HCPCS 67028

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

Procedures Work RVU per service 1.44 (2021 fee schedule)

4,148
94th percentile among 6,253 codes billed · 2021
$323M
99th percentile among 6,253 codes billed · 2021
3.4M
98th percentile among 6,253 codes billed · 2021
537
95th percentile among 6,253 codes billed · 2021
2,444
94th percentile among 6,253 codes billed · 2021
+17.7%
Medicare payment on the code vs 2020; billers +0.0% · 2021

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
California443$32,556,686320,0824502,128
Florida293$28,413,478302,5528162,885
Texas291$20,877,315224,4894512,446
New York297$19,171,714185,2273541,989
Pennsylvania187$16,772,399176,0305403,371
Illinois175$12,650,104134,7775172,429
Maryland104$11,329,109112,6027712,940
North Carolina123$10,140,889113,3746752,273
Massachusetts127$9,579,45298,0795422,018
Virginia86$9,497,55597,4129932,744
Ohio138$9,331,329107,3385371,953
New Jersey100$9,296,50490,4877772,329
Michigan155$9,180,35399,8054081,796
Washington103$8,213,74285,0586082,108
Tennessee78$8,211,20791,5261,1292,714

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

Not listed: 8 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-NJ284$21,016,392196,760390
Los Angeles-Long Beach-Anaheim, CA164$11,498,873115,235460
Chicago-Naperville-Elgin, IL-IN142$10,829,798113,458657
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD85$9,418,86692,482540
Boston-Cambridge-Newton, MA-NH99$7,605,40077,256497
Miami-Fort Lauderdale-West Palm Beach, FL90$6,467,97767,894585
Washington-Arlington-Alexandria, DC-VA-MD-WV75$5,898,77656,109558
Houston-Pasadena-The Woodlands, TX72$5,457,33255,709640
Phoenix-Mesa-Chandler, AZ39$5,360,00157,2171,368
Dallas-Fort Worth-Arlington, TX69$5,347,48056,488420
Baltimore-Columbia-Towson, MD48$5,199,78851,216815
Tampa-St. Petersburg-Clearwater, FL48$4,515,87247,052833
Seattle-Tacoma-Bellevue, WA53$4,201,78541,698597
Detroit-Warren-Dearborn, MI64$4,101,13442,615409
Minneapolis-St. Paul-Bloomington, MN-WI35$4,091,43842,049671

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 75 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 67028 nationally

Ophthalmology accounts for 100% of payment for 67028 nationally in 2021, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology4,11199%$322,591,569100%3,421,750832

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 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