HCPCS 92012

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

Other services Work RVU per service 0.92 (2022 fee schedule)

18,426
98th percentile among 6,326 codes billed · 2022
$237M
99th percentile among 6,326 codes billed · 2022
3.7M
98th percentile among 6,326 codes billed · 2022
86
85th percentile among 6,326 codes billed · 2022
764
85th percentile among 6,326 codes billed · 2022
-11.9%
Medicare payment on the code vs 2021; billers -11.9% · 2022

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
California1,739$39,420,287550,2721331,126
New York1,694$28,447,996386,943102839
Florida1,292$21,479,645340,2601141,025
Texas1,763$19,931,263330,35687657
New Jersey768$14,208,807197,229143832
Pennsylvania993$13,635,983216,35080746
Illinois723$8,944,231144,89698693
Massachusetts601$7,566,285113,47496715
Maryland376$5,386,28177,63799730
Virginia460$5,215,94683,01771679
Connecticut307$4,692,17967,531102869
Georgia410$4,594,42579,54591659
Louisiana349$4,553,37080,855113800
South Carolina252$3,871,55067,7001091,042
Michigan488$3,489,30359,14959473

Not listed: 2 billers with an armed-forces or unknown state code (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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,850$35,331,180470,803123
Los Angeles-Long Beach-Anaheim, CA671$16,304,074223,714153
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD433$9,859,115144,251134
Miami-Fort Lauderdale-West Palm Beach, FL434$7,257,257110,542109
Chicago-Naperville-Elgin, IL-IN504$6,737,525105,683100
Dallas-Fort Worth-Arlington, TX450$5,907,32896,25186
Boston-Cambridge-Newton, MA-NH414$5,010,47573,88194
San Francisco-Oakland-Fremont, CA226$4,997,45965,361164
Washington-Arlington-Alexandria, DC-VA-MD-WV296$4,136,35757,28497
Houston-Pasadena-The Woodlands, TX406$3,921,50163,45574
Tampa-St. Petersburg-Clearwater, FL191$3,020,05448,409115
San Diego-Chula Vista-Carlsbad, CA160$2,989,55942,152112
Baltimore-Columbia-Towson, MD202$2,608,69538,88198
Atlanta-Sandy Springs-Roswell, GA230$2,608,37643,32289
San Antonio-New Braunfels, TX177$2,334,39138,509109

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 2022.

Specialties billing 92012 nationally

Ophthalmology accounts for 77% of payment for 92012 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology9,72253%$182,103,37177%2,792,425287
Optometry8,63947%$54,871,32323%903,614105
Physician Assistant260.14%$202,4310.09%3,916151

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 2022.

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