HCPCS 99308

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

Evaluation and management Work RVU per service 1.16 (2020 fee schedule)

27,702
99th percentile among 6,116 codes billed · 2020
$538M
100th percentile among 6,116 codes billed · 2020
10.5M
99th percentile among 6,116 codes billed · 2020
145
90th percentile among 6,116 codes billed · 2020
1,533
92nd percentile among 6,116 codes billed · 2020

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 York2,406$79,837,4501,353,3911912,308
Florida2,136$57,475,9331,121,3692311,869
California1,764$44,718,350812,6231572,050
Texas1,813$39,456,580815,6081661,821
New Jersey1,446$35,331,797630,4771831,645
Illinois1,483$29,986,246576,3651431,562
Pennsylvania1,610$22,093,993432,6181131,014
Ohio1,426$21,433,031451,3341541,153
Maryland695$17,311,054324,2642041,766
Michigan936$16,823,582343,1081661,419
Massachusetts781$15,491,724303,9311751,390
Indiana721$11,673,966261,3561591,467
North Carolina681$11,496,885246,2572011,303
Virginia617$10,821,506219,4521541,278
Connecticut554$10,078,936197,1841731,481

Not listed: 3 billers with an armed-forces or unknown state code (AP, 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,771$97,637,0501,641,195225
Chicago-Naperville-Elgin, IL-IN1,229$28,281,623541,526177
Los Angeles-Long Beach-Anaheim, CA808$20,692,993371,244161
Miami-Fort Lauderdale-West Palm Beach, FL682$19,154,873349,346235
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD828$14,240,768268,792138
Dallas-Fort Worth-Arlington, TX416$11,563,958237,101245
Washington-Arlington-Alexandria, DC-VA-MD-WV449$11,410,395209,251197
Detroit-Warren-Dearborn, MI544$11,001,219221,553198
Boston-Cambridge-Newton, MA-NH476$9,212,294179,576166
Baltimore-Columbia-Towson, MD365$8,766,590164,662195
Orlando-Kissimmee-Sanford, FL224$8,608,385172,750353
Houston-Pasadena-The Woodlands, TX408$8,545,254170,210167
Tampa-St. Petersburg-Clearwater, FL373$8,498,293172,530163
Cleveland, OH438$6,672,562141,911171
Las Vegas-Henderson-North Las Vegas, NV169$6,185,957122,435339

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 2020.

Specialties billing 99308 nationally

Nurse Practitioner accounts for 36% of payment for 99308 nationally in 2020, across 38 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner10,34337%$195,587,31336%4,241,814410
Internal Medicine5,92221%$129,655,91824%2,302,037389
Family Practice4,45216%$68,273,27813%1,285,564289
Physical Medicine and Rehabilitation8223.0%$33,920,1476.3%584,375711
Physician Assistant1,5055.4%$31,941,4795.9%676,196449
Psychiatry6112.2%$12,246,3522.3%226,589371
Podiatry1,0583.8%$10,741,3252.0%196,431186
Geriatric Medicine5331.9%$8,061,2261.5%150,099282
General Practice2791.0%$8,058,7421.5%144,552518
General Surgery2230.80%$7,010,2581.3%121,443545
Pulmonary Disease2510.91%$5,062,5780.94%87,882350
Hospitalist3531.3%$4,870,5220.90%86,711246
Emergency Medicine1540.56%$2,793,2960.52%49,849324
Cardiology1520.55%$2,559,8820.48%44,084290
Infectious Disease1260.45%$2,531,5030.47%44,589354

Not listed: 25 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 2020.

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