HCPCS 99334

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

Evaluation and management Work RVU per service 1.07 (2022 fee schedule)

3,162
93rd percentile among 6,326 codes billed · 2022
$18M
92nd percentile among 6,326 codes billed · 2022
416K
92nd percentile among 6,326 codes billed · 2022
50
75th percentile among 6,326 codes billed · 2022
490
81st percentile among 6,326 codes billed · 2022
-5.3%
Medicare payment on the code vs 2021; billers -5.1% · 2022

Trend

Medicare payment on the code

$0$10M$20M2020: $20M paid20202021: $19M paid20212022: $18M paid2022$18M$0$10M$20M2020: $20M paid20202021: $19M paid20212022: $18M paid2022$18M$0$10M$20M2020: $20M paid20202021: $19M paid20212022: $18M paid2022$18M$0$10M$20M2020: $20M paid20202021: $19M paid20212022: $18M paid2022$18M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

Billers

02,0002020: 3,567 providers20202021: 3,332 providers20212022: 3,162 providers20223,16202,0002020: 3,567 providers20202021: 3,332 providers20212022: 3,162 providers20223,16202,0002020: 3,567 providers20202021: 3,332 providers20212022: 3,162 providers20223,16202,0002020: 3,567 providers20202021: 3,332 providers20212022: 3,162 providers20223,162

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

observed calculated calculated calculated calculated calculated reported
20223,162$18,241,797-5%415,576504901.07
20213,332$19,271,135-2%440,345505241.07
20203,567$19,616,881first year in data451,379515111.07

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.

By state

observed calculated calculated calculated calculated calculated
Florida387$2,965,07567,15862722
California208$2,802,45355,44482790
New York215$2,289,55244,25866845
Illinois150$1,490,74033,67168950
Virginia149$838,04320,12756598
New Jersey162$826,85017,66550459
Pennsylvania172$747,61617,01846407
Texas177$622,33315,38843247
North Carolina146$615,83816,46761386
Michigan137$590,62014,59245400
Ohio142$465,84811,85938348
Maryland109$396,0518,77545270
Missouri92$305,1208,20255274
South Carolina55$255,3026,41938429
Tennessee66$254,3086,98445379

Not listed: 16 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-NJ297$2,793,41954,54668
Los Angeles-Long Beach-Anaheim, CA131$2,408,11247,02589
Chicago-Naperville-Elgin, IL-IN134$1,350,63230,40766
Miami-Fort Lauderdale-West Palm Beach, FL152$1,283,92828,30272
Washington-Arlington-Alexandria, DC-VA-MD-WV90$655,44514,50551
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD112$455,94810,14249
Tampa-St. Petersburg-Clearwater, FL70$395,1158,95658
Deltona-Daytona Beach-Ormond Beach, FL11$349,2018,34145
Detroit-Warren-Dearborn, MI76$317,2817,59346
Houston-Pasadena-The Woodlands, TX56$252,0535,80645
Baltimore-Columbia-Towson, MD60$218,2964,99148
Ocala, FL14$214,8874,334163
Denver-Aurora-Centennial, CO57$189,6965,06132
Cleveland, OH37$179,2374,58946
St. Louis, MO-IL44$162,4834,32866

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 63 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 99334 nationally

Podiatry accounts for 31% of payment for 99334 nationally in 2022, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry81626%$5,681,29531%125,590154
Nurse Practitioner1,26540%$4,854,69027%125,44199
Family Practice2748.7%$1,895,62010%39,783145
Internal Medicine35611%$1,706,1949.4%36,859104
Physician Assistant1765.6%$1,524,2568.4%33,327189
Psychiatry1023.2%$1,299,2037.1%27,276267
Geriatric Medicine541.7%$304,2541.7%6,772125
General Practice300.95%$164,1230.90%3,851128
Emergency Medicine110.35%$151,0870.83%3,155287
Certified Clinical Nurse Specialist130.41%$43,9170.24%1,14988

Not listed: 27 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 99334 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