HCPCS 99308

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

Evaluation and management Work RVU per service 1.30 (2024 fee schedule)

26,213
99th percentile among 6,471 codes billed · 2024
$618M
100th percentile among 6,471 codes billed · 2024
11.6M
99th percentile among 6,471 codes billed · 2024
157
88th percentile among 6,471 codes billed · 2024
1,781
90th percentile among 6,471 codes billed · 2024
+5.8%
Medicare payment on the code vs 2023; billers +1.7% · 2024

Trend

Medicare payment on the code

$0$250M$500M2020: $538M paid20202021: $514M paid20212022: $527M paid20222023: $584M paid20232024: $618M paid2024$618M$0$250M$500M2020: $538M paid20202021: $514M paid20212022: $527M paid20222023: $584M paid20232024: $618M paid2024$618M$0$250M$500M2020: $538M paid20202021: $514M paid20212022: $527M paid20222023: $584M paid20232024: $618M paid2024$618M$0$250M$500M2020: $538M paid20202021: $514M paid20212022: $527M paid20222023: $584M paid20232024: $618M paid2024$618M

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

Billers

020K2020: 28K providers20202021: 26K providers20212022: 26K providers20222023: 26K providers20232024: 26K providers202426K020K2020: 28K providers20202021: 26K providers20212022: 26K providers20222023: 26K providers20232024: 26K providers202426K020K2020: 28K providers20202021: 26K providers20212022: 26K providers20222023: 26K providers20232024: 26K providers202426K020K2020: 28K providers20202021: 26K providers20212022: 26K providers20222023: 26K 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
202426,213$618,183,045+6%11,622,1621571,7811.30
202325,763$584,358,129+11%10,760,9321521,6931.30
202225,640$526,581,508+2%10,439,0341491,6141.16
202125,898$514,203,246-4%10,032,6241461,5491.16
202027,702$538,231,168first year in data10,516,1431451,5331.16

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 York2,375$113,802,5121,919,5772823,390
Florida2,355$72,288,5711,366,3912492,255
California1,725$66,926,7461,178,0252243,077
New Jersey1,429$44,902,168780,9742452,040
Texas1,614$38,418,550769,0241542,095
Illinois1,330$36,499,905693,8401951,980
Maryland711$22,665,371416,1682742,079
Pennsylvania1,425$21,621,807415,3781061,096
Ohio1,268$18,757,189377,7301431,090
Massachusetts779$15,945,172307,8951711,454
Michigan838$14,117,343281,3201391,372
Virginia709$11,923,906237,2471601,105
Indiana695$11,882,145256,4311691,325
North Carolina762$10,215,739212,4581111,019
Georgia527$9,862,820201,6491651,548

Not listed: 5 billers with an armed-forces or unknown state code (AE, AP, XX, 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,810$137,247,4352,298,022326
Los Angeles-Long Beach-Anaheim, CA849$35,844,308635,881236
Chicago-Naperville-Elgin, IL-IN1,134$33,599,023635,805236
Miami-Fort Lauderdale-West Palm Beach, FL717$27,391,963487,213320
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD792$17,930,011333,624161
Dallas-Fort Worth-Arlington, TX461$12,598,993245,214238
Washington-Arlington-Alexandria, DC-VA-MD-WV491$12,526,700229,645213
Baltimore-Columbia-Towson, MD382$11,898,749216,952249
Orlando-Kissimmee-Sanford, FL308$9,889,400191,493289
Tampa-St. Petersburg-Clearwater, FL382$9,446,744187,141214
Detroit-Warren-Dearborn, MI487$9,420,555184,259177
Boston-Cambridge-Newton, MA-NH508$9,170,795174,854156
Las Vegas-Henderson-North Las Vegas, NV190$7,890,086156,872326
San Francisco-Oakland-Fremont, CA181$7,228,231117,325216
Houston-Pasadena-The Woodlands, TX336$6,129,793120,568124

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 99308 nationally

Nurse Practitioner accounts for 41% of payment for 99308 nationally in 2024, across 38 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner12,60148%$255,772,39341%5,277,663419
Internal Medicine4,29116%$135,383,49222%2,292,962534
Family Practice2,92111%$57,033,4659.2%1,022,582350
Physician Assistant1,7546.7%$44,620,9817.2%895,871511
Physical Medicine and Rehabilitation7292.8%$39,985,7526.5%668,072916
Podiatry1,0944.2%$16,266,0662.6%282,026258
General Surgery2200.84%$9,743,5801.6%162,295738
Psychiatry3871.5%$8,484,3551.4%150,091388
General Practice2330.89%$6,729,9521.1%115,998498
Hospitalist3191.2%$6,022,5540.97%103,323324
Geriatric Medicine3391.3%$5,584,6510.90%98,708291
Pulmonary Disease1880.72%$5,529,2130.89%92,840494
Cardiology900.34%$3,340,6280.54%54,087601
Infectious Disease1110.42%$2,782,5650.45%47,861431
Emergency Medicine1430.55%$2,513,8190.41%44,740313

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 2024.

Top billers of 99308 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