HCPCS 99344

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

Evaluation and management Work RVU per service 3.38 (2021 fee schedule)

1,784
89th percentile among 6,253 codes billed · 2021
$8.3M
87th percentile among 6,253 codes billed · 2021
66K
82nd percentile among 6,253 codes billed · 2021
21
43rd percentile among 6,253 codes billed · 2021
108
57th percentile among 6,253 codes billed · 2021
+1.1%
Medicare payment on the code vs 2020; billers +3.5% · 2021

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
California149$1,441,27710,75130271
Florida260$1,128,8129,1732395
Texas185$929,4097,69726101
New York136$885,7986,33123159
Illinois148$763,7045,87527103
Nevada79$368,8093,0942581
Michigan89$330,3972,6452074
New Jersey53$301,2812,24626133
Pennsylvania37$177,5321,33919114
South Carolina47$177,1741,56520122
Ohio57$144,3141,2161643
Virginia39$131,1071,0992072
Georgia31$129,6201,04723101
Kentucky40$99,7239341940
Colorado41$98,2808101735

Not listed: 1 billers with an armed-forces or unknown state code (AE); they are in the national totals.

Not listed: 20 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ170$1,066,9517,68423
Los Angeles-Long Beach-Anaheim, CA82$1,009,3387,47237
Chicago-Naperville-Elgin, IL-IN141$715,4195,50328
Miami-Fort Lauderdale-West Palm Beach, FL77$402,2223,14624
Las Vegas-Henderson-North Las Vegas, NV74$346,4082,91925
Dallas-Fort Worth-Arlington, TX64$294,8202,41926
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD49$268,0902,02619
Houston-Pasadena-The Woodlands, TX42$238,1041,83030
Detroit-Warren-Dearborn, MI49$230,5711,80227
San Diego-Chula Vista-Carlsbad, CA27$189,9921,47620
Orlando-Kissimmee-Sanford, FL32$161,8501,39426
Tampa-St. Petersburg-Clearwater, FL36$147,2311,18722
Columbia, SC27$132,3881,18224
Atlanta-Sandy Springs-Roswell, GA23$111,77889123
Austin-Round Rock-San Marcos, TX16$103,33086426

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 33 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 99344 nationally

Nurse Practitioner accounts for 54% of payment for 99344 nationally in 2021, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner1,12963%$4,531,02354%38,28434
Internal Medicine1709.5%$1,119,57113%8,15348
Family Practice1428.0%$775,2829.3%5,70940
Physician Assistant1558.7%$665,6368.0%5,48035
Podiatry442.5%$269,7463.2%1,97245
Optometry110.62%$191,4682.3%1,314119
General Practice261.5%$187,6262.3%1,35552
Geriatric Medicine160.90%$67,1500.81%49231
Hospice and Palliative Care170.95%$45,0460.54%31619
Certified Clinical Nurse Specialist120.67%$29,6410.36%25121

Not listed: 24 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 2021.

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