HCPCS 66821

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

Procedures Work RVU per service 3.42 (2023 fee schedule)

10,087
97th percentile among 6,405 codes billed · 2023
$187M
99th percentile among 6,405 codes billed · 2023
999K
95th percentile among 6,405 codes billed · 2023
47
73rd percentile among 6,405 codes billed · 2023
282
73rd percentile among 6,405 codes billed · 2023
+1.7%
Medicare payment on the code vs 2022; billers +0.1% · 2023

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
Florida738$17,804,57078,26662379
California954$17,512,94964,66743197
Texas695$13,889,59159,62851275
Pennsylvania417$7,651,16232,82152238
New York515$7,372,54527,52031138
Illinois366$5,987,44786,271451,436
Ohio364$5,766,42731,16648236
Indiana243$5,625,01228,48055441
Georgia268$5,601,12727,09563258
Arizona209$5,539,51924,88374350
Virginia234$5,386,32925,59857301
Washington261$5,325,51523,12649297
North Carolina307$5,054,31948,11053875
New Jersey290$4,856,34718,30940207
Tennessee228$4,731,68639,93961550

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ533$8,045,57628,55033
Los Angeles-Long Beach-Anaheim, CA345$5,106,10918,61439
Dallas-Fort Worth-Arlington, TX186$4,551,50519,50566
Chicago-Naperville-Elgin, IL-IN287$4,311,81227,16839
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD199$3,756,84114,77147
Phoenix-Mesa-Chandler, AZ127$3,721,70116,57278
Tampa-St. Petersburg-Clearwater, FL108$2,713,67612,18168
Atlanta-Sandy Springs-Roswell, GA139$2,597,97011,07156
Washington-Arlington-Alexandria, DC-VA-MD-WV177$2,560,9159,37235
Boston-Cambridge-Newton, MA-NH164$2,551,77510,40039
Seattle-Tacoma-Bellevue, WA116$2,433,09910,01146
Houston-Pasadena-The Woodlands, TX149$2,422,3049,96740
Miami-Fort Lauderdale-West Palm Beach, FL177$2,234,6188,93534
St. Louis, MO-IL94$2,048,12811,07060
Kansas City, MO-KS82$1,973,8199,18462

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 2023.

Specialties billing 66821 nationally

Ophthalmology accounts for 73% of payment for 66821 nationally in 2023, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,25182%$137,167,54973%555,36967
Ambulatory Surgical Center1,03010%$46,389,48925%235,095228

Not listed: 7 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 2023.

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