HCPCS 99310

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

Evaluation and management Work RVU per service 2.35 (2022 fee schedule)

11,116
97th percentile among 6,326 codes billed · 2022
$171M
99th percentile among 6,326 codes billed · 2022
1.8M
97th percentile among 6,326 codes billed · 2022
73
82nd percentile among 6,326 codes billed · 2022
595
83rd percentile among 6,326 codes billed · 2022
+8.1%
Medicare payment on the code vs 2021; billers +6.0% · 2022

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
California757$20,940,869199,71098967
Florida860$14,181,391147,88478648
Texas808$14,137,093153,81996641
Pennsylvania685$9,163,92999,04664545
Illinois603$7,703,69781,16970434
New Jersey444$6,818,18465,47069617
Massachusetts471$6,416,83866,94279441
Washington239$5,703,94761,290941,146
Maryland373$5,495,94555,36770565
Virginia321$5,003,22751,61467513
Georgia247$4,937,41355,74276950
New York437$4,926,02746,70049375
Arizona204$4,514,98647,61889811
Minnesota342$4,159,35147,24982370
Michigan332$4,080,25743,58654476

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 2022.

Top metro areas

observed calculated calculated calculated calculated
Los Angeles-Long Beach-Anaheim, CA314$10,954,135104,244124
New York-Newark-Jersey City, NY-NJ523$7,827,21371,85063
Chicago-Naperville-Elgin, IL-IN515$6,343,00065,57073
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD398$5,260,18054,11470
Boston-Cambridge-Newton, MA-NH311$4,658,60748,68474
Washington-Arlington-Alexandria, DC-VA-MD-WV246$4,283,89241,29179
Seattle-Tacoma-Bellevue, WA154$3,906,45741,184106
Houston-Pasadena-The Woodlands, TX197$3,812,82740,781118
Dallas-Fort Worth-Arlington, TX192$3,551,16537,87699
Minneapolis-St. Paul-Bloomington, MN-WI261$3,314,20237,64488
Tampa-St. Petersburg-Clearwater, FL165$3,305,20934,72476
Atlanta-Sandy Springs-Roswell, GA160$3,200,86435,57569
Baltimore-Columbia-Towson, MD197$3,172,48832,35273
Phoenix-Mesa-Chandler, AZ149$2,863,70530,61583
Denver-Aurora-Centennial, CO177$2,799,86930,64885

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 91 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 99310 nationally

Nurse Practitioner accounts for 52% of payment for 99310 nationally in 2022, across 20 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner6,12655%$88,282,10652%1,007,904165
Internal Medicine1,79716%$32,749,98719%310,632173
Family Practice1,0649.6%$14,772,7198.6%144,014135
Physician Assistant8177.3%$13,203,6817.7%148,569182
Geriatric Medicine3182.9%$3,642,0882.1%34,375108
Hospitalist1361.2%$2,513,9271.5%24,031177
Physical Medicine and Rehabilitation1191.1%$2,101,8801.2%19,260162
Pulmonary Disease650.58%$1,826,7771.1%16,268250
General Surgery690.62%$1,505,9450.88%13,625197
Psychiatry1241.1%$1,356,8420.79%13,021105
Infectious Disease440.40%$1,127,3980.66%10,401236
General Practice570.51%$1,108,4570.65%10,717188
Cardiology460.41%$859,1490.50%7,689167
Emergency Medicine550.49%$771,4130.45%7,466136
Optometry290.26%$576,1690.34%5,968206

Not listed: 35 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 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