HCPCS 99306

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

Evaluation and management Work RVU per service 3.50 (2024 fee schedule)

13,288
98th percentile among 6,471 codes billed · 2024
$175M
99th percentile among 6,471 codes billed · 2024
1.3M
96th percentile among 6,471 codes billed · 2024
52
73rd percentile among 6,471 codes billed · 2024
322
74th percentile among 6,471 codes billed · 2024
+3.4%
Medicare payment on the code vs 2023; billers +3.5% · 2024

Trend

Medicare payment on the code

$0$100M2020: $136M paid20202021: $148M paid20212022: $152M paid20222023: $169M paid20232024: $175M paid2024$175M$0$100M2020: $136M paid20202021: $148M paid20212022: $152M paid20222023: $169M paid20232024: $175M paid2024$175M$0$100M2020: $136M paid20202021: $148M paid20212022: $152M paid20222023: $169M paid20232024: $175M paid2024$175M$0$100M2020: $136M paid20202021: $148M paid20212022: $152M paid20222023: $169M paid20232024: $175M paid2024$175M

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

Billers

05,00010K2020: 12K providers20202021: 12K providers20212022: 12K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 12K providers20202021: 12K providers20212022: 12K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 12K providers20202021: 12K providers20212022: 12K providers20222023: 13K providers20232024: 13K providers202413K05,00010K2020: 12K providers20202021: 12K providers20212022: 12K providers20222023: 13K providers20232024: 13K providers202413K

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
202413,288$174,665,104+3%1,280,390523223.50
202312,836$168,939,684+11%1,210,384523163.50
202212,180$151,954,582+2%1,184,248533283.06
202112,151$148,341,551+9%1,123,445513133.06
202011,986$136,132,029first year in data1,019,086472903.06

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
California1,384$21,767,138151,21262367
Florida1,254$19,801,086148,71367360
New York1,028$17,913,660119,73458414
New Jersey902$12,238,66484,40251299
Pennsylvania788$9,315,09868,57449278
Illinois737$8,809,15865,37649289
Texas859$8,578,77666,22248240
Massachusetts400$6,769,34948,36768433
Maryland415$6,309,72045,49263375
Virginia309$4,954,58536,14260467
North Carolina371$4,563,96535,48054304
Ohio449$4,395,73733,38246247
Michigan344$4,023,08529,44854258
Arizona300$3,948,65830,74553353
Indiana318$3,425,99828,02949264

Not listed: 4 billers with an armed-forces or unknown state code (AE, AP, XX); 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,444$24,298,378162,04356
Los Angeles-Long Beach-Anaheim, CA706$10,705,63675,35259
Chicago-Naperville-Elgin, IL-IN678$8,844,99565,98952
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD450$6,657,58947,71355
Miami-Fort Lauderdale-West Palm Beach, FL348$4,827,34934,64560
Boston-Cambridge-Newton, MA-NH264$4,651,99032,94567
Washington-Arlington-Alexandria, DC-VA-MD-WV298$4,261,64430,40061
Tampa-St. Petersburg-Clearwater, FL231$4,180,47832,05075
Baltimore-Columbia-Towson, MD225$3,287,10423,66462
Dallas-Fort Worth-Arlington, TX288$3,156,21424,35158
Phoenix-Mesa-Chandler, AZ203$2,977,15223,15253
San Francisco-Oakland-Fremont, CA126$2,481,58015,82874
Detroit-Warren-Dearborn, MI200$2,480,15417,91356
Orlando-Kissimmee-Sanford, FL152$2,142,82216,48556
Atlanta-Sandy Springs-Roswell, GA126$1,883,06813,94157

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 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 99306 nationally

Internal Medicine accounts for 36% of payment for 99306 nationally in 2024, across 28 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine4,13231%$62,165,61336%436,836106
Nurse Practitioner3,84929%$33,966,28619%283,33174
Family Practice1,97715%$26,765,04215%192,50897
Physical Medicine and Rehabilitation5784.3%$14,881,6008.5%102,925178
Physician Assistant5334.0%$6,467,1123.7%53,340100
Geriatric Medicine4863.7%$6,065,6353.5%42,36587
Hospitalist4063.1%$5,450,6063.1%38,67395
General Practice1471.1%$2,241,3321.3%15,731107
Psychiatry1581.2%$2,084,1571.2%14,59292
Pulmonary Disease1250.94%$1,676,2190.96%11,28190
Emergency Medicine1110.84%$1,569,0080.90%11,447103
Infectious Disease820.62%$1,497,8290.86%10,307126
Cardiology890.67%$1,395,3610.80%9,114102
General Surgery850.64%$1,149,7200.66%7,62690
Nephrology910.68%$939,4990.54%6,36570

Not listed: 30 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 99306 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