HCPCS 92250

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

Other services Work RVU per service 0.40 (2023 fee schedule)

25,087
99th percentile among 6,405 codes billed · 2023
$86M
97th percentile among 6,405 codes billed · 2023
3.3M
98th percentile among 6,405 codes billed · 2023
62
78th percentile among 6,405 codes billed · 2023
491
79th percentile among 6,405 codes billed · 2023
+3.3%
Medicare payment on the code vs 2022; billers +1.8% · 2023

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
California2,173$10,347,802357,49566664
New York1,704$8,853,901298,75978670
Florida1,502$7,969,707302,59586761
Texas1,837$5,457,451216,61251422
New Jersey928$4,792,535162,26690624
Pennsylvania1,266$3,689,665146,13457442
North Carolina846$2,989,831125,54278515
Illinois922$2,955,424116,45871452
Virginia669$2,709,211105,21677529
Maryland487$2,402,46584,38257714
Michigan745$1,940,21578,63850393
Georgia619$1,757,66871,71950388
Massachusetts565$1,756,96464,36157410
Washington608$1,689,94064,71250367
Ohio752$1,659,88469,61046312

Not listed: 6 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,003$11,472,853378,42688
Los Angeles-Long Beach-Anaheim, CA720$4,074,396138,14177
Washington-Arlington-Alexandria, DC-VA-MD-WV458$2,384,53782,64271
Chicago-Naperville-Elgin, IL-IN645$2,143,25881,17665
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD603$2,123,93577,84364
Miami-Fort Lauderdale-West Palm Beach, FL436$2,085,65577,14485
Dallas-Fort Worth-Arlington, TX533$1,619,05063,79255
Detroit-Warren-Dearborn, MI350$1,248,99249,44259
Boston-Cambridge-Newton, MA-NH412$1,202,95343,49453
San Francisco-Oakland-Fremont, CA278$1,117,44034,36051
Houston-Pasadena-The Woodlands, TX415$1,064,44740,77945
Tampa-St. Petersburg-Clearwater, FL211$1,024,86939,66185
Phoenix-Mesa-Chandler, AZ295$993,04840,36066
Cape Coral-Fort Myers, FL80$880,39731,955116
Atlanta-Sandy Springs-Roswell, GA324$865,53534,34550

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 2023.

Specialties billing 92250 nationally

Ophthalmology accounts for 54% of payment for 92250 nationally in 2023, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Ophthalmology8,29933%$46,397,25254%1,699,248205
Optometry16,20465%$39,450,80046%1,605,09499
Family Practice2541.0%$127,4070.15%5,91123
Internal Medicine1630.65%$103,4280.12%4,25426
Physician Assistant440.18%$73,1260.08%4,811109
Neurology390.16%$72,1240.08%2,74770
Nurse Practitioner400.16%$51,1280.06%2,45361
Endocrinology180.07%$10,4050.01%44725

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 2023.

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