Weighted percent of Medicare, episode, top 20 codes
84%
No code on this page carries both a professional and a facility rate
Highest payer
98% UnitedHealthcare
Lowest payer
78% Aetna
| Code | Description and site | Your Medicare volume | Medicare episode (PFS + ASC) | AetnaEpisode total | CignaEpisode total | UnitedHealthcareEpisode total | Local specialty median | Your percentileNot published |
|---|---|---|---|---|---|---|---|---|
| 99214 | CPT 99214Professional only | 837 | $0 | 77% | — | |||
| 99204 | CPT 99204Professional only | 358 | $0 | 90% | — | |||
| 20610 | CPT 20610Professional only | 285 | $66 | 101% | — | |||
| 73030 | CPT 73030Professional only | 226 | $27 | 87% | — | |||
| 97110 | CPT 97110Professional only | 217 | $29 | 111% | — | |||
| 73560 | CPT 73560Professional only | 201 | $0 | 86% | — | |||
| 99213 | CPT 99213Professional only | 157 | $0 | 78% | — | |||
| 73564 | CPT 73564Professional only | 124 | $0 | 97% | — | |||
| 73565 | CPT 73565Professional only | 118 | $0 | 69% | — | |||
| 97530 | CPT 97530Professional only | 92 | $0 | 100% | — | |||
| 73630 | CPT 73630Professional only | 61 | $8 | 81% | — | |||
| 97112 | CPT 97112Professional only | 59 | $0 | 93% | — | |||
| 73502 | CPT 73502Professional only | 58 | $11 | 106% | — | |||
| 27447 | CPT 27447Professional only | 52 | $1,142 | 148% | — | |||
| 99203 | CPT 99203Professional only | 50 | $114 | 86% | — | |||
| 20611 | CPT 20611Professional only | 48 | $0 | 84% | — | |||
| 99215 | CPT 99215Professional only | 48 | $192 | 77% | — | |||
| 73110 | CPT 73110Professional only | 47 | $9 | 83% | — | |||
| 97140 | CPT 97140Professional only | 47 | $28 | 109% | — | |||
| 73610 | CPT 73610Professional only | 42 | $29 | 78% | — |
Peer quartiles are published per site of service, not for the episode total, so an episode rank is not available. Switch to Professional or Facility for a ranked view.
Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.
Compared with 398 Orthopedics groups in DALLAS, TX
Percentiles are computed on the episode figure across 398 confirmed orthopedics NPIs in DALLAS, TX.
Named in full report
Weighted episode rate by payer
Solid line 100% of Medicare, dashed line local median 84%.
Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.
Unlock all 27 codes, named peer groups and a CSV with facility and episode columns.