HCPCS 99337

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

Evaluation and management Work RVU per service 3.58 (2022 fee schedule)

3,624
93rd percentile among 6,326 codes billed · 2022
$68M
97th percentile among 6,326 codes billed · 2022
526K
93rd percentile among 6,326 codes billed · 2022
58
78th percentile among 6,326 codes billed · 2022
579
82nd percentile among 6,326 codes billed · 2022
+5.9%
Medicare payment on the code vs 2021; billers +6.7% · 2022

Trend

Medicare payment on the code

$0$25M$50M2020: $64M paid20202021: $64M paid20212022: $68M paid2022$68M$0$25M$50M2020: $64M paid20202021: $64M paid20212022: $68M paid2022$68M$0$25M$50M2020: $64M paid20202021: $64M paid20212022: $68M paid2022$68M$0$25M$50M2020: $64M paid20202021: $64M paid20212022: $68M paid2022$68M

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

Billers

02,0002020: 3,116 providers20202021: 3,395 providers20212022: 3,624 providers20223,62402,0002020: 3,116 providers20202021: 3,395 providers20212022: 3,624 providers20223,62402,0002020: 3,116 providers20202021: 3,395 providers20212022: 3,624 providers20223,62402,0002020: 3,116 providers20202021: 3,395 providers20212022: 3,624 providers20223,624

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
20223,624$67,957,357+6%526,065585793.58
20213,395$64,147,648-1%484,797565653.58
20203,116$64,490,422first year in data479,647546353.58

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
Florida460$12,564,61897,34688821
California244$7,474,76952,23761955
Texas296$5,772,33245,87465570
North Carolina212$4,247,35834,56674618
Illinois116$3,291,39422,78251727
Minnesota142$2,934,19023,97261692
Arizona152$2,884,73622,78275578
Maryland112$2,629,24218,72262636
Pennsylvania197$2,195,95316,48438330
New Jersey115$1,934,75213,72575357
Indiana113$1,761,84414,70369403
Michigan135$1,741,29814,47440427
Georgia95$1,719,10213,63673514
Colorado98$1,417,85111,02647501
South Carolina102$1,306,65910,77738516

Not listed: 10 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
Tampa-St. Petersburg-Clearwater, FL121$3,922,07430,258116
Chicago-Naperville-Elgin, IL-IN112$3,335,69523,06153
Phoenix-Mesa-Chandler, AZ123$2,553,68320,00079
Minneapolis-St. Paul-Bloomington, MN-WI111$2,344,16919,19567
Miami-Fort Lauderdale-West Palm Beach, FL99$2,317,46416,53671
Dallas-Fort Worth-Arlington, TX112$2,156,12917,00374
Houston-Pasadena-The Woodlands, TX84$2,074,37516,19271
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD148$2,042,97114,96444
Washington-Arlington-Alexandria, DC-VA-MD-WV70$2,018,47113,88076
San Diego-Chula Vista-Carlsbad, CA53$1,777,58912,94573
New York-Newark-Jersey City, NY-NJ119$1,752,41911,51651
Los Angeles-Long Beach-Anaheim, CA85$1,661,84711,21454
Durham-Chapel Hill, NC61$1,431,06711,755124
North Port-Bradenton-Sarasota, FL34$1,313,7419,954138
Riverside-San Bernardino-Ontario, CA19$1,251,9328,06991

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 66 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 99337 nationally

Nurse Practitioner accounts for 57% of payment for 99337 nationally in 2022, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner2,19260%$38,727,19557%317,643145
Internal Medicine50614%$10,444,68315%71,115141
Family Practice3128.6%$7,441,40311%51,709166
Physician Assistant3158.7%$5,676,2968.4%46,772148
Emergency Medicine160.44%$1,365,0472.0%9,120570
Geriatric Medicine942.6%$835,7311.2%5,76861
General Practice310.86%$646,7240.95%4,787154
Psychiatry431.2%$489,7620.72%3,26076
Podiatry150.41%$286,8920.42%2,099140
Certified Clinical Nurse Specialist110.30%$203,9860.30%1,682153
Hospitalist110.30%$195,3920.29%1,315120
Optometry140.39%$125,8640.19%82359

Not listed: 25 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 99337 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