HCPCS 99308

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

Evaluation and management Work RVU per service 1.30 (2023 fee schedule)

25,763
99th percentile among 6,405 codes billed · 2023
$584M
100th percentile among 6,405 codes billed · 2023
10.8M
99th percentile among 6,405 codes billed · 2023
152
90th percentile among 6,405 codes billed · 2023
1,693
91st percentile among 6,405 codes billed · 2023
+11.0%
Medicare payment on the code vs 2022; billers +0.5% · 2023

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 York2,361$105,922,0701,706,9162492,933
Florida2,109$64,921,6061,211,3322522,117
California1,639$58,248,416998,3631892,718
New Jersey1,434$42,348,190725,4832251,911
Texas1,596$37,978,534746,4461681,981
Illinois1,288$33,651,893619,4922031,847
Pennsylvania1,477$21,117,324393,5411071,029
Maryland691$21,105,285376,1392231,914
Ohio1,337$20,428,838408,5951471,066
Massachusetts749$15,350,103288,3281701,381
Michigan846$14,663,570289,0171361,509
Virginia651$12,302,230240,6231771,305
Indiana685$11,792,697247,0291551,366
Connecticut505$10,099,401186,5941881,227
North Carolina741$9,993,528203,542131990

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ2,775$128,251,6542,063,273293
Los Angeles-Long Beach-Anaheim, CA779$31,460,734540,056213
Chicago-Naperville-Elgin, IL-IN1,089$31,279,178572,404250
Miami-Fort Lauderdale-West Palm Beach, FL648$22,987,271400,385322
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD822$17,374,402314,683143
Washington-Arlington-Alexandria, DC-VA-MD-WV465$12,714,336224,458217
Dallas-Fort Worth-Arlington, TX404$12,395,572237,144262
Baltimore-Columbia-Towson, MD366$11,093,700197,726207
Detroit-Warren-Dearborn, MI495$9,584,426185,910164
Tampa-St. Petersburg-Clearwater, FL364$9,510,180185,245194
Orlando-Kissimmee-Sanford, FL251$9,066,976174,222317
Boston-Cambridge-Newton, MA-NH485$8,698,324161,057159
Las Vegas-Henderson-North Las Vegas, NV179$7,440,142141,359318
San Francisco-Oakland-Fremont, CA165$6,613,882106,416209
Houston-Pasadena-The Woodlands, TX347$6,060,605116,077125

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 2023.

Specialties billing 99308 nationally

Nurse Practitioner accounts for 39% of payment for 99308 nationally in 2023, across 37 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner11,58045%$227,678,29539%4,650,023402
Internal Medicine4,56618%$129,759,03222%2,154,321472
Family Practice3,17612%$61,590,83811%1,086,117342
Physical Medicine and Rehabilitation7392.9%$40,572,4896.9%657,854890
Physician Assistant1,6876.5%$38,979,1996.7%771,101457
Podiatry1,1394.4%$16,220,3922.8%273,370240
General Surgery2250.87%$10,390,4461.8%172,321766
Psychiatry4371.7%$9,285,7341.6%158,976364
General Practice2270.88%$6,682,5941.1%111,708492
Hospitalist3111.2%$6,395,7181.1%105,546339
Geriatric Medicine3531.4%$6,210,3151.1%107,957306
Pulmonary Disease1940.75%$4,802,2840.82%78,604405
Infectious Disease1010.39%$2,857,1210.49%47,494470
Cardiology920.36%$2,709,0980.46%44,210481
Emergency Medicine1400.54%$1,926,8010.33%34,318245

Not listed: 28 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 2023.

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