HCPCS 99335

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

Evaluation and management Work RVU per service 1.72 (2020 fee schedule)

Billers

7,404

96th percentile among 6,116 codes billed · 2020

Medicare payment on the code

$79M

97th percentile among 6,116 codes billed · 2020

Services

1.2M

96th percentile among 6,116 codes billed · 2020

Median services per biller

82nd percentile among 6,116 codes billed · 2020

95th percentile services per biller

602

83rd percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

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

Billers

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
2022	7,667	$78,484,292	+0%	1,205,841	68	574	1.72
2021	7,500	$78,319,155	-1%	1,178,358	70	592	1.72
2020	7,404	$79,143,833	first year in data	1,178,750	68	602	1.72

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
Florida	957	$15,717,527	230,209	102	1,005
New York	377	$7,362,612	91,888	80	862
California	428	$6,885,075	94,240	85	875
Texas	468	$4,450,369	68,993	67	532
New Jersey	303	$3,844,487	52,725	71	643
Virginia	296	$3,764,742	56,440	85	704
Ohio	407	$3,392,969	54,637	65	492
North Carolina	357	$3,381,794	54,555	70	605
Pennsylvania	416	$2,970,247	43,793	55	352
Illinois	287	$2,894,994	43,646	61	667
Michigan	355	$2,786,442	42,105	63	375
Maryland	249	$2,575,487	36,918	72	460
Colorado	136	$1,629,633	26,406	116	607
Indiana	217	$1,523,686	25,317	58	430
South Carolina	157	$1,424,546	22,708	66	487

Not listed: 7 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
New York-Newark-Jersey City, NY-NJ	505	$9,793,128	124,465	98
Miami-Fort Lauderdale-West Palm Beach, FL	283	$5,374,874	74,784	109
Los Angeles-Long Beach-Anaheim, CA	214	$3,712,940	49,822	100
Tampa-St. Petersburg-Clearwater, FL	201	$2,990,871	45,869	108
Washington-Arlington-Alexandria, DC-VA-MD-WV	197	$2,827,471	39,583	76
Chicago-Naperville-Elgin, IL-IN	247	$2,606,435	39,123	61
Orlando-Kissimmee-Sanford, FL	110	$2,392,905	35,090	136
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	245	$2,164,908	30,344	53
Dallas-Fort Worth-Arlington, TX	124	$1,594,624	24,475	69
Detroit-Warren-Dearborn, MI	193	$1,527,764	22,453	62
Baltimore-Columbia-Towson, MD	133	$1,473,289	21,205	75
Denver-Aurora-Centennial, CO	109	$1,405,228	22,796	137
Houston-Pasadena-The Woodlands, TX	137	$1,263,353	18,949	73
San Diego-Chula Vista-Carlsbad, CA	57	$1,208,497	16,893	82
Charlotte-Concord-Gastonia, NC-SC	102	$1,119,301	18,077	81

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 2020.

Specialties billing 99335 nationally

Nurse Practitioner accounts for 42% of payment for 99335 nationally in 2020, across 15 specialties on claims.

	observed	calculated	calculated	calculated	calculated	calculated
Nurse Practitioner	3,494	47%	$33,122,696	42%	540,761	155
Internal Medicine	1,209	16%	$14,686,187	19%	196,357	162
Family Practice	848	11%	$9,316,404	12%	128,220	151
Podiatry	640	8.6%	$8,483,058	11%	115,982	181
Physician Assistant	460	6.2%	$5,014,053	6.3%	80,682	175
Psychiatry	208	2.8%	$3,203,592	4.0%	42,517	204
Geriatric Medicine	192	2.6%	$1,753,308	2.2%	24,521	128
General Practice	77	1.0%	$1,123,080	1.4%	15,460	201
Certified Clinical Nurse Specialist	45	0.61%	$505,411	0.64%	8,267	184
Geriatric Psychiatry	24	0.32%	$281,886	0.36%	3,686	154
Hospitalist	23	0.31%	$236,494	0.30%	3,041	132
Emergency Medicine	25	0.34%	$146,824	0.19%	2,142	86
Optometry	25	0.34%	$129,163	0.16%	1,778	71
Cardiology	15	0.20%	$115,093	0.15%	1,534	102
Physical Medicine and Rehabilitation	16	0.22%	$103,186	0.13%	1,440	90

Not listed: 31 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 99335 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