HCPCS 66821

Procedure (ClaimLight category; the code descriptor is not shown)

Procedures Work RVU per service 3.42 (2024 fee schedule)

10,031
97th percentile among 6,471 codes billed · 2024
$190M
99th percentile among 6,471 codes billed · 2024
989K
96th percentile among 6,471 codes billed · 2024
48
71st percentile among 6,471 codes billed · 2024
291
72nd percentile among 6,471 codes billed · 2024
+1.6%
Medicare payment on the code vs 2023; billers -0.6% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $169M paid20202021: $193M paid20212022: $184M paid20222023: $187M paid20232024: $190M paid2024$190M$0$100M$200M2020: $169M paid20202021: $193M paid20212022: $184M paid20222023: $187M paid20232024: $190M paid2024$190M$0$100M$200M2020: $169M paid20202021: $193M paid20212022: $184M paid20222023: $187M paid20232024: $190M paid2024$190M$0$100M$200M2020: $169M paid20202021: $193M paid20212022: $184M paid20222023: $187M paid20232024: $190M paid2024$190M

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

Billers

05,00010K2020: 9,476 providers20202021: 10K providers20212022: 10K providers20222023: 10K providers20232024: 10K providers202410K05,00010K2020: 9,476 providers20202021: 10K providers20212022: 10K providers20222023: 10K providers20232024: 10K providers202410K05,00010K2020: 9,476 providers20202021: 10K providers20212022: 10K providers20222023: 10K providers20232024: 10K providers202410K05,00010K2020: 9,476 providers20202021: 10K providers20212022: 10K providers20222023: 10K providers20232024: 10K providers202410K

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

observed calculated calculated calculated calculated calculated reported
202410,031$190,400,814+2%989,295482913.42
202310,087$187,454,660+2%998,616472823.42
202210,077$184,382,244-4%1,009,177483003.42
202110,180$192,613,647+14%1,041,922473043.42
20209,476$168,827,632first year in data863,997442773.42

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

By state

observed calculated calculated calculated calculated calculated
California936$18,353,25566,78546225
Florida722$17,781,79876,40161367
Texas685$13,999,73759,12454254
Pennsylvania409$7,503,91631,88154211
New York507$7,224,77827,17832156
Indiana250$6,095,19929,67558475
Arizona216$6,080,46426,44777363
Illinois359$5,795,56782,387491,548
Ohio369$5,738,67033,74748249
Georgia264$5,650,12925,45160252
Washington255$5,467,73922,99047333
Virginia241$5,346,84622,65352288
Tennessee235$5,317,32039,87265599
North Carolina294$5,079,31437,67149315
New Jersey289$4,937,54718,51440186

Not listed: 3 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ546$8,220,84929,49433
Los Angeles-Long Beach-Anaheim, CA338$5,294,18319,27141
Dallas-Fort Worth-Arlington, TX180$4,483,15618,74770
Chicago-Naperville-Elgin, IL-IN279$4,240,00326,42440
Phoenix-Mesa-Chandler, AZ126$4,065,46017,52885
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD196$3,802,51114,92955
Boston-Cambridge-Newton, MA-NH171$2,644,97510,67739
Atlanta-Sandy Springs-Roswell, GA137$2,617,33411,79057
Washington-Arlington-Alexandria, DC-VA-MD-WV179$2,598,3819,63340
Tampa-St. Petersburg-Clearwater, FL107$2,597,02911,45859
Seattle-Tacoma-Bellevue, WA111$2,414,5339,53146
Houston-Pasadena-The Woodlands, TX148$2,414,1239,83442
Miami-Fort Lauderdale-West Palm Beach, FL175$2,372,1739,28235
St. Louis, MO-IL95$2,246,96911,71854
Kansas City, MO-KS84$2,052,0249,37465

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 66821 nationally

Ophthalmology accounts for 71% of payment for 66821 nationally in 2024, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,19082%$135,767,54671%552,46667
Ambulatory Surgical Center1,00910%$50,397,42226%234,993233

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 2024.

Top billers of 66821 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