HCPCS 99283

Evaluation and management service (ClaimLight category; the code descriptor is not shown)

Evaluation and management Work RVU per service 1.60 (2024 fee schedule)

26,054
99th percentile among 6,471 codes billed · 2024
$36M
94th percentile among 6,471 codes billed · 2024
744K
95th percentile among 6,471 codes billed · 2024
20
40th percentile among 6,471 codes billed · 2024
73
47th percentile among 6,471 codes billed · 2024
-22.4%
Medicare payment on the code vs 2023; billers -16.1% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $86M paid20202021: $96M paid20212022: $93M paid20222023: $47M paid20232024: $36M paid2024$36M$0$50M$100M2020: $86M paid20202021: $96M paid20212022: $93M paid20222023: $47M paid20232024: $36M paid2024$36M$0$50M$100M2020: $86M paid20202021: $96M paid20212022: $93M paid20222023: $47M paid20232024: $36M paid2024$36M$0$50M$100M2020: $86M paid20202021: $96M paid20212022: $93M paid20222023: $47M paid20232024: $36M paid2024$36M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

020K40K2020: 50K providers20202021: 48K providers20212022: 48K providers20222023: 31K providers20232024: 26K providers202426K020K40K2020: 50K providers20202021: 48K providers20212022: 48K providers20222023: 31K providers20232024: 26K providers202426K020K40K2020: 50K providers20202021: 48K providers20212022: 48K providers20222023: 31K providers20232024: 26K providers202426K020K40K2020: 50K providers20202021: 48K providers20212022: 48K providers20222023: 31K providers20232024: 26K providers202426K

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
202426,054$36,284,360-22%744,46420731.60
202331,069$46,729,798-50%919,63122741.60
202248,052$93,453,885-3%1,765,87028911.60
202148,252$96,373,994+12%1,800,53829911.60
202049,550$86,045,070first year in data1,827,50029881.42

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
New York2,038$2,934,85154,6832062
California1,652$2,192,14944,1021964
Pennsylvania1,485$1,896,86738,3882057
Illinois1,160$1,746,91734,8392280
Texas1,392$1,703,08334,9261863
Florida1,301$1,592,71931,2961856
Ohio1,200$1,523,09032,0922070
Michigan952$1,268,11725,3881872
Massachusetts921$1,251,43825,4712067
South Carolina755$1,106,90823,0562372
Oklahoma583$1,072,30422,43627100
Missouri604$1,002,48521,2602496
New Jersey693$917,92217,3842056
Indiana640$898,92519,6092374
Arizona584$889,18118,8072285

Not listed: 14 billers with an armed-forces or unknown state code (AA, AE, AP, ZZ); they are in the national totals.

Not listed: 2 states with fewer than 11 billers (small cells).

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-NJ1,814$2,608,32246,52920
Chicago-Naperville-Elgin, IL-IN766$1,087,36921,47822
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD692$891,51517,31420
Boston-Cambridge-Newton, MA-NH541$707,45814,05619
Detroit-Warren-Dearborn, MI482$581,90611,28018
Los Angeles-Long Beach-Anaheim, CA440$499,7329,67518
Washington-Arlington-Alexandria, DC-VA-MD-WV375$474,1839,33219
Miami-Fort Lauderdale-West Palm Beach, FL324$427,8218,02618
Phoenix-Mesa-Chandler, AZ306$394,8728,34119
Minneapolis-St. Paul-Bloomington, MN-WI374$377,9168,12218
Dallas-Fort Worth-Arlington, TX350$356,1077,29917
Tulsa, OK180$347,2587,15124
Oklahoma City, OK217$338,3397,07326
Indianapolis-Carmel-Greenwood, IN260$324,1387,00421
Baltimore-Columbia-Towson, MD243$317,5906,26520

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 99283 nationally

Emergency Medicine accounts for 68% of payment for 99283 nationally in 2024, across 21 specialties on claims.

observed calculated calculated calculated calculated calculated
Emergency Medicine17,00265%$24,521,13968%482,06128
Physician Assistant4,20616%$4,932,77714%115,45027
Nurse Practitioner2,4459.4%$2,936,9078.1%70,07429
Family Practice1,1184.3%$1,949,2815.4%39,62635
Internal Medicine3741.4%$640,8121.8%12,61234
General Surgery2140.82%$254,3370.70%4,67522
General Practice1300.50%$200,2390.55%4,10832
Psychiatry1190.46%$163,7020.45%3,01825
Ophthalmology790.30%$152,4310.42%2,97638
Neurology440.17%$61,1920.17%1,10825
Orthopedic Surgery470.18%$57,8460.16%1,04522
Neurosurgery210.08%$52,1310.14%90443
Hospitalist260.10%$38,2690.11%79030
Otolaryngology130.05%$27,8580.08%53341
Critical Care (Intensivists)290.11%$27,0570.07%50417

Not listed: 28 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 99283 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