HCPCS 92014

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

Other services Work RVU per service 1.42 (2023 fee schedule)

35,415
99th percentile among 6,405 codes billed · 2023
$783M
100th percentile among 6,405 codes billed · 2023
9.3M
99th percentile among 6,405 codes billed · 2023
125
88th percentile among 6,405 codes billed · 2023
972
86th percentile among 6,405 codes billed · 2023
+0.8%
Medicare payment on the code vs 2022; billers -0.5% · 2023

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
California2,890$82,873,551851,9771071,180
New York2,221$65,141,731676,1441551,096
Florida2,178$62,107,593739,4171561,296
Texas2,704$56,839,744689,366101994
New Jersey1,129$39,377,937401,3371571,320
Illinois1,415$34,953,612419,3211271,177
Pennsylvania1,569$32,915,310402,827130945
Massachusetts1,073$32,320,786366,5911641,219
Virginia873$28,625,933337,7581701,508
Maryland617$27,145,970293,5932061,758
Ohio1,392$17,934,106242,38796605
Georgia847$16,691,706209,504128877
Michigan1,082$15,993,751202,94196665
North Carolina880$15,617,640198,428108783
Tennessee809$15,531,612202,610115931

Not listed: 4 billers with an armed-forces or unknown state code (AA, AE, AP, 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-NJ2,356$80,625,817797,520158
Los Angeles-Long Beach-Anaheim, CA990$34,191,188340,250111
Chicago-Naperville-Elgin, IL-IN1,019$26,645,227310,346105
Boston-Cambridge-Newton, MA-NH787$22,332,323251,389143
Washington-Arlington-Alexandria, DC-VA-MD-WV528$22,088,895229,670153
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD724$19,721,865221,536140
Dallas-Fort Worth-Arlington, TX707$16,635,504195,99279
Miami-Fort Lauderdale-West Palm Beach, FL627$16,382,240185,796104
Houston-Pasadena-The Woodlands, TX648$12,940,299152,95480
Baltimore-Columbia-Towson, MD331$11,977,901133,224187
San Francisco-Oakland-Fremont, CA378$9,633,62491,69079
Atlanta-Sandy Springs-Roswell, GA490$9,516,953115,036100
Phoenix-Mesa-Chandler, AZ415$8,890,942109,531120
Detroit-Warren-Dearborn, MI408$7,821,33995,044100
Tampa-St. Petersburg-Clearwater, FL322$7,707,25493,050140

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 2023.

Specialties billing 92014 nationally

Ophthalmology accounts for 65% of payment for 92014 nationally in 2023, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology12,22335%$507,906,60665%5,827,574477
Optometry23,13165%$273,789,10135%3,476,120150
Physician Assistant260.07%$355,3510.05%5,314204

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 2023.

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