HCPCS 92014

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

Other services Work RVU per service 1.42 (2021 fee schedule)

36,828
99th percentile among 6,253 codes billed · 2021
$823M
100th percentile among 6,253 codes billed · 2021
9.7M
99th percentile among 6,253 codes billed · 2021
126
89th percentile among 6,253 codes billed · 2021
964
88th percentile among 6,253 codes billed · 2021
-5.2%
Medicare payment on the code vs 2020; billers -0.2% · 2021

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
California3,003$81,547,754838,4421081,098
Florida2,294$69,758,735806,2911571,344
New York2,317$66,458,920675,2291471,062
Texas2,721$60,888,378720,8431091,008
New Jersey1,123$37,487,107374,1681431,210
Illinois1,423$36,927,408432,8271341,153
Pennsylvania1,692$36,199,924427,362123958
Massachusetts1,125$32,415,460360,4751511,190
Virginia957$29,509,122344,3401411,466
Maryland653$24,011,338255,1281791,419
Georgia895$19,013,648234,724135950
Ohio1,412$18,800,245250,41892635
Michigan1,120$18,530,140229,85097734
North Carolina1,029$18,268,538230,616119767
Tennessee815$16,068,198205,977110942

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-NJ2,416$78,329,728756,161143
Los Angeles-Long Beach-Anaheim, CA1,024$31,611,316312,211110
Chicago-Naperville-Elgin, IL-IN1,016$27,685,545313,426113
Boston-Cambridge-Newton, MA-NH809$22,520,755248,070138
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD778$20,544,491223,903132
Miami-Fort Lauderdale-West Palm Beach, FL648$17,808,707196,531108
Washington-Arlington-Alexandria, DC-VA-MD-WV592$17,221,300178,113107
Dallas-Fort Worth-Arlington, TX710$17,167,676197,51297
Houston-Pasadena-The Woodlands, TX627$13,166,464150,04778
Baltimore-Columbia-Towson, MD355$11,896,856127,634161
Atlanta-Sandy Springs-Roswell, GA491$10,618,943126,136130
San Francisco-Oakland-Fremont, CA388$10,031,83097,48186
Phoenix-Mesa-Chandler, AZ412$9,166,249111,769131
Detroit-Warren-Dearborn, MI423$8,972,219106,079105
Tampa-St. Petersburg-Clearwater, FL339$8,523,099100,335134

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 2021.

Specialties billing 92014 nationally

Ophthalmology accounts for 67% of payment for 92014 nationally in 2021, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology13,35436%$549,348,00467%6,238,986467
Optometry23,41464%$272,593,80433%3,413,451146
Physician Assistant220.06%$253,5560.03%3,612164
Neurology110.03%$48,866<0.01%59354

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 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