Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

76497 Other ct scan CPT · CT Scan imaging

Classification Imaging › CT Scan (CMS RBCS)

First observed 2015

National scale 856 services ▼ 16.1% YoY · 848 beneficiaries (CY2024, Medicare FFS)

Medicare paid $130K · $151.76 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

733

FFS of Medicare

49%

Services YoY

-16.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,582 services

733 observed fee-for-service (46%) · ~849 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 76497 (CY2024)

MN 425 MA 114 IL 85 OH 55 NE 43

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges

$1.6M

Named-group allowed amount

$143K

Named-group Medicare payments

$113K

Avg charge / svc

$2,149

Avg allowed / svc

$194

Avg payment / svc

$154

Average charge per group

$150–468

$468–786

$786–1,104

$1,104–1,421

$1,421–1,739

$1,739–2,057

$2,057–2,375

$2,375+

$150 8 groups · avg submitted charge / service $3,000

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 76497 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	76497 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	412	$1,236,000	$3,000	premium	96.9%	(507) 284-2511
2	MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC	BOSTON	MA	DIAGNOSTIC RADIOLOGY	3532	114	$96,330	$845	premium	100.0%	(617) 724-0287
3	ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C	PEORIA	IL	NURSE PRACTITIONER	62	85	$180,372	$2,122	premium	100.0%	(309) 243-3000
4	UNMC PHYSICIANS	OMAHA	NE	PHYSICIAN ASSISTANT	1514	43	$10,750	$250	premium	100.0%	(402) 559-4000
5	TOLEDO RADIOLOGICAL ASSOCIATES INC	COLDWATER	OH	DIAGNOSTIC RADIOLOGY	51	23	$3,450	$150	premium	41.8%	(517) 279-5400
6	UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	PA	PHYSICIAN ASSISTANT	3505	16	$11,200	$700	premium	39.0%	(215) 662-2777
7	H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC	TAMPA	FL	PHYSICIAN ASSISTANT	1103	14	$20,983	$1,499	premium	51.9%	(813) 745-4673
8	MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC	BOSTON	MO	DIAGNOSTIC RADIOLOGY	3532	13	$8,775	$675	premium	54.2%	(617) 724-0287
9	MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC	LA CROSSE	MN	FAMILY PRACTICE	547	13	$7,176	$552	premium	3.1%	(608) 785-0940

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →