HCPCS 92250

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

Other services Work RVU per service 0.40 (2020 fee schedule)

23,277
99th percentile among 6,116 codes billed · 2020
$93M
98th percentile among 6,116 codes billed · 2020
2.9M
98th percentile among 6,116 codes billed · 2020
58
80th percentile among 6,116 codes billed · 2020
458
81st percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M$100M2020: $93M paid20202021: $92M paid20212022: $84M paid20222023: $86M paid20232024: $87M paid2024$87M$0$50M$100M2020: $93M paid20202021: $92M paid20212022: $84M paid20222023: $86M paid20232024: $87M paid2024$87M$0$50M$100M2020: $93M paid20202021: $92M paid20212022: $84M paid20222023: $86M paid20232024: $87M paid2024$87M$0$50M$100M2020: $93M paid20202021: $92M paid20212022: $84M paid20222023: $86M paid20232024: $87M paid2024$87M

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

Billers

010K20K2020: 23K providers20202021: 25K providers20212022: 25K providers20222023: 25K providers20232024: 25K providers202425K010K20K2020: 23K providers20202021: 25K providers20212022: 25K providers20222023: 25K providers20232024: 25K providers202425K010K20K2020: 23K providers20202021: 25K providers20212022: 25K providers20222023: 25K providers20232024: 25K providers202425K010K20K2020: 23K providers20202021: 25K providers20212022: 25K providers20222023: 25K providers20232024: 25K providers202425K

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
202425,483$86,790,642+1%3,413,264634900.40
202325,087$86,318,933+3%3,326,330624910.40
202224,648$83,564,666-9%3,223,259614860.40
202124,669$92,060,263-1%3,286,065604940.40
202023,277$93,301,518first year in data2,914,033584580.40

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
California1,985$11,332,718316,35961656
Florida1,364$8,872,493271,67882712
New York1,600$8,298,162226,74365528
Texas1,706$6,608,878211,79550449
New Jersey855$4,653,023125,90468557
Pennsylvania1,110$3,680,735116,10452399
North Carolina864$3,473,598118,77968502
Illinois890$3,241,167103,74059401
Virginia610$3,068,87695,26473565
Maryland409$2,645,38773,97965761
Michigan705$2,281,32274,32451385
Washington580$1,970,16462,04942454
Ohio723$1,842,19763,34644326
Massachusetts523$1,793,74353,56950328
Arizona443$1,755,43557,25770466

Not listed: 3 billers with an armed-forces or unknown state code (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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,843$10,574,617279,06470
Los Angeles-Long Beach-Anaheim, CA693$4,235,600116,09066
Washington-Arlington-Alexandria, DC-VA-MD-WV393$2,418,59466,76174
Chicago-Naperville-Elgin, IL-IN615$2,221,27968,40554
Miami-Fort Lauderdale-West Palm Beach, FL380$2,140,48863,61182
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD523$2,026,43258,55458
Dallas-Fort Worth-Arlington, TX517$1,766,79655,93944
Detroit-Warren-Dearborn, MI326$1,380,50743,77361
Boston-Cambridge-Newton, MA-NH393$1,296,84238,77843
Cape Coral-Fort Myers, FL83$1,230,50835,407115
San Francisco-Oakland-Fremont, CA243$1,199,19630,08746
Houston-Pasadena-The Woodlands, TX357$1,160,46335,66346
Tampa-St. Petersburg-Clearwater, FL184$1,084,42634,03086
Phoenix-Mesa-Chandler, AZ299$1,083,02435,01256
Baltimore-Columbia-Towson, MD207$959,53627,57850

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 92250 nationally

Ophthalmology accounts for 59% of payment for 92250 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,41536%$55,136,53559%1,651,268196
Optometry14,23861%$37,611,38740%1,242,52787
Family Practice2721.2%$172,0420.18%6,33723
Internal Medicine1950.84%$151,7460.16%5,23527
Neurology280.12%$68,5750.07%2,15077
Physician Assistant280.12%$55,5140.06%2,814101
Endocrinology430.18%$47,6760.05%1,43933
Nurse Practitioner280.12%$29,5480.03%1,22444

Not listed: 15 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 92250 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