Ophthalmology — Medicare Part B billing by state
2,186 physician groups whose primary specialty is Ophthalmology billed $5.3B to Medicare fee-for-service in 2024.
Calendar year 2024 · Medicare fee-for-service Part B
On this page: Billing by state · Top codes
Medicare billing by state
| State | Standardized payments | Medicare payments | Groups | Pay / group | Services | Benef.-episodes | Svc / group |
|---|---|---|---|---|---|---|---|
| Florida | $491.2M | $492.8M | 223 | $2.2M | 9.4M | 1.8M | 42,102 |
| California | $468.2M | $495.1M | 288 | $1.7M | 7.2M | 2.0M | 25,145 |
| Texas | $451.6M | $450.4M | 223 | $2.0M | 7.2M | 1.4M | 32,392 |
| New York | $278.0M | $292.3M | 213 | $1.4M | 4.5M | 1.3M | 21,084 |
| Maryland | $215.3M | $220.2M | 76 | $2.9M | 14.9M | 710K | 196K |
| Virginia | $202.2M | $203.2M | 72 | $2.8M | 2.7M | 706K | 37,988 |
| Ohio | $179.0M | $176.5M | 85 | $2.1M | 2.2M | 546K | 25,300 |
| North Carolina | $169.7M | $166.8M | 73 | $2.3M | 3.8M | 557K | 52,355 |
| Tennessee | $161.4M | $158.1M | 47 | $3.4M | 4.1M | 394K | 88,026 |
| New Jersey | $158.8M | $167.6M | 94 | $1.8M | 3.7M | 784K | 39,825 |
| Pennsylvania | $155.1M | $155.0M | 140 | $1.1M | 2.0M | 703K | 14,637 |
| Illinois | $153.1M | $154.7M | 113 | $1.4M | 2.4M | 687K | 21,251 |
| South Carolina | $151.8M | $149.3M | 50 | $3.0M | 2.1M | 491K | 42,920 |
| Massachusetts | $130.3M | $135.2M | 77 | $1.8M | 1.6M | 651K | 21,108 |
| Georgia | $125.6M | $124.4M | 62 | $2.0M | 1.8M | 484K | 28,977 |
| Washington | $124.5M | $126.0M | 48 | $2.6M | 2.1M | 373K | 44,196 |
| Colorado | $123.3M | $124.5M | 53 | $2.3M | 1.9M | 300K | 35,414 |
| Michigan | $114.9M | $114.0M | 103 | $1.1M | 1.6M | 434K | 15,663 |
| Arizona | $101.0M | $100.8M | 44 | $2.3M | 1.6M | 344K | 35,652 |
| Oregon | $90.9M | $92.1M | 38 | $2.4M | 1.7M | 453K | 44,317 |
| Indiana | $86.4M | $84.5M | 42 | $2.0M | 970K | 272K | 23,099 |
| Kansas | $80.2M | $78.5M | 37 | $2.1M | 1.0M | 198K | 27,628 |
| Iowa | $79.0M | $77.6M | 19 | $4.1M | 1.6M | 203K | 84,980 |
| Missouri | $77.6M | $76.7M | 58 | $1.3M | 1.5M | 280K | 26,055 |
| Connecticut | $60.3M | $61.9M | 35 | $1.8M | 808K | 221K | 23,082 |
| Utah | $58.7M | $58.0M | 37 | $1.6M | 828K | 147K | 22,376 |
| Oklahoma | $56.7M | $55.5M | 32 | $1.7M | 1.3M | 158K | 40,110 |
| Minnesota | $56.0M | $56.2M | 30 | $1.9M | 701K | 145K | 23,361 |
| Mississippi | $53.7M | $51.4M | 33 | $1.6M | 681K | 195K | 20,639 |
| Kentucky | $52.4M | $51.3M | 36 | $1.4M | 707K | 148K | 19,652 |
| Nebraska | $52.3M | $51.2M | 15 | $3.4M | 1.2M | 119K | 77,842 |
| Alabama | $51.9M | $49.4M | 43 | $1.1M | 716K | 225K | 16,656 |
| Louisiana | $49.5M | $47.8M | 57 | $838K | 1.3M | 222K | 23,567 |
| Nevada | $47.3M | $47.3M | 19 | $2.5M | 772K | 184K | 40,622 |
| Wisconsin | $47.1M | $46.4M | 39 | $1.2M | 668K | 149K | 17,115 |
| Arkansas | $44.2M | $42.3M | 24 | $1.8M | 671K | 170K | 27,942 |
| Idaho | $33.8M | $33.1M | 19 | $1.7M | 466K | 93,711 | 24,501 |
| South Dakota | $30.4M | $30.1M | 8 | $3.8M | 3.7M | 62,005 | 466K |
| Montana | $26.6M | $26.6M | 9 | $3.0M | 314K | 87,113 | 34,923 |
