HCPCS 67028

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

Procedures Work RVU per service 1.44 (2022 fee schedule)

4,213
94th percentile among 6,326 codes billed · 2022
$316M
99th percentile among 6,326 codes billed · 2022
3.4M
98th percentile among 6,326 codes billed · 2022
525
95th percentile among 6,326 codes billed · 2022
2,394
94th percentile among 6,326 codes billed · 2022
-2.4%
Medicare payment on the code vs 2021; billers +1.6% · 2022

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
California458$32,352,224325,1614152,166
Florida304$27,466,533299,0277532,882
Texas286$20,385,257226,4224832,560
New York293$19,150,417188,3043662,025
Pennsylvania191$16,049,316174,5045093,414
Illinois177$12,049,381131,1064472,344
Maryland116$11,065,548113,4926242,676
Massachusetts132$9,726,770102,2004972,041
North Carolina124$9,684,124110,6366572,190
Virginia84$9,131,21896,2641,1272,583
Ohio140$9,016,611104,3644942,022
Michigan158$9,013,754100,7034341,886
New Jersey99$8,847,40189,3757992,266
Washington103$8,033,42785,5276442,122
Tennessee79$8,014,05491,8611,1762,518

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ281$20,754,576199,236436
Los Angeles-Long Beach-Anaheim, CA175$11,377,093115,957380
Chicago-Naperville-Elgin, IL-IN148$10,435,070111,825520
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD88$9,473,21996,563494
Boston-Cambridge-Newton, MA-NH101$7,727,71480,782427
Miami-Fort Lauderdale-West Palm Beach, FL93$6,144,70266,026430
Washington-Arlington-Alexandria, DC-VA-MD-WV77$5,937,67358,237609
Dallas-Fort Worth-Arlington, TX71$5,539,29760,850435
Phoenix-Mesa-Chandler, AZ41$5,387,23459,9181,528
Houston-Pasadena-The Woodlands, TX73$5,280,00855,860646
Baltimore-Columbia-Towson, MD58$4,974,97950,675504
Detroit-Warren-Dearborn, MI62$4,302,34445,751532
Tampa-St. Petersburg-Clearwater, FL51$4,182,51144,611684
Seattle-Tacoma-Bellevue, WA50$4,124,60841,771664
Minneapolis-St. Paul-Bloomington, MN-WI37$3,876,58140,990814

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 2022.

Specialties billing 67028 nationally

Ophthalmology accounts for 100% of payment for 67028 nationally in 2022, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology4,17999%$314,830,508100%3,425,275820
Ambulatory Surgical Center230.55%$471,3800.15%11,249489

Not listed: 8 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 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