HCPCS 66821

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

Procedures Work RVU per service 3.42 (2022 fee schedule)

10,077
97th percentile among 6,326 codes billed · 2022
$184M
99th percentile among 6,326 codes billed · 2022
1.0M
95th percentile among 6,326 codes billed · 2022
48
74th percentile among 6,326 codes billed · 2022
300
75th percentile among 6,326 codes billed · 2022
-4.3%
Medicare payment on the code vs 2021; billers -1.0% · 2022

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
Florida744$17,958,73279,89959375
California937$17,046,00663,83843216
Texas665$13,421,80458,33754288
Pennsylvania429$7,659,85833,05152233
New York506$7,054,40726,18132138
Illinois361$5,679,01784,501481,479
Georgia281$5,657,40025,69158248
Ohio374$5,616,41341,33443286
Arizona217$5,578,38325,62579368
Indiana237$5,517,91228,38357529
Washington269$5,298,40323,67047322
Virginia243$5,168,39824,03354268
North Carolina320$4,872,94945,19651636
Tennessee231$4,795,16642,85866694
Missouri230$4,603,68122,19356270

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ533$7,535,85026,44331
Los Angeles-Long Beach-Anaheim, CA326$5,032,57018,41340
Dallas-Fort Worth-Arlington, TX171$4,359,98618,79371
Chicago-Naperville-Elgin, IL-IN275$4,003,89825,31039
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD202$3,763,72614,83746
Phoenix-Mesa-Chandler, AZ131$3,718,68416,86584
Tampa-St. Petersburg-Clearwater, FL117$2,990,03413,45959
Washington-Arlington-Alexandria, DC-VA-MD-WV170$2,614,1429,51339
Atlanta-Sandy Springs-Roswell, GA151$2,600,28011,14050
Boston-Cambridge-Newton, MA-NH172$2,429,5279,67834
Miami-Fort Lauderdale-West Palm Beach, FL177$2,401,6349,66835
Seattle-Tacoma-Bellevue, WA118$2,290,3749,72343
Houston-Pasadena-The Woodlands, TX140$2,274,0489,44445
Detroit-Warren-Dearborn, MI144$2,017,8388,35838
St. Louis, MO-IL102$1,973,01112,27553

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 66821 nationally

Ophthalmology accounts for 74% of payment for 66821 nationally in 2022, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,29182%$137,027,05774%555,55867
Ambulatory Surgical Center1,03810%$43,899,37324%235,758227

Not listed: 8 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 2022.

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