HCPCS 98940

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

Other services Work RVU per service 0.46 (2022 fee schedule)

13,645
98th percentile among 6,326 codes billed · 2022
$75M
97th percentile among 6,326 codes billed · 2022
3.9M
98th percentile among 6,326 codes billed · 2022
174
91st percentile among 6,326 codes billed · 2022
914
87th percentile among 6,326 codes billed · 2022
-9.2%
Medicare payment on the code vs 2021; billers -3.8% · 2022

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 York1,201$13,451,561625,8783841,427
California960$5,724,647277,303182912
Illinois643$3,907,091205,780193980
Florida832$3,587,111188,418143676
Wisconsin632$2,907,649164,707187808
Ohio598$2,852,897158,725174819
Pennsylvania605$2,582,505138,097145709
Iowa496$2,474,249140,686166856
Arizona297$1,971,907107,2252311,040
Minnesota502$1,838,665100,016123656
New Jersey368$1,829,74782,959148657
Texas438$1,796,38597,120123699
Washington366$1,685,83189,966143836
Massachusetts265$1,619,89578,155185884
Virginia263$1,578,35482,2721861,021

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ984$10,323,574451,423319
Chicago-Naperville-Elgin, IL-IN338$2,046,939103,780189
Los Angeles-Long Beach-Anaheim, CA233$1,307,45960,612184
Phoenix-Mesa-Chandler, AZ191$1,194,98464,201222
Boston-Cambridge-Newton, MA-NH144$865,35241,074185
Iowa outside metro areas162$832,07648,234183
Kiryas Joel-Poughkeepsie-Newburgh, NY64$810,90639,290477
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD155$758,70337,069149
Miami-Fort Lauderdale-West Palm Beach, FL158$756,17737,849139
Washington-Arlington-Alexandria, DC-VA-MD-WV130$674,24332,445173
St. Louis, MO-IL144$668,93236,304172
Minneapolis-St. Paul-Bloomington, MN-WI222$638,44034,655111
San Francisco-Oakland-Fremont, CA123$627,10028,023143
Oklahoma City, OK61$595,61733,596289
Albany-Schenectady-Troy, NY70$576,42830,625296

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 2022.

Specialties billing 98940 nationally

observed calculated calculated calculated calculated calculated

Not listed: 4 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 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