HCPCS 99307

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

Evaluation and management Work RVU per service 0.70 (2024 fee schedule)

8,117
97th percentile among 6,471 codes billed · 2024
$43M
95th percentile among 6,471 codes billed · 2024
1.5M
96th percentile among 6,471 codes billed · 2024
67
78th percentile among 6,471 codes billed · 2024
650
81st percentile among 6,471 codes billed · 2024
-4.5%
Medicare payment on the code vs 2023; billers -3.0% · 2024

Trend

Medicare payment on the code

$0$25M$50M2020: $65M paid20202021: $60M paid20212022: $54M paid20222023: $45M paid20232024: $43M paid2024$43M$0$25M$50M2020: $65M paid20202021: $60M paid20212022: $54M paid20222023: $45M paid20232024: $43M paid2024$43M$0$25M$50M2020: $65M paid20202021: $60M paid20212022: $54M paid20222023: $45M paid20232024: $43M paid2024$43M$0$25M$50M2020: $65M paid20202021: $60M paid20212022: $54M paid20222023: $45M paid20232024: $43M paid2024$43M

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

Billers

05,00010K2020: 11K providers20202021: 9,641 providers20212022: 9,118 providers20222023: 8,370 providers20232024: 8,117 providers20248,11705,00010K2020: 11K providers20202021: 9,641 providers20212022: 9,118 providers20222023: 8,370 providers20232024: 8,117 providers20248,11705,00010K2020: 11K providers20202021: 9,641 providers20212022: 9,118 providers20222023: 8,370 providers20232024: 8,117 providers20248,11705,00010K2020: 11K providers20202021: 9,641 providers20212022: 9,118 providers20222023: 8,370 providers20232024: 8,117 providers20248,117

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
20248,117$42,916,895-4%1,476,728676500.70
20238,370$44,923,103-17%1,538,647676800.70
20229,118$54,275,612-10%1,674,952676900.76
20219,641$60,437,717-7%1,826,453687140.76
202011,148$64,686,582first year in data1,975,331666530.76

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 York964$7,945,931244,596831,105
California542$5,026,639162,390871,283
Florida765$4,817,127163,45080749
Texas441$3,313,077116,73290820
New Jersey441$3,048,65499,909101857
Illinois405$2,745,95895,707941,170
Pennsylvania473$1,701,83861,05863426
Ohio357$1,195,37544,00566411
Michigan252$901,57132,98556460
Indiana237$869,94334,47262551
Georgia173$857,67932,48565619
Massachusetts226$836,34829,29767426
Maryland173$740,74225,24378453
Kentucky176$706,39226,96459691
Tennessee177$647,30324,84767524

Not listed: 2 billers with an armed-forces or unknown state code (AE, XX); 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-NJ1,041$9,360,865287,36590
Los Angeles-Long Beach-Anaheim, CA243$3,139,366100,931133
Chicago-Naperville-Elgin, IL-IN344$2,487,35385,96499
Miami-Fort Lauderdale-West Palm Beach, FL273$2,060,54866,433120
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD263$1,350,63147,81893
Dallas-Fort Worth-Arlington, TX140$1,015,04535,193111
Texas outside metro areas30$722,53125,99672
Tampa-St. Petersburg-Clearwater, FL119$619,43121,63680
Riverside-San Bernardino-Ontario, CA39$540,11318,54063
Boston-Cambridge-Newton, MA-NH140$539,90418,72165
Detroit-Warren-Dearborn, MI134$512,82418,31561
Atlanta-Sandy Springs-Roswell, GA71$507,94418,93265
Washington-Arlington-Alexandria, DC-VA-MD-WV138$504,66017,37965
San Francisco-Oakland-Fremont, CA81$458,20013,91464
Las Vegas-Henderson-North Las Vegas, NV36$446,62515,13368

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 89 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 99307 nationally

Nurse Practitioner accounts for 27% of payment for 99307 nationally in 2024, across 23 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner3,21840%$11,516,35327%447,060139
Internal Medicine1,26316%$9,224,76121%294,313233
Podiatry1,05913%$6,428,46115%209,113197
Family Practice1,00912%$5,268,58612%179,762178
Physical Medicine and Rehabilitation1692.1%$1,930,0714.5%61,252362
Physician Assistant4225.2%$1,567,0323.7%58,723139
Psychiatry1301.6%$1,380,7353.2%46,664359
General Surgery1381.7%$958,7612.2%29,686215
Pulmonary Disease600.74%$817,5441.9%26,307438
Geriatric Medicine901.1%$633,3941.5%20,375226
General Practice901.1%$456,2271.1%15,101168
Emergency Medicine550.68%$418,6670.98%13,230241
Hospitalist901.1%$262,7630.61%8,91499
Optometry590.73%$227,4300.53%7,563128
Cardiology140.17%$188,6260.44%5,962426

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 99307 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