HCPCS 99337

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

Evaluation and management Work RVU per service 3.58 (2020 fee schedule)

3,116
93rd percentile among 6,116 codes billed · 2020
$64M
97th percentile among 6,116 codes billed · 2020
480K
93rd percentile among 6,116 codes billed · 2020
54
78th percentile among 6,116 codes billed · 2020
635
84th percentile among 6,116 codes billed · 2020

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
North Carolina227$9,712,18774,4581711,091
Florida385$9,501,21170,52071687
California206$6,579,66944,632561,106
Texas305$5,785,13644,01660487
Minnesota123$3,708,82428,91664839
Arizona143$3,574,09426,02361643
South Carolina83$2,051,67516,33083751
Maryland90$1,805,75312,37444557
Pennsylvania156$1,780,22212,50631307
New Jersey102$1,671,91311,17154440
Illinois88$1,666,88811,46337660
Wisconsin70$1,602,83812,99883767
Michigan123$1,487,94111,01742358
Georgia67$1,453,62811,26263690
Tennessee56$1,203,1939,82546762

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 2020.

Top metro areas

observed calculated calculated calculated calculated
Durham-Chapel Hill, NC80$4,849,57537,164370
Tampa-St. Petersburg-Clearwater, FL118$3,327,95925,094104
Minneapolis-St. Paul-Bloomington, MN-WI100$3,189,27324,90473
Phoenix-Mesa-Chandler, AZ118$3,004,89921,94064
Los Angeles-Long Beach-Anaheim, CA77$2,159,94114,36769
Dallas-Fort Worth-Arlington, TX113$2,130,93515,99975
Houston-Pasadena-The Woodlands, TX74$1,905,70814,40155
San Diego-Chula Vista-Carlsbad, CA52$1,800,54512,19845
Chicago-Naperville-Elgin, IL-IN82$1,576,17210,71636
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD111$1,543,02410,56839
Washington-Arlington-Alexandria, DC-VA-MD-WV68$1,418,7179,49049
New York-Newark-Jersey City, NY-NJ91$1,394,9378,77347
Charlotte-Concord-Gastonia, NC-SC45$1,353,94710,19787
Milwaukee-Waukesha, WI43$1,277,50510,342156
Raleigh-Cary, NC19$1,132,1328,580246

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 60 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 99337 nationally

Nurse Practitioner accounts for 49% of payment for 99337 nationally in 2020, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner1,73656%$31,462,30849%250,240144
Internal Medicine50816%$11,863,56118%78,680155
Family Practice33611%$9,412,17715%63,284188
Physician Assistant2508.0%$6,910,40311%55,192221
Geriatric Medicine852.7%$1,149,1631.8%7,51488
General Practice361.2%$1,010,6761.6%6,553182
Psychiatry411.3%$663,0241.0%4,382107
Podiatry120.39%$133,0110.21%1,209101
Hospitalist130.42%$105,6040.16%76058
Certified Clinical Nurse Specialist150.48%$101,2050.16%80053

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 2020.

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