Top billers · Codes · 66984

Who bills 66984?

66984 is the CPT code for: Removal of cataract with insertion of prosthetic lens. In 2024, 15,527 providers billed 66984 6,680,450 times, with an estimated $1.6B paid by Medicare.

$462.60
2026 PFS national rate (facility)
15,527
Providers billing it (2024)
6,680,450
Services billed
$1.6B
Est. Medicare paid
The fee

What does Medicare pay for 66984?

Medicare's 2026 Physician Fee Schedule national rate for 66984 is $462.60 in the facility setting. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rateNo separate office rate
Facility rate$462.60
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $240.57 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 66984 the most.

The top 5 billers nationally, ranked by 2024 Medicare service volume.

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Jason Kvitle, O.D.OptometryQuincy, IL12,080$11K
2Stephen Demick, M.D.OphthalmologyChillicothe, OH11,256$10K
3Rod Rallo, ODOptometryLouisville, KY11,245$10K
4Matthew Puzio, O.DOptometrySouth Dennis, MA10,742$10K
5Clint Taylor, ODOptometryCarmi, IL10,144$10K

15,522 more providers billed 66984 in 2024. The full ranked list — filtered to your exact territory, with phone numbers and year-over-year history — is one search in Prospect 811.

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The breakdown

Where 66984 gets billed.

Top states by volume

Illinois663,582 services
North Carolina577,498 services
Kentucky456,780 services
Wisconsin432,508 services
Ohio393,545 services
Virginia367,462 services
Tennessee319,400 services
Minnesota297,359 services

About this code

CMS descriptionRemoval of cataract with insertion of prosthetic lens
Code typeCPT (Level I HCPCS)
Providers billing it (2024)15,527
Services billed (2024)6,680,450
Avg. Medicare payment per service (2024)$240.57
Where these numbers come from. Rates are CMS's own public fee-schedule files — the Physician Fee Schedule, Clinical Laboratory Fee Schedule, ASP drug pricing, DMEPOS, and the OPPS/ASC addenda — each labeled with its file year on this page; national amounts are shown before geographic adjustment. Codes with no separate rate render the fee schedule's own status in words, never a fake $0. Utilization comes from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment times its service count, summed — actual per-claim payment varies by setting and modifiers. For drug and supply codes, a "service" is a billed unit (a milligram, a milliliter, a square centimeter), not a patient visit. Code descriptions are CMS's own, from the utilization files. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

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