HCPCS 98940

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

Other services Work RVU per service 0.46 (2023 fee schedule)

12,791
98th percentile among 6,405 codes billed · 2023
$71M
97th percentile among 6,405 codes billed · 2023
3.7M
98th percentile among 6,405 codes billed · 2023
177
90th percentile among 6,405 codes billed · 2023
923
85th percentile among 6,405 codes billed · 2023
-5.8%
Medicare payment on the code vs 2022; billers -6.3% · 2023

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 York1,147$12,976,906609,9063901,486
California898$5,455,949265,467186969
Illinois593$3,640,799193,775199995
Florida780$3,451,405183,769141677
Wisconsin615$2,810,069158,842179788
Ohio558$2,646,548149,233185820
Pennsylvania571$2,445,231132,067145631
Iowa477$2,242,416128,591160818
New Jersey360$1,935,00188,335155701
Arizona259$1,863,549101,1952481,193
Minnesota470$1,695,31692,064117667
Texas389$1,649,70489,796135692
Washington335$1,502,08280,590147812
Virginia256$1,501,24778,516187991
Massachusetts245$1,497,71973,143202888

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ954$10,160,386450,496324
Chicago-Naperville-Elgin, IL-IN316$1,932,42099,167196
Los Angeles-Long Beach-Anaheim, CA231$1,397,70665,323192
Phoenix-Mesa-Chandler, AZ171$1,151,66761,964251
Boston-Cambridge-Newton, MA-NH132$804,05438,420203
Iowa outside metro areas154$776,19945,332179
Miami-Fort Lauderdale-West Palm Beach, FL150$774,66438,900162
Kiryas Joel-Poughkeepsie-Newburgh, NY65$727,04535,452429
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD147$715,79135,236162
Washington-Arlington-Alexandria, DC-VA-MD-WV128$646,80831,536150
St. Louis, MO-IL137$614,98933,733145
San Francisco-Oakland-Fremont, CA109$591,24926,076147
Albany-Schenectady-Troy, NY66$575,90830,586305
Minneapolis-St. Paul-Bloomington, MN-WI202$575,56431,262106
Madison, WI104$572,07932,559250

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 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 2023.

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