HCPCS 66984

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

Procedures Work RVU per service 7.35 (2023 fee schedule)

15,965
98th percentile among 6,405 codes billed · 2023
$1.57B
100th percentile among 6,405 codes billed · 2023
7.1M
99th percentile among 6,405 codes billed · 2023
101
86th percentile among 6,405 codes billed · 2023
2,297
93rd percentile among 6,405 codes billed · 2023
+1.6%
Medicare payment on the code vs 2022; billers -0.7% · 2023

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
California1,253$153,861,619222,01589620
Florida944$118,504,436207,50898925
Texas992$112,962,512203,19595786
New York677$70,632,381166,125861,175
Pennsylvania665$65,023,376121,63781654
Illinois572$55,964,208768,1523645,129
Virginia378$52,558,510394,4312474,712
New Jersey371$52,390,29978,082100628
Ohio534$49,581,310437,6622073,329
Massachusetts325$46,534,125235,0411732,842
Washington455$44,347,47379,17953883
Maryland253$43,640,97469,6071321,047
North Carolina584$43,060,049608,2272254,554
Arizona268$42,812,69373,341148925
Georgia411$42,373,828271,0431923,097

Not listed: 3 billers with an armed-forces or unknown state code (AE, AP, ZZ); 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ725$86,309,808146,35680
Los Angeles-Long Beach-Anaheim, CA451$46,369,86968,29579
Chicago-Naperville-Elgin, IL-IN374$39,686,428246,965164
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD293$37,582,82762,19298
Dallas-Fort Worth-Arlington, TX256$34,053,30057,440102
Washington-Arlington-Alexandria, DC-VA-MD-WV217$31,747,54760,536108
Boston-Cambridge-Newton, MA-NH220$29,283,726114,739129
Phoenix-Mesa-Chandler, AZ159$28,124,43948,352174
Houston-Pasadena-The Woodlands, TX195$22,099,32037,28081
Atlanta-Sandy Springs-Roswell, GA209$21,162,813101,068156
Miami-Fort Lauderdale-West Palm Beach, FL231$20,632,07835,71667
Seattle-Tacoma-Bellevue, WA178$20,071,15132,26871
Baltimore-Columbia-Towson, MD120$19,631,82431,741129
Tampa-St. Petersburg-Clearwater, FL112$15,521,08526,878136
San Francisco-Oakland-Fremont, CA137$14,897,35719,35986

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 2023.

Specialties billing 66984 nationally

Ophthalmology accounts for 37% of payment for 66984 nationally in 2023, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,68454%$578,477,74137%1,780,723205
Optometry5,41634%$14,851,6920.94%4,145,461765

Not listed: 6 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 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