HCPCS 92012

Other service (ClaimLight category; the code descriptor is not shown)

Other services Work RVU per service 0.92 (2024 fee schedule)

15,822
98th percentile among 6,471 codes billed · 2024
$199M
99th percentile among 6,471 codes billed · 2024
3.1M
98th percentile among 6,471 codes billed · 2024
82
81st percentile among 6,471 codes billed · 2024
749
82nd percentile among 6,471 codes billed · 2024
-10.6%
Medicare payment on the code vs 2023; billers -7.9% · 2024

Trend

Medicare payment on the code

$0$200M2020: $309M paid20202021: $269M paid20212022: $237M paid20222023: $222M paid20232024: $199M paid2024$199M$0$200M2020: $309M paid20202021: $269M paid20212022: $237M paid20222023: $222M paid20232024: $199M paid2024$199M$0$200M2020: $309M paid20202021: $269M paid20212022: $237M paid20222023: $222M paid20232024: $199M paid2024$199M$0$200M2020: $309M paid20202021: $269M paid20212022: $237M paid20222023: $222M paid20232024: $199M paid2024$199M

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

Billers

010K20K2020: 23K providers20202021: 21K providers20212022: 18K providers20222023: 17K providers20232024: 16K providers202416K010K20K2020: 23K providers20202021: 21K providers20212022: 18K providers20222023: 17K providers20232024: 16K providers202416K010K20K2020: 23K providers20202021: 21K providers20212022: 18K providers20222023: 17K providers20232024: 16K providers202416K010K20K2020: 23K providers20202021: 21K providers20212022: 18K providers20222023: 17K providers20232024: 16K providers202416K

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
202415,822$198,920,759-11%3,111,523827490.92
202317,177$222,401,739-6%3,439,381847550.92
202218,426$237,424,498-12%3,704,227867640.92
202120,912$269,378,821-13%4,135,105857480.92
202022,800$309,495,999first year in data4,967,3411067880.92

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
California1,568$35,990,626501,7181431,128
New York1,551$26,900,114376,51099934
Florida1,086$17,340,376275,3881001,024
Texas1,609$16,188,452274,01379589
New Jersey758$14,278,296202,902153886
Pennsylvania839$11,521,142184,00679746
Illinois635$6,777,425113,59389628
Massachusetts543$6,335,87696,66782715
Virginia411$4,536,15574,21971659
Connecticut281$4,334,18464,340129815
Maryland320$4,229,06963,09083836
Louisiana327$3,469,07262,628106657
Georgia329$3,258,29756,20185568
Michigan382$2,658,72645,58056441
South Carolina212$2,658,13846,12177697

Not listed: 3 billers with an armed-forces or unknown state code (AA, AP, ZZ); they are in the national totals.

Not listed: 3 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,760$34,975,815481,735127
Los Angeles-Long Beach-Anaheim, CA654$16,088,679223,629153
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD406$9,108,022135,475113
Miami-Fort Lauderdale-West Palm Beach, FL376$6,022,15291,48095
Dallas-Fort Worth-Arlington, TX408$5,104,83884,95680
Chicago-Naperville-Elgin, IL-IN444$5,043,86682,37396
San Francisco-Oakland-Fremont, CA195$4,487,38155,739162
Boston-Cambridge-Newton, MA-NH389$4,347,35665,67984
Washington-Arlington-Alexandria, DC-VA-MD-WV250$3,368,43048,46983
Houston-Pasadena-The Woodlands, TX356$3,096,05951,27269
Tampa-St. Petersburg-Clearwater, FL169$2,903,10446,690108
San Diego-Chula Vista-Carlsbad, CA145$2,320,96733,468114
San Antonio-New Braunfels, TX180$2,248,69037,86788
San Jose-Sunnyvale-Santa Clara, CA72$2,041,92525,882124
Baltimore-Columbia-Towson, MD182$1,976,48330,62385

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 92012 nationally

Ophthalmology accounts for 75% of payment for 92012 nationally in 2024, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,36253%$148,895,32275%2,290,060274
Optometry7,40947%$49,744,92725%816,245110
Physician Assistant220.14%$103,9660.05%2,215101

Not listed: 12 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 2024.

Top billers of 92012 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