HCPCS 99310
Evaluation and management service (ClaimLight category; the code descriptor is not shown)
Evaluation and management Work RVU per service 2.80 (2024 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 13,634 | $225,517,156 | +10% | 2,124,063 | 71 | 544 | 2.80 |
| 2023 | 12,486 | $204,627,759 | +20% | 1,899,369 | 69 | 537 | 2.80 |
| 2022 | 11,116 | $170,816,263 | +8% | 1,816,461 | 73 | 595 | 2.35 |
| 2021 | 10,489 | $157,980,542 | +1% | 1,628,637 | 70 | 573 | 2.35 |
| 2020 | 10,266 | $155,743,177 | first year in data | 1,589,034 | 68 | 579 | 2.35 |
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 | |
|---|---|---|---|---|---|---|
| California | 913 | $27,832,778 | 234,381 | 101 | 972 | |
| Florida | 1,095 | $20,617,564 | 191,910 | 75 | 627 | |
| Texas | 894 | $19,474,738 | 187,747 | 84 | 758 | |
| Pennsylvania | 852 | $12,519,990 | 119,512 | 71 | 470 | |
| New Jersey | 611 | $12,121,266 | 104,918 | 70 | 632 | |
| Illinois | 708 | $11,524,150 | 107,054 | 70 | 493 | |
| Massachusetts | 549 | $8,421,091 | 77,977 | 78 | 429 | |
| Maryland | 415 | $7,485,243 | 67,129 | 73 | 535 | |
| New York | 624 | $7,361,833 | 63,924 | 44 | 368 | |
| North Carolina | 537 | $6,279,100 | 63,749 | 58 | 490 | |
| Virginia | 459 | $5,896,745 | 56,464 | 71 | 424 | |
| Colorado | 269 | $5,601,002 | 51,854 | 94 | 697 | |
| South Carolina | 291 | $5,515,246 | 56,025 | 86 | 719 | |
| Arizona | 240 | $4,878,271 | 45,885 | 73 | 798 | |
| Washington | 259 | $4,699,231 | 44,405 | 83 | 726 |
Not listed: 5 billers with an armed-forces or unknown state code (AE, AP, XX); they are in the national totals.
Not listed: 4 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 | |
|---|---|---|---|---|---|
| Los Angeles-Long Beach-Anaheim, CA | 412 | $12,637,267 | 106,530 | 105 | |
| New York-Newark-Jersey City, NY-NJ | 702 | $11,825,686 | 98,132 | 52 | |
| Chicago-Naperville-Elgin, IL-IN | 586 | $9,794,335 | 90,290 | 68 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 525 | $8,786,218 | 80,997 | 73 | |
| Boston-Cambridge-Newton, MA-NH | 364 | $6,199,696 | 57,018 | 80 | |
| Dallas-Fort Worth-Arlington, TX | 259 | $4,921,972 | 46,662 | 83 | |
| Denver-Aurora-Centennial, CO | 212 | $4,874,957 | 44,754 | 104 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 318 | $4,744,040 | 41,704 | 66 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 267 | $4,418,954 | 38,776 | 60 | |
| Houston-Pasadena-The Woodlands, TX | 204 | $4,264,222 | 40,773 | 96 | |
| Baltimore-Columbia-Towson, MD | 224 | $4,227,126 | 38,259 | 74 | |
| Riverside-San Bernardino-Ontario, CA | 66 | $3,975,999 | 33,829 | 148 | |
| Phoenix-Mesa-Chandler, AZ | 171 | $3,662,845 | 34,515 | 74 | |
| San Diego-Chula Vista-Carlsbad, CA | 121 | $3,580,343 | 30,169 | 117 | |
| Tampa-St. Petersburg-Clearwater, FL | 203 | $3,471,028 | 32,881 | 89 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 97 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 99310 nationally
Nurse Practitioner accounts for 54% of payment for 99310 nationally in 2024, across 20 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Nurse Practitioner | 8,027 | 59% | $121,682,141 | 54% | 1,225,093 | 153 |
| Internal Medicine | 1,975 | 14% | $38,483,000 | 17% | 324,535 | 164 |
| Family Practice | 1,121 | 8.2% | $19,114,247 | 8.5% | 164,368 | 147 |
| Physician Assistant | 1,001 | 7.3% | $16,619,860 | 7.4% | 165,561 | 165 |
| Geriatric Medicine | 319 | 2.3% | $4,546,088 | 2.0% | 37,435 | 117 |
| Hospitalist | 198 | 1.5% | $3,632,756 | 1.6% | 30,619 | 155 |
| Pulmonary Disease | 81 | 0.59% | $3,252,475 | 1.4% | 25,957 | 320 |
| General Surgery | 92 | 0.67% | $2,655,245 | 1.2% | 20,913 | 227 |
| Physical Medicine and Rehabilitation | 162 | 1.2% | $2,582,743 | 1.1% | 21,359 | 132 |
| Infectious Disease | 46 | 0.34% | $1,643,052 | 0.73% | 13,681 | 297 |
| Emergency Medicine | 71 | 0.52% | $1,504,032 | 0.67% | 12,572 | 177 |
| Psychiatry | 116 | 0.85% | $1,425,449 | 0.63% | 11,923 | 103 |
| General Practice | 73 | 0.54% | $1,412,330 | 0.63% | 11,770 | 161 |
| Cardiology | 29 | 0.21% | $766,295 | 0.34% | 6,048 | 209 |
| Optometry | 38 | 0.28% | $720,548 | 0.32% | 6,334 | 167 |
Not listed: 34 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 99310 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