HCPCS 99347

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

Evaluation and management Work RVU per service 0.90 (2024 fee schedule)

3,859
94th percentile among 6,471 codes billed · 2024
$14M
90th percentile among 6,471 codes billed · 2024
462K
93rd percentile among 6,471 codes billed · 2024
43
69th percentile among 6,471 codes billed · 2024
512
79th percentile among 6,471 codes billed · 2024
-13.0%
Medicare payment on the code vs 2023; billers -14.4% · 2024

Trend

Medicare payment on the code

$0$10M2020: $6.2M paid20202021: $6.3M paid20212022: $5.4M paid20222023: $16M paid20232024: $14M paid2024$14M$0$10M2020: $6.2M paid20202021: $6.3M paid20212022: $5.4M paid20222023: $16M paid20232024: $14M paid2024$14M$0$10M2020: $6.2M paid20202021: $6.3M paid20212022: $5.4M paid20222023: $16M paid20232024: $14M paid2024$14M$0$10M2020: $6.2M paid20202021: $6.3M paid20212022: $5.4M paid20222023: $16M paid20232024: $14M paid2024$14M

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

Billers

02,0004,0002020: 1,382 providers20202021: 1,292 providers20212022: 1,257 providers20222023: 4,509 providers20232024: 3,859 providers20243,85902,0004,0002020: 1,382 providers20202021: 1,292 providers20212022: 1,257 providers20222023: 4,509 providers20232024: 3,859 providers20243,85902,0004,0002020: 1,382 providers20202021: 1,292 providers20212022: 1,257 providers20222023: 4,509 providers20232024: 3,859 providers20243,85902,0004,0002020: 1,382 providers20202021: 1,292 providers20212022: 1,257 providers20222023: 4,509 providers20232024: 3,859 providers20243,859

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
20243,859$14,336,877-13%462,283435120.90
20234,509$16,482,586+203%521,569434740.90
20221,257$5,435,232-13%131,983404581.00
20211,292$6,279,046+1%149,070415121.00
20201,382$6,192,644first year in data147,972424521.00

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
New York335$2,373,89165,81567828
Florida421$2,141,11068,35950628
California333$1,636,18651,12161660
Illinois170$960,56130,01554685
Texas204$896,52330,96056877
New Jersey224$838,15124,39148477
Pennsylvania198$638,62320,68345338
Michigan177$518,32317,16339368
Ohio161$396,95314,21239371
Virginia145$359,62012,39240279
Oklahoma59$335,50611,67346719
North Carolina111$288,11510,89539417
Maryland101$244,0967,93333238
Massachusetts88$221,4847,11837249
Missouri83$203,2407,68643359

Not listed: 14 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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ453$2,951,32481,88462
Los Angeles-Long Beach-Anaheim, CA191$1,118,21234,75474
Miami-Fort Lauderdale-West Palm Beach, FL139$974,15829,73755
Chicago-Naperville-Elgin, IL-IN160$945,08629,55955
Detroit-Warren-Dearborn, MI122$386,43512,57045
Houston-Pasadena-The Woodlands, TX63$385,90112,66059
Tampa-St. Petersburg-Clearwater, FL69$364,08211,87953
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD123$314,4299,43642
Washington-Arlington-Alexandria, DC-VA-MD-WV86$274,9638,79735
Dallas-Fort Worth-Arlington, TX44$199,3407,07741
San Antonio-New Braunfels, TX30$181,1836,38696
Tulsa, OK13$175,0005,904156
Boston-Cambridge-Newton, MA-NH65$174,0705,42639
Cleveland, OH47$172,3266,29750
Cape Coral-Fort Myers, FL24$160,8595,31153

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 2024.

Specialties billing 99347 nationally

Podiatry accounts for 43% of payment for 99347 nationally in 2024, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry1,09228%$6,139,03743%186,283171
Nurse Practitioner1,68944%$4,040,56028%147,67987
Internal Medicine3368.7%$1,341,9079.4%39,890119
Family Practice2436.3%$825,4795.8%26,101107
Psychiatry772.0%$679,6474.7%20,265263
Physician Assistant2035.3%$502,7403.5%17,81088
General Practice310.80%$116,6390.81%3,580115
Geriatric Medicine541.4%$109,7720.77%3,46064
Emergency Medicine240.62%$61,0260.43%1,88679
General Surgery190.49%$45,9670.32%1,30369
Hospitalist120.31%$22,4150.16%73161
Hospice and Palliative Care110.29%$16,4100.11%48144

Not listed: 23 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 2024.

Top billers of 99347 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