HCPCS 99344

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

Evaluation and management Work RVU per service 3.38 (2020 fee schedule)

1,724
89th percentile among 6,116 codes billed · 2020
$8.2M
88th percentile among 6,116 codes billed · 2020
65K
82nd percentile among 6,116 codes billed · 2020
21
45th percentile among 6,116 codes billed · 2020
111
58th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M$20M2020: $8.2M paid20202021: $8.3M paid20212022: $9.1M paid20222023: $19M paid20232024: $19M paid2024$19M$0$10M$20M2020: $8.2M paid20202021: $8.3M paid20212022: $9.1M paid20222023: $19M paid20232024: $19M paid2024$19M$0$10M$20M2020: $8.2M paid20202021: $8.3M paid20212022: $9.1M paid20222023: $19M paid20232024: $19M paid2024$19M$0$10M$20M2020: $8.2M paid20202021: $8.3M paid20212022: $9.1M paid20222023: $19M paid20232024: $19M paid2024$19M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

02,0004,0002020: 1,724 providers20202021: 1,784 providers20212022: 1,882 providers20222023: 4,895 providers20232024: 5,042 providers20245,04202,0004,0002020: 1,724 providers20202021: 1,784 providers20212022: 1,882 providers20222023: 4,895 providers20232024: 5,042 providers20245,04202,0004,0002020: 1,724 providers20202021: 1,784 providers20212022: 1,882 providers20222023: 4,895 providers20232024: 5,042 providers20245,04202,0004,0002020: 1,724 providers20202021: 1,784 providers20212022: 1,882 providers20222023: 4,895 providers20232024: 5,042 providers20245,042

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
20245,042$18,741,695+0%200,192241132.87
20234,895$18,716,505+105%193,182241132.87
20221,882$9,144,143+10%74,343221283.38
20211,784$8,331,988+1%66,452211083.38
20201,724$8,239,161first year in data64,820211113.38

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
California135$1,463,87510,73931316
Florida229$1,158,4139,22622117
Texas214$1,008,3738,3712599
Illinois149$810,9386,04023117
New York127$799,5245,70022151
New Jersey64$346,2612,49024130
Michigan76$301,4902,38620125
Nevada58$280,8662,35025100
Washington45$162,3091,4142084
Virginia43$152,7201,2482262
Arizona42$152,7061,2922076
South Carolina65$152,5741,3071741
Pennsylvania24$123,49892228117
Massachusetts34$115,6699332069
Colorado43$115,4761,0062242

Not listed: 18 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-NJ168$1,060,1477,56324
Los Angeles-Long Beach-Anaheim, CA76$1,031,6437,60836
Chicago-Naperville-Elgin, IL-IN142$772,4225,76023
Dallas-Fort Worth-Arlington, TX80$407,7373,38730
Miami-Fort Lauderdale-West Palm Beach, FL66$364,8612,78821
Las Vegas-Henderson-North Las Vegas, NV56$275,8972,31126
Houston-Pasadena-The Woodlands, TX51$240,4061,89323
Detroit-Warren-Dearborn, MI48$234,5651,80522
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD38$193,8961,41224
Tampa-St. Petersburg-Clearwater, FL33$170,9171,37623
Orlando-Kissimmee-Sanford, FL29$169,5661,39333
Phoenix-Mesa-Chandler, AZ36$142,2611,18923
Riverside-San Bernardino-Ontario, CA12$125,17490732
Austin-Round Rock-San Marcos, TX15$106,18183722
Seattle-Tacoma-Bellevue, WA27$101,18488829

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 32 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 99344 nationally

Nurse Practitioner accounts for 53% of payment for 99344 nationally in 2020, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner1,07762%$4,362,30553%36,70434
Family Practice1639.5%$1,037,91613%7,41645
Internal Medicine17610%$943,82011%6,79139
Physician Assistant1156.7%$451,3525.5%3,81033
General Practice382.2%$305,8073.7%2,19258
Podiatry402.3%$260,7173.2%1,87747
Optometry140.81%$189,0352.3%1,27291
Emergency Medicine120.70%$148,6481.8%1,00484
Geriatric Medicine191.1%$63,0850.77%46324
Hospice and Palliative Care140.81%$35,0930.43%24618

Not listed: 22 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 99344 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