HCPCS 92012

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

Other services Work RVU per service 0.92 (2021 fee schedule)

20,912
99th percentile among 6,253 codes billed · 2021
$269M
99th percentile among 6,253 codes billed · 2021
4.1M
98th percentile among 6,253 codes billed · 2021
85
85th percentile among 6,253 codes billed · 2021
748
85th percentile among 6,253 codes billed · 2021
-13.0%
Medicare payment on the code vs 2020; billers -8.3% · 2021

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
California1,913$41,961,866573,5241251,092
New York1,808$30,485,923407,937104787
Florida1,475$24,689,091381,9491081,018
Texas1,896$22,573,907364,74689691
Pennsylvania1,137$15,032,916234,47978682
New Jersey795$14,186,447191,707130849
Illinois842$10,258,940162,55296691
Massachusetts647$7,945,930115,67081687
Virginia545$6,470,282102,39375715
Georgia487$5,594,27094,04989729
Connecticut326$5,462,70976,549125809
Maryland428$5,448,03677,67990699
Louisiana371$4,741,12982,102117697
Missouri428$4,703,94680,00086646
Michigan597$4,666,15877,40056475

Not listed: 2 billers with an armed-forces or unknown state code (AA, 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,946$36,527,119476,184118
Los Angeles-Long Beach-Anaheim, CA729$17,071,574228,218148
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD487$10,137,695145,020117
Miami-Fort Lauderdale-West Palm Beach, FL467$8,004,562119,02299
Chicago-Naperville-Elgin, IL-IN585$7,798,860119,23199
Dallas-Fort Worth-Arlington, TX494$6,766,554107,12788
Boston-Cambridge-Newton, MA-NH444$5,317,30775,80981
San Francisco-Oakland-Fremont, CA231$4,963,48462,636127
Washington-Arlington-Alexandria, DC-VA-MD-WV324$4,403,31560,89093
Houston-Pasadena-The Woodlands, TX427$4,247,17566,68873
Tampa-St. Petersburg-Clearwater, FL215$3,616,96456,600111
San Diego-Chula Vista-Carlsbad, CA189$3,398,76148,513137
Atlanta-Sandy Springs-Roswell, GA257$2,909,61147,12184
Baltimore-Columbia-Towson, MD252$2,819,49040,95475
Detroit-Warren-Dearborn, MI249$2,680,89043,07578

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 2021.

Specialties billing 92012 nationally

Ophthalmology accounts for 78% of payment for 92012 nationally in 2021, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology11,25254%$209,542,04078%3,165,033281
Optometry9,60246%$59,424,43522%962,907100
Physician Assistant200.10%$146,2470.05%2,866143

Not listed: 10 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 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