HCPCS 92012

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

Other services Work RVU per service 0.92 (2023 fee schedule)

17,177
98th percentile among 6,405 codes billed · 2023
$222M
99th percentile among 6,405 codes billed · 2023
3.4M
98th percentile among 6,405 codes billed · 2023
84
84th percentile among 6,405 codes billed · 2023
755
84th percentile among 6,405 codes billed · 2023
-6.3%
Medicare payment on the code vs 2022; billers -6.8% · 2023

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
California1,618$38,180,251527,3061471,181
New York1,637$28,472,253388,57297878
Florida1,165$19,468,868308,0741141,029
Texas1,693$18,427,135305,38882632
New Jersey798$14,741,953205,363142835
Pennsylvania932$13,061,636207,57976741
Illinois665$8,278,172134,105102687
Massachusetts560$6,940,908103,49590713
Maryland358$5,138,83774,22199868
Virginia429$5,095,63180,97979663
Connecticut301$4,587,77665,705118857
Louisiana348$4,067,71772,310103701
Georgia379$3,984,60268,11488627
South Carolina236$3,341,29257,569112884
Michigan457$3,126,79152,15550443

Not listed: 2 billers with an armed-forces or unknown state code (AA, 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,856$36,224,379486,267123
Los Angeles-Long Beach-Anaheim, CA651$16,746,440227,989172
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD427$9,777,107145,435125
Miami-Fort Lauderdale-West Palm Beach, FL396$6,560,99999,955109
Chicago-Naperville-Elgin, IL-IN465$6,190,93997,577113
Dallas-Fort Worth-Arlington, TX440$5,675,02392,17981
San Francisco-Oakland-Fremont, CA203$4,738,75959,800144
Boston-Cambridge-Newton, MA-NH385$4,465,31165,47785
Washington-Arlington-Alexandria, DC-VA-MD-WV279$4,069,51456,90593
Houston-Pasadena-The Woodlands, TX391$3,653,86259,36966
Tampa-St. Petersburg-Clearwater, FL184$2,943,90647,074108
San Diego-Chula Vista-Carlsbad, CA154$2,846,53640,047120
Baltimore-Columbia-Towson, MD196$2,420,44236,05495
Atlanta-Sandy Springs-Roswell, GA217$2,361,92138,81290
San Antonio-New Braunfels, TX177$2,263,65037,380100

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 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 92012 nationally

Ophthalmology accounts for 76% of payment for 92012 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology9,02253%$168,903,25576%2,567,469285
Optometry8,09747%$53,155,00424%865,336107
Physician Assistant240.14%$138,8360.06%2,941123

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 2023.

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