HCPCS 99347

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

Evaluation and management Work RVU per service 1.00 (2020 fee schedule)

1,382
88th percentile among 6,116 codes billed · 2020
$6.2M
85th percentile among 6,116 codes billed · 2020
148K
87th percentile among 6,116 codes billed · 2020
42
72nd percentile among 6,116 codes billed · 2020
452
81st percentile among 6,116 codes billed · 2020

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 York246$1,806,12238,71779531
New Jersey111$630,41914,35854529
Florida141$495,54012,20946252
California78$478,57311,14542615
Pennsylvania104$448,00811,24646478
Illinois78$447,06710,97749510
Michigan99$394,0359,89855316
Texas71$295,4097,64331237
Ohio51$249,6806,92039524
Massachusetts43$90,6012,22627191
South Carolina53$76,6012,0292282
Indiana22$62,3551,77946249
Maryland35$56,0401,3452384
Tennessee15$48,6311,25127288
Arizona25$42,8271,11224164

Not listed: 29 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-NJ317$2,270,83549,07675
Chicago-Naperville-Elgin, IL-IN80$459,59711,31651
Detroit-Warren-Dearborn, MI80$333,0268,29452
Los Angeles-Long Beach-Anaheim, CA42$285,1186,52545
Miami-Fort Lauderdale-West Palm Beach, FL62$259,6756,25047
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD65$213,5974,89742
Houston-Pasadena-The Woodlands, TX17$163,3614,15726
Scranton--Wilkes-Barre, PA17$130,8923,48564
Dallas-Fort Worth-Arlington, TX29$88,0372,30329
Cleveland, OH23$76,2061,98836
Boston-Cambridge-Newton, MA-NH36$73,1971,76821
Tampa-St. Petersburg-Clearwater, FL19$48,0611,23544
Orlando-Kissimmee-Sanford, FL16$47,8591,24551
Columbia, SC31$37,9241,02122
Baltimore-Columbia-Towson, MD22$36,24487222

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 20 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 99347 nationally

Podiatry accounts for 72% of payment for 99347 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry67048%$4,461,35672%104,429156
Nurse Practitioner41330%$764,16312%20,46350
Family Practice856.2%$331,0815.3%7,73491
Internal Medicine966.9%$247,9714.0%5,82561
Psychiatry120.87%$156,7932.5%3,746312
Physician Assistant523.8%$80,9801.3%2,16742
General Practice181.3%$74,1511.2%1,836102
Geriatric Medicine120.87%$25,7960.42%59650

Not listed: 15 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 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