,2740.53%6,93737
Physical Medicine and Rehabilitation960.27%$342,3480.35%4,33145
Internal Medicine170.05%$101,1710.10%1,28576
Family Practice250.07%$71,0740.07%1,00240
Otolaryngology230.06%$57,5950.06%75833
Neurology220.06%$50,9370.05%64930
Interventional Pain Management160.05%$44,0490.05%59037
Podiatry150.04%$29,3920.03%37225

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 2023.

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