HCPCS 66991
Procedure (ClaimLight category; the code descriptor is not shown)
Procedures Work RVU per service 9.23 (2022 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2024 | 1,422 | $104,076,540 | +15% | 59,663 | 31 | 105 | 9.23 |
| 2023 | 1,445 | $90,515,500 | +2% | 58,770 | 30 | 101 | 9.23 |
| 2022 | 1,466 | $88,959,041 | not in the 2021 file | 58,949 | 30 | 98 | 9.23 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| California | 180 | $13,489,577 | 7,217 | 29 | 100 | |
| Florida | 101 | $5,964,942 | 4,163 | 29 | 94 | |
| Texas | 88 | $5,028,447 | 3,453 | 30 | 87 | |
| Pennsylvania | 73 | $4,650,773 | 3,160 | 27 | 121 | |
| New Jersey | 57 | $4,132,912 | 2,129 | 24 | 90 | |
| New York | 57 | $3,649,226 | 2,014 | 23 | 100 | |
| Washington | 50 | $3,065,147 | 2,117 | 31 | 123 | |
| Massachusetts | 41 | $3,057,187 | 1,730 | 32 | 120 | |
| Arizona | 47 | $2,706,573 | 1,706 | 30 | 90 | |
| Georgia | 38 | $2,097,402 | 1,327 | 27 | 84 | |
| Indiana | 32 | $2,012,601 | 1,405 | 37 | 98 | |
| Ohio | 37 | $1,984,396 | 1,951 | 31 | 117 | |
| Illinois | 42 | $1,825,074 | 1,362 | 26 | 72 | |
| Virginia | 30 | $1,781,875 | 1,209 | 32 | 85 | |
| North Carolina | 40 | $1,776,761 | 1,487 | 28 | 81 |
Not listed: 12 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-NJ | 83 | $6,101,579 | 3,164 | 24 | |
| Los Angeles-Long Beach-Anaheim, CA | 49 | $3,753,982 | 2,112 | 28 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 39 | $2,489,946 | 1,410 | 30 | |
| Phoenix-Mesa-Chandler, AZ | 25 | $1,561,282 | 1,011 | 30 | |
| Dallas-Fort Worth-Arlington, TX | 23 | $1,509,757 | 886 | 26 | |
| Kansas City, MO-KS | 23 | $1,243,595 | 914 | 30 | |
| Boston-Cambridge-Newton, MA-NH | 21 | $1,220,092 | 709 | 32 | |
| Atlanta-Sandy Springs-Roswell, GA | 20 | $1,206,570 | 722 | 27 | |
| Minneapolis-St. Paul-Bloomington, MN-WI | 18 | $1,185,217 | 735 | 35 | |
| Tampa-St. Petersburg-Clearwater, FL | 21 | $1,169,654 | 939 | 26 | |
| North Port-Bradenton-Sarasota, FL | 12 | $1,148,865 | 784 | 27 | |
| Baltimore-Columbia-Towson, MD | 16 | $1,097,225 | 710 | 40 | |
| Seattle-Tacoma-Bellevue, WA | 16 | $1,095,178 | 638 | 28 | |
| San Francisco-Oakland-Fremont, CA | 14 | $1,064,882 | 505 | 26 | |
| Chicago-Naperville-Elgin, IL-IN | 27 | $1,036,884 | 671 | 22 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 23 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 66991 nationally
Ophthalmology accounts for 13% of payment for 66991 nationally in 2022, across 1 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Ophthalmology | 817 | 56% | $11,724,476 | 13% | 28,500 | 35 |
Not listed: 2 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 66991 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