HCPCS 67028

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

Procedures Work RVU per service 1.44 (2020 fee schedule)

4,147
94th percentile among 6,116 codes billed · 2020
$275M
99th percentile among 6,116 codes billed · 2020
3.3M
98th percentile among 6,116 codes billed · 2020
503
95th percentile among 6,116 codes billed · 2020
2,396
94th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$200M2020: $275M paid20202021: $323M paid20212022: $316M paid20222023: $321M paid20232024: $332M paid2024$332M$0$200M2020: $275M paid20202021: $323M paid20212022: $316M paid20222023: $321M paid20232024: $332M paid2024$332M$0$200M2020: $275M paid20202021: $323M paid20212022: $316M paid20222023: $321M paid20232024: $332M paid2024$332M$0$200M2020: $275M paid20202021: $323M paid20212022: $316M paid20222023: $321M paid20232024: $332M paid2024$332M

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

Billers

02,0004,0002020: 4,147 providers20202021: 4,148 providers20212022: 4,213 providers20222023: 4,255 providers20232024: 4,305 providers20244,30502,0004,0002020: 4,147 providers20202021: 4,148 providers20212022: 4,213 providers20222023: 4,255 providers20232024: 4,305 providers20244,30502,0004,0002020: 4,147 providers20202021: 4,148 providers20212022: 4,213 providers20222023: 4,255 providers20232024: 4,305 providers20244,30502,0004,0002020: 4,147 providers20202021: 4,148 providers20212022: 4,213 providers20222023: 4,255 providers20232024: 4,305 providers20244,305

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
20244,305$331,533,616+3%3,573,6235492,4121.44
20234,255$321,106,147+2%3,490,0285392,4011.44
20224,213$315,692,425-2%3,441,0175252,3941.44
20214,148$323,376,372+18%3,436,7745372,4441.44
20204,147$274,660,157first year in data3,275,9935032,3961.44

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
California435$26,331,400293,1544112,082
Florida295$25,633,002304,8158192,844
Texas278$17,996,030219,9624642,452
New York296$15,327,347169,7172901,860
Pennsylvania180$13,882,890164,9375403,339
Illinois172$10,447,045124,6234792,040
Maryland118$9,501,160107,5015762,801
North Carolina118$8,630,754107,2716792,297
Virginia83$8,030,34493,6109122,790
New Jersey102$7,912,96489,0197532,117
Ohio139$7,843,61897,6295131,774
Michigan156$7,614,88791,4312811,861
Massachusetts129$7,411,27984,1363812,101
Tennessee76$7,020,13787,2711,1222,542
Washington104$7,018,78581,4815592,066

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

Not listed: 7 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-NJ287$16,830,469181,371321
Los Angeles-Long Beach-Anaheim, CA165$9,447,164106,396409
Chicago-Naperville-Elgin, IL-IN141$8,748,186102,430531
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD81$7,813,54187,641671
Miami-Fort Lauderdale-West Palm Beach, FL91$5,939,30868,187551
Boston-Cambridge-Newton, MA-NH97$5,873,76365,983407
Dallas-Fort Worth-Arlington, TX65$4,707,82856,989446
Houston-Pasadena-The Woodlands, TX66$4,685,86554,192562
Washington-Arlington-Alexandria, DC-VA-MD-WV80$4,649,74550,494416
Phoenix-Mesa-Chandler, AZ39$4,647,01555,4901,415
Baltimore-Columbia-Towson, MD60$4,641,07352,087453
Tampa-St. Petersburg-Clearwater, FL47$3,919,05345,640882
Minneapolis-St. Paul-Bloomington, MN-WI35$3,714,03743,147832
Seattle-Tacoma-Bellevue, WA51$3,559,29739,937591
Detroit-Warren-Dearborn, MI64$3,332,64038,145403

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 74 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 67028 nationally

Ophthalmology accounts for 100% of payment for 67028 nationally in 2020, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology4,11199%$274,067,927100%3,261,766793

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 2020.

Top billers of 67028 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