66984
Extracapsular cataract removal with IOL insertion
Extracapsular cataract removal with IOL insertion is the #262 most-billed Medicaid procedure code, with $542.8M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $268.70. Costs vary widely — the 90th percentile is $773.78 per claim, 2.9× the median.
Total Paid
$542.8M
0.05% of all spending
Total Claims
1.5M
Providers
2K
Avg Cost/Claim
$362
National Cost Distribution
How much do providers bill per claim for 66984? Based on 2K providers billing this code nationally.
Median
$268.70
Average
$359.92
Std Dev
$320.34
Max
$2,899.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $150.76 and $465.35 per claim for this code.
90% bill between $81.11 and $773.78.
Top 1% bill above $1,529.02.
About This Procedure
HCPCS code 66984 (Extracapsular cataract removal with IOL insertion) was billed by 2K providers across 1.5M claims, totaling $542.8M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$268.70
Providers Billing
2K
National Spending
$542.8M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 66984
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649218009 | $6.5M |
| 2 | 1326004110 | $5.6M |
| 3 | 1245251222 | $5.1M |
| 4 | 1962422709 | $5.0M |
| 5 | 1760541569 | $4.8M |
| 6 | 1376641670 | $4.7M |
| 7 | 1114033404 | $4.7M |
| 8 | 1205878758 | $4.6M |
| 9 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $4.3M |
| 10 | 1639101751 | $4.2M |
| 11 | 1427116367 | $4.2M |
| 12 | 1851343719 | $4.0M |
| 13 | 1538178256 | $3.9M |
| 14 | 1487740957 | $3.7M |
| 15 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $3.7M |
| 16 | 1104868520 | $3.6M |
| 17 | 1326062084 | $3.6M |
| 18 | Broadlawns Medical Center Des Moines, IA · General Acute Care Hospital | $3.2M |
| 19 | 1730180084 | $3.2M |
| 20 | 1114931052 | $3.1M |
Showing top 20 of 2K providers billing this code