HCPCS Q4197

Puraply xt, per square centimeter (CMS descriptor)

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

82
64th percentile among 6,405 codes billed · 2023
$19M
92nd percentile among 6,405 codes billed · 2023
151K
88th percentile among 6,405 codes billed · 2023
1,415
96th percentile among 6,405 codes billed · 2023
5,639
96th percentile among 6,405 codes billed · 2023
-75.0%
Medicare payment on the code vs 2022; billers -37.4%. 2023 changed hospital and observation visit codes · 2023

Trend

Medicare payment on the code

$0$50M2020: $9.7M paid20202021: $47M paid20212022: $77M paid20222023: $19M paid20232024: $8.4M paid2024$8.4M$0$50M2020: $9.7M paid20202021: $47M paid20212022: $77M paid20222023: $19M paid20232024: $8.4M paid2024$8.4M$0$50M2020: $9.7M paid20202021: $47M paid20212022: $77M paid20222023: $19M paid20232024: $8.4M paid2024$8.4M$0$50M2020: $9.7M paid20202021: $47M paid20212022: $77M paid20222023: $19M paid20232024: $8.4M paid2024$8.4M

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

Billers

0501002020: 29 providers20202021: 92 providers20212022: 131 providers20222023: 82 providers20232024: 61 providers2024610501002020: 29 providers20202021: 92 providers20212022: 131 providers20222023: 82 providers20232024: 61 providers2024610501002020: 29 providers20202021: 92 providers20212022: 131 providers20222023: 82 providers20232024: 61 providers2024610501002020: 29 providers20202021: 92 providers20212022: 131 providers20222023: 82 providers20232024: 61 providers202461

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

Trend by year: table5 years
observed calculated calculated calculated calculated calculated reported
202461$8,398,004-57%100,5671,1983,4760.00
202382$19,374,763-75% (2023 changed hospital and observation visit codes)150,7761,4155,6390.00
2022131$77,359,513+64%369,8541,7758,1030.00
202192$47,127,541– (Not compared: 2021 changed office visit values)223,4242,1205,4550.00
202029$9,738,490first year in data47,5831,3443,5060.00

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

By state

Show the table by state3 states
observed calculated calculated calculated calculated calculated
California12$3,687,79129,5561,9055,549
Florida11$2,597,79320,5241,4764,262
Oklahoma12$2,433,84918,5751,3072,818

Not listed: 19 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

No metro area has a reportable line for Q4197 in 2023.

Specialties billing Q4197 nationally

Dermatology accounts for 27% of payment for Q4197 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Dermatology2429%$5,288,85127%40,6801,695
Podiatry1620%$4,044,13221%31,1661,948
Nurse Practitioner1113%$2,267,65712%17,6731,607

Not listed: 11 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 Q4197 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