HCPCS 98940

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

Other services Work RVU per service 0.46 (2021 fee schedule)

14,184
98th percentile among 6,253 codes billed · 2021
$83M
97th percentile among 6,253 codes billed · 2021
4.2M
98th percentile among 6,253 codes billed · 2021
177
91st percentile among 6,253 codes billed · 2021
929
87th percentile among 6,253 codes billed · 2021
+4.9%
Medicare payment on the code vs 2020; billers -0.5% · 2021

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 York1,260$14,833,701668,4943931,458
California944$6,179,062289,965194958
Illinois673$4,439,168226,3672091,007
Florida861$3,883,132197,069139737
Wisconsin659$3,223,550176,818188795
Ohio640$3,203,006172,180175865
Pennsylvania620$2,768,552142,384143743
Iowa498$2,626,854144,370165874
Arizona319$2,256,005118,3822221,080
Minnesota548$2,112,400111,307125610
Washington422$1,968,723101,839141812
Texas452$1,926,334100,566136685
New Jersey368$1,909,51083,992158683
Virginia272$1,783,99489,642191982
Massachusetts270$1,767,82182,890188925

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 4 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,004$11,299,981478,982327
Chicago-Naperville-Elgin, IL-IN340$2,230,407109,005194
Phoenix-Mesa-Chandler, AZ213$1,354,51470,722208
Los Angeles-Long Beach-Anaheim, CA226$1,307,66259,031181
Boston-Cambridge-Newton, MA-NH155$955,44043,962169
Iowa outside metro areas157$875,65149,376186
Kiryas Joel-Poughkeepsie-Newburgh, NY69$856,38940,195491
Miami-Fort Lauderdale-West Palm Beach, FL166$842,10140,780139
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD165$815,69738,329155
St. Louis, MO-IL160$771,47440,028174
Minneapolis-St. Paul-Bloomington, MN-WI242$713,58637,353103
San Francisco-Oakland-Fremont, CA120$694,97730,268185
Washington-Arlington-Alexandria, DC-VA-MD-WV134$677,55831,700161
Albany-Schenectady-Troy, NY68$629,79832,207277
Madison, WI100$612,70033,414241

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 2021.

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 2021.

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