HCPCS 99283

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

Evaluation and management Work RVU per service 1.60 (2022 fee schedule)

48,052
100th percentile among 6,326 codes billed · 2022
$93M
98th percentile among 6,326 codes billed · 2022
1.8M
97th percentile among 6,326 codes billed · 2022
28
57th percentile among 6,326 codes billed · 2022
91
53rd percentile among 6,326 codes billed · 2022
-3.0%
Medicare payment on the code vs 2021; billers -0.4% · 2022

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
California4,046$8,331,815155,3802996
New York3,315$6,950,904115,6992687
Florida2,942$6,010,266107,2772793
Texas3,350$5,807,379112,5792679
Illinois2,101$4,257,75377,7112992
Ohio2,134$3,800,53872,3982779
Michigan2,111$3,685,57667,9842673
Pennsylvania1,900$3,634,56167,5972888
New Jersey1,249$2,751,52748,2223092
Massachusetts1,248$2,574,04548,2243091
North Carolina1,489$2,400,18747,5282477
Virginia1,301$2,364,04445,4752976
South Carolina976$2,119,04441,77532106
Missouri995$2,051,63940,64828109
Arizona933$2,004,74938,50131105

Not listed: 23 billers with an armed-forces or unknown state code (AA, AE, AP, ZZ); they are in the national totals.

Not listed: 3 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ3,130$6,881,132110,83727
Chicago-Naperville-Elgin, IL-IN1,521$2,989,70053,78928
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,126$2,332,87841,54230
Los Angeles-Long Beach-Anaheim, CA1,133$1,881,03834,65225
Detroit-Warren-Dearborn, MI1,010$1,740,23731,03625
Boston-Cambridge-Newton, MA-NH827$1,692,88131,37929
Miami-Fort Lauderdale-West Palm Beach, FL693$1,394,73323,81825
San Francisco-Oakland-Fremont, CA535$1,228,18322,49933
Dallas-Fort Worth-Arlington, TX773$1,195,19923,16924
Washington-Arlington-Alexandria, DC-VA-MD-WV672$1,176,94021,62026
Houston-Pasadena-The Woodlands, TX691$1,106,64120,70224
Phoenix-Mesa-Chandler, AZ532$1,072,38920,37828
Baltimore-Columbia-Towson, MD492$900,87816,73927
Minneapolis-St. Paul-Bloomington, MN-WI568$845,70416,71524
Riverside-San Bernardino-Ontario, CA505$822,12515,37323

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 2022.

Specialties billing 99283 nationally

Emergency Medicine accounts for 69% of payment for 99283 nationally in 2022, across 24 specialties on claims.

observed calculated calculated calculated calculated calculated
Emergency Medicine31,46865%$64,788,19669%1,173,29137
Physician Assistant8,06617%$12,878,25414%276,50334
Nurse Practitioner4,5509.5%$7,217,1507.7%157,65435
Family Practice1,9634.1%$4,751,0995.1%89,69246
Internal Medicine7271.5%$1,617,2971.7%29,69041
General Surgery2790.58%$425,4830.46%7,51927
General Practice1800.37%$378,1670.40%7,15040
Psychiatry1620.34%$288,1940.31%4,98331
Ophthalmology810.17%$165,5940.18%2,98137
Hospitalist610.13%$105,0010.11%1,91631
Orthopedic Surgery770.16%$99,7050.11%1,70322
Osteopathic Manipulative Medicine270.06%$83,0630.09%1,49155
Critical Care (Intensivists)460.10%$72,7870.08%1,25527
Neurology490.10%$64,4050.07%1,03721
Pediatric Medicine340.07%$55,9320.06%1,04231

Not listed: 27 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 2022.

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