Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

67500 Injection of drug into cavity behind eye CPT · Eye procedure

Classification Procedure › Eye (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 5,683 services ▼ 6.3% YoY · 2,143 beneficiaries (CY2024, Medicare FFS)

Medicare paid $208K · $36.63 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group FFS services

4,714

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-6.3%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~9,453 services

4,714 observed fee-for-service (50%) · ~4,739 estimated Medicare Advantage.

Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 67500 (CY2024)

CA 3,986 TX 578 MS 551 FL 341 NJ 212

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$1.2M

Named-group allowed amount

$217K

Named-group Medicare payments

$170K

Avg charge / svc

$248

Avg allowed / svc

$46

Avg payment / svc

$36

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$120–136

$136–153

$153–169

$169–186

$186–202

$202–219

$219–235

$235+

$120 4 groups · avg submitted charge / service $257

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 67500 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	67500 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	MEHRAN TABAN MD INC	TORRANCE	CA	OPHTHALMOLOGY	2	3,934	$1,009,920	$257	premium	98.7%	(424) 247-9090
2	RAYNER EYE CLINIC, LLC	OXFORD	MS	OPHTHALMOLOGY	11	551	$123,975	$225	premium	100.0%	(662) 234-6551
3	AMERICAN ANESTHESIOLOGY OF TENNESSEE PC	KNOXVILLE	FL	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	310	129	$15,480	$120	premium	37.8%	(865) 546-8040
4	GPS ANESTHESIA AND PAIN MGMT, P.C.	SHERMAN	TX	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	4	100	$17,385	$174	premium	17.3%	(903) 893-5330

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →