HCPCS 92134

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

Other services Work RVU per service 0.45 (2021 fee schedule)

25,116
99th percentile among 6,253 codes billed · 2021
$223M
99th percentile among 6,253 codes billed · 2021
7.4M
99th percentile among 6,253 codes billed · 2021
65
81st percentile among 6,253 codes billed · 2021
1,682
92nd percentile among 6,253 codes billed · 2021
+15.5%
Medicare payment on the code vs 2020; billers +7.0% · 2021

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
California1,982$24,478,774741,650821,925
Florida1,511$19,264,219643,5641042,128
New York1,539$16,651,331481,969841,606
Texas1,547$13,212,816442,668661,595
Pennsylvania1,229$10,852,719356,822571,469
Illinois1,011$9,697,782320,494731,913
Maryland461$8,189,456243,787903,098
New Jersey649$6,636,377191,830761,643
Virginia623$6,511,706209,317612,559
Massachusetts610$6,496,685210,937611,856
Ohio894$6,319,203227,610541,636
North Carolina764$6,158,520218,155651,473
Michigan758$5,770,927200,422611,444
Arizona485$5,391,714187,523992,550
Washington637$5,252,147173,473671,612

Not listed: 2 billers with an armed-forces or unknown state code (AE, 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-NJ1,512$18,456,312515,86291
Los Angeles-Long Beach-Anaheim, CA668$9,126,783278,783101
Chicago-Naperville-Elgin, IL-IN689$7,893,623256,32676
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD492$6,167,445190,12165
Washington-Arlington-Alexandria, DC-VA-MD-WV391$5,654,474164,40774
Boston-Cambridge-Newton, MA-NH452$5,015,116163,35258
Miami-Fort Lauderdale-West Palm Beach, FL384$4,497,267149,43697
Dallas-Fort Worth-Arlington, TX374$3,832,360125,45569
Phoenix-Mesa-Chandler, AZ303$3,710,189128,354102
Baltimore-Columbia-Towson, MD230$3,382,810102,36274
Houston-Pasadena-The Woodlands, TX341$3,292,296108,13861
Detroit-Warren-Dearborn, MI278$2,721,93891,63198
Tampa-St. Petersburg-Clearwater, FL201$2,694,91292,110119
Seattle-Tacoma-Bellevue, WA278$2,540,43980,59170
San Francisco-Oakland-Fremont, CA234$2,504,57070,45567

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 92134 nationally

Ophthalmology accounts for 90% of payment for 92134 nationally in 2021, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology12,93151%$199,865,27190%6,565,217508
Optometry12,13048%$22,391,24910%809,22967
Physician Assistant200.08%$54,9360.02%3,107155
Neurology150.06%$28,4850.01%1,09973

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 2021.

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