HCPCS 92012

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

Other services Work RVU per service 0.92 (2020 fee schedule)

22,800
99th percentile among 6,116 codes billed · 2020
$309M
99th percentile among 6,116 codes billed · 2020
5.0M
99th percentile among 6,116 codes billed · 2020
106
88th percentile among 6,116 codes billed · 2020
788
86th percentile among 6,116 codes billed · 2020

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
California2,009$41,772,844600,3511421,073
Florida1,611$30,951,936493,4151631,089
New York1,915$30,213,570428,589106819
Texas1,970$24,623,799412,112101742
Pennsylvania1,254$16,940,406273,92994764
New Jersey780$12,873,769183,642132803
Illinois890$11,856,264193,173110726
Virginia638$9,312,441152,312127825
Maryland496$7,898,557118,243136826
Massachusetts688$7,720,595119,00281690
Georgia540$6,864,839118,221122760
South Carolina337$6,479,999113,5821941,200
Michigan684$6,439,839108,33083558
Arizona420$6,167,447102,706132820
North Carolina528$5,852,116101,919106657

Not listed: 2 billers with an armed-forces or unknown state code (AE, AP); 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,011$34,826,236479,493116
Los Angeles-Long Beach-Anaheim, CA776$16,610,017233,504144
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD555$10,424,104155,810131
Miami-Fort Lauderdale-West Palm Beach, FL492$9,433,961145,560132
Chicago-Naperville-Elgin, IL-IN625$9,120,438144,703122
Dallas-Fort Worth-Arlington, TX526$7,027,850115,85991
Washington-Arlington-Alexandria, DC-VA-MD-WV394$6,120,17189,481128
Boston-Cambridge-Newton, MA-NH459$4,902,84074,70986
Houston-Pasadena-The Woodlands, TX467$4,718,90176,90687
San Francisco-Oakland-Fremont, CA234$4,495,27760,622150
Tampa-St. Petersburg-Clearwater, FL241$4,411,37671,869176
Phoenix-Mesa-Chandler, AZ252$4,136,02468,413142
Baltimore-Columbia-Towson, MD284$4,061,05361,782115
San Diego-Chula Vista-Carlsbad, CA208$3,846,38957,123146
Detroit-Warren-Dearborn, MI291$3,463,69056,596122

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 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 92012 nationally

Ophthalmology accounts for 81% of payment for 92012 nationally in 2020, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology12,85256%$249,907,42481%3,955,799308
Optometry9,88843%$59,160,78319%1,003,752102
Physician Assistant220.10%$116,0960.04%2,426110

Not listed: 11 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 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