66821 is the CPT code for: Removal of recurring cataract in lens capsule using a laser. In 2024, 10,031 providers billed 66821 989,295 times, with an estimated $190.4M paid by Medicare.
Medicare's 2026 Physician Fee Schedule national rate for 66821 is $335.35 in the office setting and $275.22 in a facility. National amounts before geographic adjustment — your locality's rate differs slightly.
What Medicare actually paid per service in 2024, on average: $192.46 (observed payment across all settings and modifiers — not a fee-schedule rate).
The top 5 billers nationally, ranked by 2024 Medicare service volume.
| # | Provider | Specialty | Location | Services | Est. Medicare paid |
|---|---|---|---|---|---|
| 1 | Jason Kvitle, O.D. | Optometry | Quincy, IL | 9,982 | $5K |
| 2 | John Paulsen, O.D. | Optometry | Sturgeon Bay, WI | 4,676 | $3K |
| 3 | Rachelle Penka, OD | Optometry | Spartanburg, SC | 4,363 | $2K |
| 4 | Elissa Harvey, O.D. | Optometry | Salem, IL | 3,954 | $2K |
| 5 | Alan Montgomery, OD | Optometry | Salem, IL | 3,693 | $2K |
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