HCPCS 92014

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

Other services Work RVU per service 1.42 (2020 fee schedule)

36,885
99th percentile among 6,116 codes billed · 2020
$868M
100th percentile among 6,116 codes billed · 2020
10.3M
99th percentile among 6,116 codes billed · 2020
133
90th percentile among 6,116 codes billed · 2020
1,033
89th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$500M2020: $868M paid20202021: $823M paid20212022: $777M paid20222023: $783M paid20232024: $761M paid2024$761M$0$500M2020: $868M paid20202021: $823M paid20212022: $777M paid20222023: $783M paid20232024: $761M paid2024$761M$0$500M2020: $868M paid20202021: $823M paid20212022: $777M paid20222023: $783M paid20232024: $761M paid2024$761M$0$500M2020: $868M paid20202021: $823M paid20212022: $777M paid20222023: $783M paid20232024: $761M paid2024$761M

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

Billers

020K40K2020: 37K providers20202021: 37K providers20212022: 36K providers20222023: 35K providers20232024: 35K providers202435K020K40K2020: 37K providers20202021: 37K providers20212022: 36K providers20222023: 35K providers20232024: 35K providers202435K020K40K2020: 37K providers20202021: 37K providers20212022: 36K providers20222023: 35K providers20232024: 35K providers202435K020K40K2020: 37K providers20202021: 37K providers20212022: 36K providers20222023: 35K providers20232024: 35K providers202435K

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
202435,261$760,787,596-3%9,164,8991249541.42
202335,415$782,563,365+1%9,315,4891259721.42
202235,586$776,538,904-6%9,275,3471249641.42
202136,828$822,752,852-5%9,662,8931269641.42
202036,885$868,185,817first year in data10,309,8221331,0331.42

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
California3,013$79,846,241836,8391091,091
Florida2,270$78,622,620911,7621941,457
New York2,369$65,203,002678,5601451,095
Texas2,649$61,530,881740,3151131,078
Illinois1,421$38,715,304456,3121451,234
Pennsylvania1,719$38,673,799462,890130969
New Jersey1,124$35,048,694359,4801341,130
Virginia980$34,448,887405,1081721,678
Maryland695$29,949,031318,9981901,711
Massachusetts1,141$28,918,538329,8701361,099
Michigan1,118$23,976,927292,947112922
North Carolina1,059$23,445,221292,4091361,043
Georgia910$20,533,971253,9911351,011
Ohio1,384$20,108,454270,398101683
Arizona664$17,755,324215,8181631,022

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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,450$74,914,264742,859138
Los Angeles-Long Beach-Anaheim, CA1,036$30,155,818306,260119
Chicago-Naperville-Elgin, IL-IN1,021$30,061,052344,237128
Washington-Arlington-Alexandria, DC-VA-MD-WV628$22,447,665233,069141
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD808$21,451,593237,934143
Boston-Cambridge-Newton, MA-NH802$19,941,268225,408123
Miami-Fort Lauderdale-West Palm Beach, FL631$17,912,198198,325127
Dallas-Fort Worth-Arlington, TX696$16,726,755196,806105
Baltimore-Columbia-Towson, MD378$13,993,113151,730159
Houston-Pasadena-The Woodlands, TX627$13,090,253152,89484
Detroit-Warren-Dearborn, MI429$12,097,300141,554126
Atlanta-Sandy Springs-Roswell, GA503$10,784,037128,938116
Phoenix-Mesa-Chandler, AZ426$10,715,620129,558137
Tampa-St. Petersburg-Clearwater, FL328$10,255,106120,751194
Virginia Beach-Chesapeake-Norfolk, VA-NC206$8,585,970101,270188

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 92014 nationally

Ophthalmology accounts for 71% of payment for 92014 nationally in 2020, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology14,10538%$617,557,90171%7,113,142504
Optometry22,71262%$249,790,05429%3,185,821140
Physician Assistant240.07%$192,6860.02%2,749115

Not listed: 15 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 92014 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