HCPCS 99308

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

Evaluation and management Work RVU per service 1.16 (2022 fee schedule)

25,640
99th percentile among 6,326 codes billed · 2022
$527M
100th percentile among 6,326 codes billed · 2022
10.4M
99th percentile among 6,326 codes billed · 2022
149
90th percentile among 6,326 codes billed · 2022
1,614
91st percentile among 6,326 codes billed · 2022
+2.4%
Medicare payment on the code vs 2021; billers -1.0% · 2022

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 York2,316$94,146,9361,599,8112412,848
Florida2,080$55,146,5541,108,9242431,940
California1,666$50,068,851926,6251802,256
New Jersey1,404$39,039,496712,3412091,830
Texas1,627$34,689,254736,8261591,958
Illinois1,293$29,625,098585,8881701,776
Pennsylvania1,434$19,995,890399,8821101,111
Maryland675$18,447,967351,2401932,011
Ohio1,327$17,968,332389,9321321,111
Michigan867$14,365,757304,4481481,334
Massachusetts702$14,050,701285,7661891,432
Virginia636$11,868,804245,5001801,222
Indiana671$9,854,685227,4471651,314
North Carolina742$9,748,513216,9931571,030
Missouri506$9,372,688210,6351761,462

Not listed: 2 billers with an armed-forces or unknown state code (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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,707$114,997,6351,953,217286
Chicago-Naperville-Elgin, IL-IN1,084$27,881,174549,294206
Los Angeles-Long Beach-Anaheim, CA769$25,624,068471,506202
Miami-Fort Lauderdale-West Palm Beach, FL622$18,037,183336,412278
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD775$15,911,573307,849148
Washington-Arlington-Alexandria, DC-VA-MD-WV437$11,176,310209,295206
Dallas-Fort Worth-Arlington, TX399$10,710,816221,551237
Baltimore-Columbia-Towson, MD360$9,491,612181,687187
Detroit-Warren-Dearborn, MI496$9,188,598191,485179
Tampa-St. Petersburg-Clearwater, FL365$8,295,714173,301192
Orlando-Kissimmee-Sanford, FL257$8,252,912171,535344
Boston-Cambridge-Newton, MA-NH429$7,562,853151,605167
San Francisco-Oakland-Fremont, CA178$6,611,703115,916253
Houston-Pasadena-The Woodlands, TX373$6,207,652128,213149
Las Vegas-Henderson-North Las Vegas, NV170$6,124,606123,808293

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 2022.

Specialties billing 99308 nationally

Nurse Practitioner accounts for 38% of payment for 99308 nationally in 2022, across 36 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner10,87642%$197,518,40738%4,370,224402
Internal Medicine4,79219%$119,736,25523%2,144,854448
Family Practice3,52214%$56,949,27611%1,088,396309
Physical Medicine and Rehabilitation7613.0%$38,853,3567.4%672,235883
Physician Assistant1,5826.2%$34,537,3256.6%739,985468
Podiatry1,1034.3%$14,777,8732.8%269,057244
Psychiatry4641.8%$9,331,6171.8%171,735370
General Practice2350.92%$8,192,3431.6%142,599607
General Surgery2330.91%$8,149,7261.5%143,514616
Geriatric Medicine4251.7%$6,780,2541.3%126,091297
Hospitalist3071.2%$5,745,8481.1%100,509327
Pulmonary Disease1970.77%$4,603,5010.87%80,358408
Cardiology1030.40%$2,481,6140.47%43,048418
Emergency Medicine1390.54%$2,103,4900.40%39,416284
Infectious Disease1050.41%$2,058,1560.39%36,710350

Not listed: 29 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 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