HCPCS A9595

Piflufolastat f-18, diagnostic, 1 millicurie (CMS descriptor)

Other services Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

387
78th percentile among 6,326 codes billed · 2022
$63M
97th percentile among 6,326 codes billed · 2022
103K
85th percentile among 6,326 codes billed · 2022
162
91st percentile among 6,326 codes billed · 2022
840
86th percentile among 6,326 codes billed · 2022

Trend

Medicare payment on the code

$0$50M$100M2022: $63M paid20222023: $94M paid20232024: $121M paid2024$121M$0$50M$100M2022: $63M paid20222023: $94M paid20232024: $121M paid2024$121M$0$50M$100M2022: $63M paid20222023: $94M paid20232024: $121M paid2024$121M$0$50M$100M2022: $63M paid20222023: $94M paid20232024: $121M paid2024$121M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

Billers

02505002022: 387 providers20222023: 528 providers20232024: 642 providers202464202505002022: 387 providers20222023: 528 providers20232024: 642 providers202464202505002022: 387 providers20222023: 528 providers20232024: 642 providers202464202505002022: 387 providers20222023: 528 providers20232024: 642 providers2024642

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

observed calculated calculated calculated calculated calculated reported
2024642$121,133,930+28%242,7742251,2470.00
2023528$94,385,026+50%189,4812251,1260.00
2022387$62,905,334not in the 2021 file102,6741628400.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

By state

observed calculated calculated calculated calculated calculated
California59$12,996,98627,6773531,232
Florida36$5,496,99412,309234958
New York29$5,060,38610,7552341,142
Maryland27$4,736,9895,105123490
Texas27$4,530,8522,72678235
Massachusetts19$3,128,8136,745317762
Illinois23$2,177,6404,687141523
Arizona15$2,175,9964,636162854
Pennsylvania16$1,931,7521,953118219
Colorado13$1,928,4771,68692270
Arkansas11$1,591,05779464114

Not listed: 29 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-NJ29$5,359,87910,020225
Baltimore-Columbia-Towson, MD17$3,690,6184,185203
Los Angeles-Long Beach-Anaheim, CA14$3,206,7496,848336
San Diego-Chula Vista-Carlsbad, CA12$2,262,7304,839350
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD16$1,904,7932,053118
Phoenix-Mesa-Chandler, AZ11$1,881,7314,005198
Chicago-Naperville-Elgin, IL-IN19$1,810,9433,748148

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 7 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 A9595 nationally

Diagnostic Radiology accounts for 46% of payment for A9595 nationally in 2022, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Diagnostic Radiology19851%$29,132,78046%50,669256
Independent Diagnostic Testing Facility (IDTF)5915%$12,459,96620%20,067340
Nuclear Medicine4812%$10,448,19617%18,580387
Radiation Oncology338.5%$4,753,4697.6%6,200188
Hematology-Oncology307.8%$3,994,7696.4%4,241141

Not listed: 5 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 A9595 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