HCPCS 92134

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

Other services Work RVU per service 0.45 (2020 fee schedule)

23,475
99th percentile among 6,116 codes billed · 2020
$193M
99th percentile among 6,116 codes billed · 2020
6.5M
99th percentile among 6,116 codes billed · 2020
59
80th percentile among 6,116 codes billed · 2020
1,597
92nd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M$200M2020: $193M paid20202021: $223M paid20212022: $223M paid20222023: $229M paid20232024: $235M paid2024$235M$0$100M$200M2020: $193M paid20202021: $223M paid20212022: $223M paid20222023: $229M paid20232024: $235M paid2024$235M$0$100M$200M2020: $193M paid20202021: $223M paid20212022: $223M paid20222023: $229M paid20232024: $235M paid2024$235M$0$100M$200M2020: $193M paid20202021: $223M paid20212022: $223M paid20222023: $229M paid20232024: $235M paid2024$235M

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

Billers

020K2020: 23K providers20202021: 25K providers20212022: 26K providers20222023: 27K providers20232024: 28K providers202428K020K2020: 23K providers20202021: 25K providers20212022: 26K providers20222023: 27K providers20232024: 28K providers202428K020K2020: 23K providers20202021: 25K providers20212022: 26K providers20222023: 27K providers20232024: 28K providers202428K020K2020: 23K providers20202021: 25K providers20212022: 26K providers20222023: 27K providers20232024: 28K providers202428K

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
202427,541$234,809,890+2%8,111,308701,6680.45
202326,868$229,361,531+3%7,906,738691,6810.45
202225,870$223,087,277+0%7,624,132661,6990.45
202125,116$222,536,024+15%7,385,445651,6820.45
202023,475$192,746,913first year in data6,484,022591,5970.45

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
California1,827$19,822,626606,416721,682
Florida1,474$17,872,181598,323962,058
New York1,447$13,392,755397,711721,486
Texas1,427$11,378,144386,401621,511
Pennsylvania1,112$9,130,240306,496561,438
Illinois957$8,268,334277,651661,770
Maryland452$6,890,032208,118752,697
Virginia582$5,674,052186,027532,382
New Jersey600$5,672,781168,113701,643
Ohio846$5,523,531199,437501,518
North Carolina700$5,522,071197,504601,550
Massachusetts562$5,047,524166,463541,539
Michigan708$4,984,362174,609591,481
Arizona472$4,802,964166,088802,287
Washington592$4,679,358158,901671,646

Not listed: 1 billers with an armed-forces or unknown state code (AE); 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-NJ1,416$14,771,530422,33277
Los Angeles-Long Beach-Anaheim, CA628$7,603,695233,09994
Chicago-Naperville-Elgin, IL-IN639$6,591,692217,28179
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD435$5,128,755161,49459
Washington-Arlington-Alexandria, DC-VA-MD-WV374$4,495,392132,09458
Miami-Fort Lauderdale-West Palm Beach, FL369$4,147,179136,21286
Boston-Cambridge-Newton, MA-NH414$3,853,038127,29051
Dallas-Fort Worth-Arlington, TX340$3,317,216110,47661
Phoenix-Mesa-Chandler, AZ293$3,309,130114,55384
Baltimore-Columbia-Towson, MD229$3,004,97492,21860
Houston-Pasadena-The Woodlands, TX318$2,877,61495,11957
Tampa-St. Petersburg-Clearwater, FL188$2,413,04282,966108
Seattle-Tacoma-Bellevue, WA262$2,281,19173,84159
Detroit-Warren-Dearborn, MI257$2,266,01576,86093
Atlanta-Sandy Springs-Roswell, GA273$2,133,28972,51651

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 92134 nationally

Ophthalmology accounts for 91% of payment for 92134 nationally in 2020, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology12,66254%$175,043,52791%5,830,285460
Optometry10,76546%$17,521,7369.1%646,17560
Physician Assistant140.06%$30,3310.02%1,853132
Neurology140.06%$24,2160.01%92066

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 2020.

Top billers of 92134 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