HCPCS 66984

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

Procedures Work RVU per service 7.35 (2020 fee schedule)

15,059
98th percentile among 6,116 codes billed · 2020
$1.31B
100th percentile among 6,116 codes billed · 2020
5.9M
99th percentile among 6,116 codes billed · 2020
92
86th percentile among 6,116 codes billed · 2020
2,072
94th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$1.00B2020: $1.31B paid20202021: $1.57B paid20212022: $1.55B paid20222023: $1.57B paid20232024: $1.61B paid2024$1.61B$0$1.00B2020: $1.31B paid20202021: $1.57B paid20212022: $1.55B paid20222023: $1.57B paid20232024: $1.61B paid2024$1.61B$0$1.00B2020: $1.31B paid20202021: $1.57B paid20212022: $1.55B paid20222023: $1.57B paid20232024: $1.61B paid2024$1.61B$0$1.00B2020: $1.31B paid20202021: $1.57B paid20212022: $1.55B paid20222023: $1.57B paid20232024: $1.61B paid2024$1.61B

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

Billers

010K2020: 15K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 15K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 15K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K010K2020: 15K providers20202021: 16K providers20212022: 16K providers20222023: 16K providers20232024: 16K providers202416K

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
202415,527$1,607,135,368+2%6,680,4501012,2507.35
202315,965$1,574,488,007+2%7,103,6241012,2977.35
202216,070$1,549,042,104-2%7,285,3771022,3847.35
202116,131$1,573,931,045+20%7,363,2961042,3887.35
202015,059$1,307,633,532first year in data5,896,885922,0727.35

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
California1,188$116,789,009180,49579523
Florida915$102,743,616185,89991813
Texas906$94,212,753174,14793713
Pennsylvania618$51,667,453104,05088539
New York638$50,798,892120,98265739
Illinois538$45,763,779582,6172574,446
Ohio526$44,697,182392,0131892,916
Virginia357$41,666,881341,1172134,028
Georgia400$37,978,565259,3801812,941
North Carolina572$37,455,470536,4842003,997
New Jersey351$37,071,75657,63280552
Tennessee416$36,549,789274,7421382,978
Washington434$36,227,13367,44249646
Arizona249$34,559,42560,261133868
Indiana393$34,446,95675,51051843

Not listed: 1 billers with an armed-forces or unknown state code (AP); they are in the national totals.

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ683$58,930,125103,96262
Los Angeles-Long Beach-Anaheim, CA411$34,239,58153,52170
Chicago-Naperville-Elgin, IL-IN343$31,619,091159,215113
Dallas-Fort Worth-Arlington, TX225$26,964,79547,593112
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD259$26,503,14445,11288
Washington-Arlington-Alexandria, DC-VA-MD-WV206$23,259,29253,12886
Phoenix-Mesa-Chandler, AZ146$22,218,63538,353137
Boston-Cambridge-Newton, MA-NH200$20,040,57466,35594
Atlanta-Sandy Springs-Roswell, GA196$17,360,01586,961147
Houston-Pasadena-The Woodlands, TX178$17,107,22129,86389
Miami-Fort Lauderdale-West Palm Beach, FL222$16,666,58030,29759
Seattle-Tacoma-Bellevue, WA158$15,431,50225,93363
Baltimore-Columbia-Towson, MD120$14,852,89324,64792
Tampa-St. Petersburg-Clearwater, FL110$13,217,35323,513129
Detroit-Warren-Dearborn, MI174$13,177,12623,84172

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 2020.

Specialties billing 66984 nationally

Ophthalmology accounts for 41% of payment for 66984 nationally in 2020, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,65757%$530,562,21741%1,625,075188
Optometry4,56730%$12,712,2160.97%3,269,440716

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 2020.

Top billers of 66984 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