HCPCS 92134

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

Other services Work RVU per service 0.45 (2022 fee schedule)

25,870
99th percentile among 6,326 codes billed · 2022
$223M
99th percentile among 6,326 codes billed · 2022
7.6M
99th percentile among 6,326 codes billed · 2022
66
80th percentile among 6,326 codes billed · 2022
1,699
92nd percentile among 6,326 codes billed · 2022
+0.2%
Medicare payment on the code vs 2021; billers +3.0% · 2022

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
California2,063$25,454,878793,924881,947
Florida1,568$19,157,745659,2651102,051
New York1,541$16,927,786503,492851,807
Texas1,613$13,719,061474,542641,630
Pennsylvania1,262$10,719,607365,822601,382
Illinois1,031$9,481,112322,568741,905
Maryland487$8,328,863254,850943,043
Massachusetts652$6,881,306228,861601,928
New Jersey678$6,689,102199,274791,683
Virginia633$6,446,276212,498642,550
Ohio937$6,221,019233,088541,743
North Carolina782$5,982,240218,199661,627
Michigan775$5,736,979206,141611,380
Arizona525$5,348,790192,259942,184
Washington675$5,108,265174,347641,490

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,544$18,603,606534,60091
Los Angeles-Long Beach-Anaheim, CA695$9,497,940298,695107
Chicago-Naperville-Elgin, IL-IN704$7,812,300260,89381
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD518$6,288,510201,13471
Washington-Arlington-Alexandria, DC-VA-MD-WV404$5,804,712173,32078
Boston-Cambridge-Newton, MA-NH473$5,301,051176,78760
Miami-Fort Lauderdale-West Palm Beach, FL408$4,446,792151,03192
Dallas-Fort Worth-Arlington, TX391$3,995,797135,34666
Phoenix-Mesa-Chandler, AZ330$3,783,697134,78498
Baltimore-Columbia-Towson, MD248$3,384,901105,28276
Houston-Pasadena-The Woodlands, TX378$3,379,860114,14959
Detroit-Warren-Dearborn, MI285$2,864,78799,15797
San Francisco-Oakland-Fremont, CA249$2,789,88381,44069
Tampa-St. Petersburg-Clearwater, FL210$2,587,03191,630140
Atlanta-Sandy Springs-Roswell, GA321$2,543,58385,73852

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 92134 nationally

Ophthalmology accounts for 89% of payment for 92134 nationally in 2022, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology13,00650%$199,100,42889%6,724,570517
Optometry12,79849%$23,620,85011%884,45069
Physician Assistant300.12%$117,1330.05%6,159205
Neurology140.05%$29,9520.01%1,14282

Not listed: 12 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 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