HCPCS 99223
Evaluation and management service (ClaimLight category; the code descriptor is not shown)
Evaluation and management Work RVU per service 3.50 (2024 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2024 | 140,980 | $1,255,751,512 | -1% | 9,607,216 | 39 | 220 | 3.50 |
| 2023 | 139,583 | $1,266,539,712 | -3% | 9,474,319 | 39 | 219 | 3.50 |
| 2022 | 130,172 | $1,300,281,500 | -7% | 8,435,048 | 39 | 205 | 3.86 |
| 2021 | 131,670 | $1,391,283,334 | -5% | 8,794,981 | 41 | 209 | 3.86 |
| 2020 | 131,506 | $1,463,534,404 | first year in data | 9,060,604 | 42 | 216 | 3.86 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| California | 13,132 | $149,154,080 | 1,083,027 | 47 | 267 | |
| Florida | 11,283 | $138,427,833 | 1,050,070 | 54 | 299 | |
| Texas | 10,348 | $97,441,507 | 762,343 | 43 | 236 | |
| New York | 8,607 | $76,971,071 | 538,674 | 36 | 205 | |
| Illinois | 6,216 | $63,099,352 | 469,656 | 47 | 232 | |
| New Jersey | 5,155 | $60,204,020 | 430,834 | 49 | 265 | |
| Pennsylvania | 7,206 | $55,058,061 | 426,217 | 36 | 185 | |
| Ohio | 5,594 | $41,718,130 | 332,098 | 37 | 185 | |
| Michigan | 4,842 | $37,431,319 | 284,690 | 36 | 184 | |
| Massachusetts | 4,550 | $34,033,639 | 253,275 | 32 | 185 | |
| Virginia | 3,636 | $33,658,619 | 259,251 | 41 | 226 | |
| Georgia | 4,112 | $32,220,301 | 251,789 | 38 | 190 | |
| Arizona | 2,785 | $30,134,420 | 237,040 | 49 | 285 | |
| Maryland | 2,910 | $29,273,953 | 220,342 | 42 | 258 | |
| North Carolina | 4,624 | $29,033,769 | 236,367 | 31 | 157 |
Not listed: 16 billers with an armed-forces or unknown state code (AA, AE, AP, FM, XX, ZZ); they are in the national totals.
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2024.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 9,669 | $103,180,282 | 715,351 | 41 | |
| Los Angeles-Long Beach-Anaheim, CA | 4,912 | $67,434,567 | 489,494 | 54 | |
| Chicago-Naperville-Elgin, IL-IN | 5,320 | $56,418,233 | 418,175 | 48 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 2,830 | $34,258,187 | 250,777 | 49 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 3,641 | $32,814,634 | 242,235 | 40 | |
| Houston-Pasadena-The Woodlands, TX | 2,904 | $28,367,758 | 216,627 | 42 | |
| Dallas-Fort Worth-Arlington, TX | 2,900 | $27,248,078 | 212,551 | 44 | |
| Phoenix-Mesa-Chandler, AZ | 2,065 | $23,660,275 | 185,877 | 51 | |
| Boston-Cambridge-Newton, MA-NH | 3,236 | $23,492,282 | 172,570 | 30 | |
| Tampa-St. Petersburg-Clearwater, FL | 1,898 | $23,407,498 | 179,109 | 62 | |
| Detroit-Warren-Dearborn, MI | 2,532 | $23,064,386 | 172,629 | 42 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 2,216 | $23,060,806 | 169,765 | 46 | |
| Orlando-Kissimmee-Sanford, FL | 1,418 | $17,308,585 | 131,994 | 52 | |
| Baltimore-Columbia-Towson, MD | 1,859 | $16,966,094 | 127,228 | 38 | |
| Atlanta-Sandy Springs-Roswell, GA | 2,250 | $16,854,895 | 129,553 | 35 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.
Specialties billing 99223 nationally
Internal Medicine accounts for 29% of payment for 99223 nationally in 2024, across 65 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Internal Medicine | 32,379 | 23% | $362,520,601 | 29% | 2,750,923 | 85 |
| Hospitalist | 15,569 | 11% | $167,721,324 | 13% | 1,271,491 | 82 |
| Cardiology | 9,730 | 6.9% | $87,686,907 | 7.0% | 650,542 | 67 |
| Nurse Practitioner | 12,201 | 8.7% | $80,618,266 | 6.4% | 723,460 | 59 |
| Nephrology | 6,322 | 4.5% | $68,801,717 | 5.5% | 514,186 | 81 |
| Infectious Disease | 4,437 | 3.1% | $61,858,592 | 4.9% | 458,914 | 103 |
| Family Practice | 6,366 | 4.5% | $61,608,197 | 4.9% | 472,366 | 74 |
| Neurology | 4,719 | 3.3% | $43,484,133 | 3.5% | 326,562 | 69 |
| Pulmonary Disease | 4,912 | 3.5% | $42,107,359 | 3.4% | 313,877 | 64 |
| Physical Medicine and Rehabilitation | 2,086 | 1.5% | $35,188,248 | 2.8% | 264,638 | 127 |
| Physician Assistant | 5,354 | 3.8% | $28,798,548 | 2.3% | 258,605 | 48 |
| Gastroenterology | 3,536 | 2.5% | $25,130,384 | 2.0% | 185,099 | 52 |
| General Surgery | 5,262 | 3.7% | $24,329,575 | 1.9% | 182,722 | 35 |
| Interventional Cardiology | 2,712 | 1.9% | $22,996,942 | 1.8% | 172,955 | 64 |
| Hematology-Oncology | 3,443 | 2.4% | $19,644,561 | 1.6% | 144,307 | 42 |
Not listed: 7 specialties with fewer than 11 billers (small cells).
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2024.
Top billers of 99223 nationally
Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.
Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations