RVU Analysis

Relative Value Units

Work RVU workload by code category, geography, and Medicare locality conversion factors. FY 2023.

Total RVU-Weighted Services

0.5B

Cumulative work RVU × services

Highest-RVU Locality

Manhattan

$1.13 conversion · 24.12M RVU

Top Code by RVU Load

99214

Office visit, established pt, level 4

Top State by RVU Load

84.2M work RVUs

Top Codes by RVU × Volume

Work RVU × services rendered (higher = greater physician workload)

99214

Office visit, established pt, level 4

100.1

99213

Office visit, established pt, level 3

75.9

G0439

Annual wellness visit, subsequent

51.8

99232

Subsequent hospital care, level 2

41.1

99233

Subsequent hospital care, level 3

38.4

99203

Office visit, new pt, level 3

35.8

99204

Office visit, new pt, level 4

27.6

99396

Periodic prev. exam, established, 40-6

17.1

G0438

Annual wellness visit, initial

14.6

99497

Advance care planning, 30 min

12.3

99212

Office visit, established pt, level 2

9.9

70450

CT head/brain, w/o contrast

9.1

Top States by Total RVU Load

Aggregate work RVU volume across all Medicare services (millions)

CA

California

84.2M

FL

Florida

64.8M

TX

Texas

54.8M

NY

New York

47.2M

PA

Pennsylvania

35.4M

OH

Ohio

28.6M

IL

Illinois

26.4M

MI

Michigan

25.8M

NC

North Carolina

24.6M

GA

Georgia

22.1M

NJ

New Jersey

19.4M

MA

Massachusetts

18.2M

RVU Load by Category

Work RVU × services

E&M

346.6

73%

Prevention

96.4

20%

Imaging

18.0

Procedure

4.9

Cardiology

4.1

Therapy

3.6

Lab

1.7

Medicare Physician Fee Schedule Localities

Top 10 localities by total RVU volume · FY 2023 conversion factors

Locality

State

RVU (M)

Conv. Factor

Manhattan

24.12

1.13×

Los Angeles

22.40

1.08×

San Francisco

18.56

1.11×

Chicago

16.33

1.04×

Houston

15.12

1.02×

Miami

14.01

1.05×

Boston

12.56

1.07×

Seattle (King Co.)

11.40

1.06×

Atlanta

10.33

1.00×

Philadelphia

9.88

1.05×

Conversion factor = Geographic Practice Cost Index adjustment applied to national non-facility rate. Manhattan and West LA consistently carry the highest cost adjustments.