HCPCS 99334

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

Evaluation and management Work RVU per service 1.07 (2020 fee schedule)

3,567
93rd percentile among 6,116 codes billed · 2020
$20M
92nd percentile among 6,116 codes billed · 2020
451K
93rd percentile among 6,116 codes billed · 2020
51
77th percentile among 6,116 codes billed · 2020
511
82nd percentile among 6,116 codes billed · 2020

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
Florida446$3,196,29473,46165562
New York240$2,366,27346,75373834
California234$2,200,30446,53673756
Illinois158$1,004,07423,46755667
New Jersey162$870,71818,48360497
Michigan154$839,45020,03246586
North Carolina180$792,87719,85347353
Texas193$763,61718,20245352
Virginia152$760,57617,58537500
Pennsylvania188$755,88716,93748312
Maryland125$656,59014,14962363
Ohio186$598,67315,08540248
Arizona52$493,15611,870107980
South Carolina103$450,24610,75337500
Missouri85$380,5769,63876344

Not listed: 13 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ324$2,881,03557,30873
Los Angeles-Long Beach-Anaheim, CA129$1,458,48230,89979
Miami-Fort Lauderdale-West Palm Beach, FL158$1,412,76931,31889
Washington-Arlington-Alexandria, DC-VA-MD-WV103$760,36216,36049
Chicago-Naperville-Elgin, IL-IN135$731,99016,39949
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD115$484,17910,15152
Phoenix-Mesa-Chandler, AZ36$435,25010,436155
Detroit-Warren-Dearborn, MI88$419,6589,68544
Tampa-St. Petersburg-Clearwater, FL84$406,4459,52758
Baltimore-Columbia-Towson, MD66$345,1877,56064
Denver-Aurora-Centennial, CO68$328,0067,88954
Deltona-Daytona Beach-Ormond Beach, FL13$273,0236,85139
Houston-Pasadena-The Woodlands, TX54$243,0485,50041
St. Louis, MO-IL44$234,1266,15574
Jacksonville, FL31$216,7144,99567

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 62 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing 99334 nationally

Nurse Practitioner accounts for 31% of payment for 99334 nationally in 2020, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner1,36538%$6,016,83131%153,571113
Podiatry88025%$5,473,30128%121,367138
Internal Medicine45413%$2,026,73310%41,96092
Family Practice3209.0%$1,855,8679.5%40,987128
Psychiatry1353.8%$1,703,4068.7%36,481270
Physician Assistant1895.3%$1,125,1675.7%25,956137
General Practice481.3%$346,8141.8%7,811163
Geriatric Medicine702.0%$259,5251.3%5,83383
Certified Clinical Nurse Specialist180.50%$95,7590.49%2,436135
Emergency Medicine130.36%$77,6210.40%1,599123

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 2020.

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