| New Hampshire | $25.7M | $25.7M | 12 | $2.1M | 502K | 123K | 41,850 |
| West Virginia | $25.6M | $25.1M | 10 | $2.5M | 276K | 66,432 | 27,616 |
| Maine | $18.3M | $18.4M | 10 | $1.8M | 412K | 40,083 | 41,169 |
| North Dakota | $12.2M | $12.2M | 6 | $2.0M | 227K | 26,439 | 37,912 |
| Delaware | $11.1M | $11.1M | 10 | $1.1M | 151K | 76,034 | 15,078 |
| Hawaii | $10.0M | $10.3M | 19 | $545K | 161K | 58,591 | 8,500 |
| Rhode Island | $9.7M | $9.8M | 13 | $750K | 87,731 | 40,925 | 6,749 |
| District of Columbia | $8.7M | $9.1M | 17 | $537K | 115K | 52,660 | 6,766 |
| Vermont | $7.1M | $7.1M | 6 | $1.2M | 71,980 | 26,511 | 11,997 |
| New Mexico | $5.6M | $5.5M | 10 | $546K | 106K | 27,119 | 10,557 |
| Alaska | $4.8M | $5.3M | 5 | $1.1M | 64,300 | 16,381 | 12,860 |
| PR | $735K | $736K | 15 | $49K | 16,976 | 9,360 | 1,132 |
| Wyoming | $679K | $670K | 2 | $335K | 9,031 | 6,958 | 4,516 |
| VI | $657K | $635K | 1 | $635K | 10,073 | 6,058 | 10,073 |
| GU | $67K | $65K | 1 | $65K | 762 | 441 | 762 |
Need this specialty's market in one document?
Register your interestEach group carries one specialty label — the specialty most common among its clinicians in CMS's Doctors and Clinicians register — so every figure on this page counts groups, not individual clinicians. An organization's entire Medicare billing is credited to that one label, so a specialty's totals reflect how organizations are labeled, not the specialty of each service; large multi-specialty organizations — where no single specialty is a majority of the clinicians — account for much of the volume shown under many specialties. Totals include only volume that can be credited to a single group; clinicians registered with more than one group are left out of group totals and shown as “—” elsewhere on Nevvi. Clinicians not registered with any group, and groups without a specialty label, are also not included. A group is counted in every state its clinicians bill Medicare from, so state figures overlap and never sum to the national figure.
All figures are Medicare fee-for-service Part B only; Medicare Advantage claims are not included. Cross-state comparisons use standardized payments, which remove regional differences in what Medicare pays; services without a standardized amount — mainly Part B drugs — are not in that column, and the Medicare payments column shows what Medicare actually paid. Beneficiary counts are beneficiary-episodes: one person treated in more than one setting or state is counted in each.
Top codes by Medicare payments CY2024
7 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.
| Code | Medicare payments | Services | Largest state markets |
|---|---|---|---|
| J0178 · Injection, aflibercept, 1 mg | $1.2B | 1.8M | FLCATXNYMD |
| J2777 · Injection, faricimab-svoa, 0.1 mg | $1.0B | 38.4M | FLCATXNYMD |
| J0177 · Injection, aflibercept hd, 1 mg | $355.8M | 1.4M | FLCATXNYMD |
| J2781 · Injection, pegcetacoplan, intravitreal, 1 mg | $207.3M | 1.8M | FLCATXNYMD |
| J2403 · Chloroprocaine hcl ophthalmic, 3% gel, 1 mg top by services | $13.3M | 26.4M | FLCATXNYMD |