HCPCS 92250

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

Other services Work RVU per service 0.40 (2022 fee schedule)

24,648
99th percentile among 6,326 codes billed · 2022
$84M
97th percentile among 6,326 codes billed · 2022
3.2M
98th percentile among 6,326 codes billed · 2022
61
79th percentile among 6,326 codes billed · 2022
486
81st percentile among 6,326 codes billed · 2022
-9.2%
Medicare payment on the code vs 2021; billers -0.1% · 2022

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
California2,135$10,023,081348,44164659
New York1,708$8,433,133281,74777629
Florida1,446$7,714,236292,58687780
Texas1,812$5,209,953206,79150410
New Jersey898$4,442,476149,08887609
Pennsylvania1,207$3,542,217139,29056441
North Carolina866$3,005,307126,50675522
Illinois913$2,806,653110,92565439
Virginia645$2,505,07797,02667553
Maryland438$2,291,00779,64955767
Michigan738$2,027,59881,47653430
Washington592$1,780,47069,42552438
Massachusetts560$1,770,50664,85057431
Georgia607$1,682,03468,54254396
Arizona476$1,614,66166,32275492

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-NJ1,971$10,732,934349,48586
Los Angeles-Long Beach-Anaheim, CA696$3,987,218135,02474
Washington-Arlington-Alexandria, DC-VA-MD-WV432$2,244,70077,01167
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD565$2,028,94273,31163
Chicago-Naperville-Elgin, IL-IN626$2,012,27376,02059
Miami-Fort Lauderdale-West Palm Beach, FL420$1,996,17873,98787
Dallas-Fort Worth-Arlington, TX533$1,541,25960,33147
Detroit-Warren-Dearborn, MI337$1,307,18251,01269
Boston-Cambridge-Newton, MA-NH419$1,235,28744,64250
Phoenix-Mesa-Chandler, AZ307$1,032,90842,09071
San Francisco-Oakland-Fremont, CA267$1,032,43832,65447
Tampa-St. Petersburg-Clearwater, FL198$1,029,42340,13391
Houston-Pasadena-The Woodlands, TX390$972,01837,03943
Atlanta-Sandy Springs-Roswell, GA329$866,79433,92947
Cape Coral-Fort Myers, FL83$825,87129,452106

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 92250 nationally

Ophthalmology accounts for 55% of payment for 92250 nationally in 2022, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,31334%$45,944,73555%1,687,808203
Optometry15,74064%$37,118,14044%1,512,52396
Family Practice2601.1%$143,7960.17%6,50225
Internal Medicine1660.67%$114,2830.14%4,63028
Neurology330.13%$83,7610.10%3,11794
Physician Assistant350.14%$63,7520.08%4,371125
Nurse Practitioner420.17%$42,4170.05%2,07449
Endocrinology320.13%$24,3680.03%1,05233

Not listed: 14 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 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