HCPCS 92014

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

Other services Work RVU per service 1.42 (2022 fee schedule)

35,586
99th percentile among 6,326 codes billed · 2022
$777M
100th percentile among 6,326 codes billed · 2022
9.3M
99th percentile among 6,326 codes billed · 2022
124
89th percentile among 6,326 codes billed · 2022
964
87th percentile among 6,326 codes billed · 2022
-5.6%
Medicare payment on the code vs 2021; billers -3.4% · 2022

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
California2,931$79,125,261821,9981041,133
New York2,268$63,931,387660,9321441,069
Florida2,197$63,431,491750,0801551,313
Texas2,697$57,629,049698,505103980
New Jersey1,092$36,135,940367,5661441,202
Illinois1,383$35,104,012419,4291311,154
Pennsylvania1,595$34,216,512415,496132969
Massachusetts1,082$31,747,186361,3581561,200
Virginia893$27,766,126327,4311511,469
Maryland629$26,740,326284,1202061,674
Georgia861$17,229,471217,123132889
Ohio1,359$17,144,196232,18291597
Michigan1,084$17,049,742215,68195694
North Carolina923$16,359,124207,639115823
Tennessee793$15,682,584205,650119913

Not listed: 3 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,353$76,332,500749,757143
Los Angeles-Long Beach-Anaheim, CA996$31,858,654316,74796
Chicago-Naperville-Elgin, IL-IN991$26,700,073308,794108
Boston-Cambridge-Newton, MA-NH785$21,857,775246,535135
Washington-Arlington-Alexandria, DC-VA-MD-WV554$20,437,164207,990129
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD723$19,464,889217,194139
Miami-Fort Lauderdale-West Palm Beach, FL631$16,614,985186,729109
Dallas-Fort Worth-Arlington, TX702$16,513,440194,73889
Houston-Pasadena-The Woodlands, TX644$12,899,179151,00880
Baltimore-Columbia-Towson, MD330$12,093,106132,115203
Atlanta-Sandy Springs-Roswell, GA494$9,864,853119,869117
San Francisco-Oakland-Fremont, CA393$9,777,91996,40183
Phoenix-Mesa-Chandler, AZ413$9,144,649113,119116
Detroit-Warren-Dearborn, MI413$8,442,377101,712106
Tampa-St. Petersburg-Clearwater, FL329$7,357,89488,781112

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 2022.

Specialties billing 92014 nationally

Ophthalmology accounts for 66% of payment for 92014 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology12,52935%$512,758,74766%5,902,606471
Optometry22,99665%$262,920,06334%3,361,311146
Physician Assistant240.07%$327,6400.04%4,889204

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 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