HCPCS 99344

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

Evaluation and management Work RVU per service 3.38 (2022 fee schedule)

1,882
90th percentile among 6,326 codes billed · 2022
$9.1M
88th percentile among 6,326 codes billed · 2022
74K
83rd percentile among 6,326 codes billed · 2022
22
45th percentile among 6,326 codes billed · 2022
128
61st percentile among 6,326 codes billed · 2022
+9.7%
Medicare payment on the code vs 2021; billers +5.5% · 2022

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
California163$1,791,23013,78730330
Florida262$1,297,81510,71123128
New York116$952,4846,72624168
Texas229$917,7607,8322280
Illinois134$706,1595,38725106
Nevada68$357,5083,07231155
Michigan89$326,9272,8232274
New Jersey43$257,0531,97325184
Ohio57$182,2291,5431836
Colorado58$172,5941,4561756
Arizona48$166,8601,4212365
Pennsylvania31$156,4021,25220139
South Carolina53$144,6451,3671867
Virginia41$132,2801,1491773
Maryland26$130,6981,0692255

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

Not listed: 21 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
Los Angeles-Long Beach-Anaheim, CA88$1,291,5939,97764
New York-Newark-Jersey City, NY-NJ131$1,041,8677,41225
Chicago-Naperville-Elgin, IL-IN129$655,8674,98427
Miami-Fort Lauderdale-West Palm Beach, FL80$399,4293,18025
Las Vegas-Henderson-North Las Vegas, NV61$331,7252,86432
Dallas-Fort Worth-Arlington, TX84$325,8072,76723
Houston-Pasadena-The Woodlands, TX58$295,3132,42823
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD35$254,7881,99525
Detroit-Warren-Dearborn, MI51$241,2802,05024
Orlando-Kissimmee-Sanford, FL35$195,7461,69922
San Diego-Chula Vista-Carlsbad, CA23$174,7371,38836
Tampa-St. Petersburg-Clearwater, FL36$154,0311,26321
Denver-Aurora-Centennial, CO45$144,8491,21819
Riverside-San Bernardino-Ontario, CA23$131,13498225
Phoenix-Mesa-Chandler, AZ36$129,6161,08927

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 35 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 99344 nationally

Nurse Practitioner accounts for 54% of payment for 99344 nationally in 2022, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner1,21865%$4,898,38854%42,29035
Internal Medicine1508.0%$1,035,17311%7,61151
Physician Assistant1879.9%$969,78211%8,15344
Family Practice1246.6%$719,7537.9%5,36743
Podiatry462.4%$379,9314.2%2,76960
Optometry120.64%$215,1472.4%1,510126
General Practice241.3%$194,5832.1%1,37257
Geriatric Medicine241.3%$101,9801.1%77032
Emergency Medicine150.80%$85,0150.93%62642
Hospitalist110.58%$66,6590.73%50946
Hospice and Palliative Care140.74%$40,9140.45%30922

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 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