HCPCS 67028

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

Procedures Work RVU per service 1.44 (2023 fee schedule)

4,255
94th percentile among 6,405 codes billed · 2023
$321M
99th percentile among 6,405 codes billed · 2023
3.5M
98th percentile among 6,405 codes billed · 2023
539
94th percentile among 6,405 codes billed · 2023
2,401
93rd percentile among 6,405 codes billed · 2023
+1.7%
Medicare payment on the code vs 2022; billers +1.0% · 2023

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
California473$33,984,748338,0084202,263
Florida302$27,522,365299,7237072,863
Texas289$21,098,389232,9975062,593
New York295$19,436,319191,9313962,082
Pennsylvania184$16,106,217176,4476043,537
Illinois191$12,293,405134,6434012,206
Maryland117$11,872,187121,3276952,462
Massachusetts121$9,762,735102,4285732,131
North Carolina120$9,603,987108,9607802,291
Virginia88$9,424,832100,0479952,622
New Jersey103$9,382,34995,0358082,342
Ohio146$9,337,485108,0624731,925
Michigan157$9,042,728100,7394441,810
Tennessee84$8,276,24194,6941,1322,511
Washington112$8,166,57286,5025491,977

Not listed: 2 billers with an armed-forces or unknown state code (AE, ZZ); 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ286$21,503,621207,416462
Los Angeles-Long Beach-Anaheim, CA190$12,488,496126,540366
Chicago-Naperville-Elgin, IL-IN156$10,115,366109,004436
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD85$10,039,601104,299737
Boston-Cambridge-Newton, MA-NH95$7,635,08180,308535
Washington-Arlington-Alexandria, DC-VA-MD-WV81$6,433,57563,400554
Miami-Fort Lauderdale-West Palm Beach, FL95$6,331,04967,472508
Dallas-Fort Worth-Arlington, TX71$5,659,18561,703387
Houston-Pasadena-The Woodlands, TX76$5,331,69956,031611
Baltimore-Columbia-Towson, MD60$5,178,35153,185501
Phoenix-Mesa-Chandler, AZ39$5,175,17257,0371,469
Tampa-St. Petersburg-Clearwater, FL51$4,245,22745,705627
Detroit-Warren-Dearborn, MI64$4,240,73845,041545
Seattle-Tacoma-Bellevue, WA59$4,167,07441,802520
Atlanta-Sandy Springs-Roswell, GA48$3,723,54139,811840

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 73 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 67028 nationally

Ophthalmology accounts for 100% of payment for 67028 nationally in 2023, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology4,22499%$320,189,502100%3,473,739822
Ambulatory Surgical Center190.45%$442,3690.14%10,498553

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 2023.

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