HCPCS 98940

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

Other services Work RVU per service 0.46 (2024 fee schedule)

11,909
98th percentile among 6,471 codes billed · 2024
$63M
96th percentile among 6,471 codes billed · 2024
3.4M
98th percentile among 6,471 codes billed · 2024
168
89th percentile among 6,471 codes billed · 2024
901
84th percentile among 6,471 codes billed · 2024
-11.0%
Medicare payment on the code vs 2023; billers -6.9% · 2024

Trend

Medicare payment on the code

$0$50M2020: $79M paid20202021: $83M paid20212022: $75M paid20222023: $71M paid20232024: $63M paid2024$63M$0$50M2020: $79M paid20202021: $83M paid20212022: $75M paid20222023: $71M paid20232024: $63M paid2024$63M$0$50M2020: $79M paid20202021: $83M paid20212022: $75M paid20222023: $71M paid20232024: $63M paid2024$63M$0$50M2020: $79M paid20202021: $83M paid20212022: $75M paid20222023: $71M paid20232024: $63M paid2024$63M

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

Billers

010K2020: 14K providers20202021: 14K providers20212022: 14K providers20222023: 13K providers20232024: 12K providers202412K010K2020: 14K providers20202021: 14K providers20212022: 14K providers20222023: 13K providers20232024: 12K providers202412K010K2020: 14K providers20202021: 14K providers20212022: 14K providers20222023: 13K providers20232024: 12K providers202412K010K2020: 14K providers20202021: 14K providers20212022: 14K providers20222023: 13K providers20232024: 12K providers202412K

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
202411,909$62,816,386-11%3,370,0551689010.46
202312,791$70,564,739-6%3,709,4671779230.46
202213,645$74,907,797-9%3,911,3081749140.46
202114,184$82,521,312+5%4,170,1451779290.46
202014,262$78,672,733first year in data3,988,6781728690.46

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
New York1,098$11,995,335576,2813691,589
California843$5,151,784254,312198888
Illinois547$3,077,041167,894184925
Florida706$3,036,877165,902138697
Wisconsin576$2,499,546143,449166756
Pennsylvania522$2,210,562121,540145669
Ohio516$2,192,973127,678162737
Iowa451$2,034,943119,055145819
New Jersey329$1,783,15283,478167779
Arizona247$1,569,25987,3642151,112
Minnesota422$1,530,82584,892118655
Texas356$1,464,00881,571131711
Virginia240$1,352,17373,3061891,043
Connecticut206$1,336,24267,207252808
Massachusetts213$1,276,12664,068199943

Not listed: 1 billers with an armed-forces or unknown state code (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-NJ897$9,500,800430,979302
Chicago-Naperville-Elgin, IL-IN291$1,616,18885,666185
Los Angeles-Long Beach-Anaheim, CA213$1,308,17662,384211
Phoenix-Mesa-Chandler, AZ164$996,69554,788231
Miami-Fort Lauderdale-West Palm Beach, FL137$736,74538,119134
Boston-Cambridge-Newton, MA-NH119$732,87736,001206
Kiryas Joel-Poughkeepsie-Newburgh, NY58$698,60734,144430
Iowa outside metro areas149$691,39441,596163
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD127$672,48033,988177
Washington-Arlington-Alexandria, DC-VA-MD-WV115$587,26229,623173
San Francisco-Oakland-Fremont, CA99$548,72424,204154
St. Louis, MO-IL129$540,85730,376154
Oklahoma City, OK52$532,29431,181248
Madison, WI102$529,47430,687210
Albany-Schenectady-Troy, NY61$501,20727,532273

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 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 98940 nationally

observed calculated calculated calculated calculated calculated

Not listed: 3 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 98940 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