HCPCS 99310

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

Evaluation and management Work RVU per service 2.35 (2021 fee schedule)

10,489
97th percentile among 6,253 codes billed · 2021
$158M
98th percentile among 6,253 codes billed · 2021
1.6M
97th percentile among 6,253 codes billed · 2021
70
82nd percentile among 6,253 codes billed · 2021
573
82nd percentile among 6,253 codes billed · 2021
+1.4%
Medicare payment on the code vs 2020; billers +2.2% · 2021

Trend

Medicare payment on the code

$0$100M$200M2020: $156M paid20202021: $158M paid20212022: $171M paid20222023: $205M paid20232024: $226M paid2024$226M$0$100M$200M2020: $156M paid20202021: $158M paid20212022: $171M paid20222023: $205M paid20232024: $226M paid2024$226M$0$100M$200M2020: $156M paid20202021: $158M paid20212022: $171M paid20222023: $205M paid20232024: $226M paid2024$226M$0$100M$200M2020: $156M paid20202021: $158M paid20212022: $171M paid20222023: $205M paid20232024: $226M paid2024$226M

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

Billers

05,00010K15K2020: 10K providers20202021: 10K providers20212022: 11K providers20222023: 12K providers20232024: 14K providers202414K05,00010K15K2020: 10K providers20202021: 10K providers20212022: 11K providers20222023: 12K providers20232024: 14K providers202414K05,00010K15K2020: 10K providers20202021: 10K providers20212022: 11K providers20222023: 12K providers20232024: 14K providers202414K05,00010K15K2020: 10K providers20202021: 10K providers20212022: 11K providers20222023: 12K providers20232024: 14K providers202414K

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
202413,634$225,517,156+10%2,124,063715442.80
202312,486$204,627,759+20%1,899,369695372.80
202211,116$170,816,263+8%1,816,461735952.35
202110,489$157,980,542+1%1,628,637705732.35
202010,266$155,743,177first year in data1,589,034685792.35

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
California735$17,920,069165,51489911
Texas763$13,225,909140,45689624
Florida812$12,974,669130,25570614
Pennsylvania601$8,299,99587,32166600
Illinois592$8,000,67082,44266535
New Jersey397$6,591,30661,06168560
Massachusetts479$6,586,33266,14573444
Georgia214$5,172,25355,310841,158
Washington237$5,000,12352,487108837
Maryland338$4,961,46748,06976567
New York428$4,813,53544,63447391
Virginia289$4,618,31446,77961666
Arizona201$4,156,12542,46893785
Minnesota341$4,079,96145,17983407
Michigan329$4,079,24642,63053478

Not listed: 2 billers with an armed-forces or unknown state code (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 2021.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA321$9,475,33288,313105
New York-Newark-Jersey City, NY-NJ487$7,413,77665,92158
Chicago-Naperville-Elgin, IL-IN492$6,410,13964,67464
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD367$4,900,32448,77261
Boston-Cambridge-Newton, MA-NH297$4,714,90847,34778
Houston-Pasadena-The Woodlands, TX203$3,944,89041,026107
Seattle-Tacoma-Bellevue, WA165$3,708,03138,534122
Washington-Arlington-Alexandria, DC-VA-MD-WV213$3,438,96631,88163
Minneapolis-St. Paul-Bloomington, MN-WI265$3,368,25637,26886
Dallas-Fort Worth-Arlington, TX164$3,217,80633,652100
Phoenix-Mesa-Chandler, AZ141$3,106,59631,613109
Atlanta-Sandy Springs-Roswell, GA133$3,046,89332,28277
Baltimore-Columbia-Towson, MD184$2,903,74228,51493
Miami-Fort Lauderdale-West Palm Beach, FL231$2,669,03925,31668
Tampa-St. Petersburg-Clearwater, FL146$2,578,05326,16971

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 93 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 99310 nationally

Nurse Practitioner accounts for 49% of payment for 99310 nationally in 2021, across 23 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner5,50552%$78,135,41649%866,908157
Internal Medicine1,76817%$30,058,87719%276,983157
Family Practice1,09510%$15,034,0469.5%142,497130
Physician Assistant7557.2%$12,189,1477.7%134,317178
Geriatric Medicine3082.9%$3,948,8622.5%36,239118
Hospitalist1461.4%$2,525,6791.6%23,719162
Physical Medicine and Rehabilitation1331.3%$2,355,5511.5%21,348161
Psychiatry1421.4%$1,698,7351.1%15,859112
General Surgery680.65%$1,625,7031.0%14,375211
Pulmonary Disease640.61%$1,476,5180.93%12,852201
Cardiology400.38%$1,020,4400.65%8,962224
General Practice590.56%$1,001,2430.63%9,495161
Optometry340.32%$703,3990.45%7,065208
Infectious Disease350.33%$698,7110.44%6,345181
Nephrology320.31%$664,1130.42%5,939186

Not listed: 32 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 2021.

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