HCPCS 66984

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

Procedures Work RVU per service 7.35 (2021 fee schedule)

16,131
98th percentile among 6,253 codes billed · 2021
$1.57B
100th percentile among 6,253 codes billed · 2021
7.4M
99th percentile among 6,253 codes billed · 2021
104
87th percentile among 6,253 codes billed · 2021
2,388
94th percentile among 6,253 codes billed · 2021
+20.4%
Medicare payment on the code vs 2020; billers +7.1% · 2021

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
California1,237$140,307,613214,34090615
Florida941$119,437,931218,771101989
Texas965$113,606,951207,15198793
New York683$67,050,484178,323831,302
Pennsylvania667$62,094,769123,54885603
Illinois590$57,563,523793,9033475,126
Ohio549$53,713,435459,0682493,145
New Jersey378$48,972,26575,34593591
Virginia375$47,986,620386,5022464,145
Massachusetts314$45,101,980214,3421543,401
Georgia439$43,989,760312,3092203,228
Washington493$43,964,99981,50351811
North Carolina592$42,868,175641,3482254,552
Arizona252$42,727,70873,6121581,036
Maryland253$42,455,64071,7681381,166

Not listed: 2 billers with an armed-forces or unknown state code (AE, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ744$80,068,137151,45274
Los Angeles-Long Beach-Anaheim, CA435$41,618,13264,69377
Chicago-Naperville-Elgin, IL-IN371$40,157,920229,512153
Dallas-Fort Worth-Arlington, TX241$33,890,02058,047110
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD290$33,596,95656,47690
Washington-Arlington-Alexandria, DC-VA-MD-WV216$31,067,29667,298111
Phoenix-Mesa-Chandler, AZ150$27,751,35647,531149
Boston-Cambridge-Newton, MA-NH210$27,547,43198,947121
Atlanta-Sandy Springs-Roswell, GA219$21,517,612104,614172
Miami-Fort Lauderdale-West Palm Beach, FL232$21,300,23039,94373
Houston-Pasadena-The Woodlands, TX194$21,255,74336,97190
Baltimore-Columbia-Towson, MD124$18,626,61330,694126
Seattle-Tacoma-Bellevue, WA174$18,606,32030,72368
Detroit-Warren-Dearborn, MI188$16,556,29129,58282
Tampa-St. Petersburg-Clearwater, FL106$15,329,90730,249149

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 66984 nationally

Ophthalmology accounts for 39% of payment for 66984 nationally in 2021, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,82855%$620,391,22739%1,899,328215
Optometry5,45934%$15,961,2411.0%4,277,144784

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 2021.

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