HCPCS 99347

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

Evaluation and management Work RVU per service 1.00 (2021 fee schedule)

1,292
87th percentile among 6,253 codes billed · 2021
$6.3M
85th percentile among 6,253 codes billed · 2021
149K
87th percentile among 6,253 codes billed · 2021
41
69th percentile among 6,253 codes billed · 2021
512
81st percentile among 6,253 codes billed · 2021
+1.4%
Medicare payment on the code vs 2020; billers -6.5% · 2021

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 York213$1,784,27737,49673665
New Jersey119$727,94615,98542722
California100$564,80813,26634613
Florida139$500,74312,17740316
Illinois69$478,96311,70768748
Texas64$412,08010,46247622
Pennsylvania109$398,23110,30239445
Michigan92$352,9788,80649373
Ohio40$234,0826,35153545
Massachusetts29$80,4971,97940247
Tennessee19$55,7131,54432219
Maryland28$52,2151,21333125
Indiana19$51,3911,43750175
Washington22$48,3601,35618306
South Carolina28$38,9161,09423111

Not listed: 26 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-NJ288$2,334,44949,18365
Chicago-Naperville-Elgin, IL-IN68$470,51411,44763
Los Angeles-Long Beach-Anaheim, CA52$342,9977,75334
Detroit-Warren-Dearborn, MI70$295,6277,31949
Miami-Fort Lauderdale-West Palm Beach, FL50$234,7465,65941
Houston-Pasadena-The Woodlands, TX16$230,4945,85337
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD75$209,9374,86032
Dallas-Fort Worth-Arlington, TX25$130,5423,20454
Scranton--Wilkes-Barre, PA18$129,6723,58781
Cleveland, OH17$70,1021,85553
Boston-Cambridge-Newton, MA-NH23$68,3691,67444
Tampa-St. Petersburg-Clearwater, FL27$64,1891,65033
Riverside-San Bernardino-Ontario, CA12$47,5571,14737
Washington-Arlington-Alexandria, DC-VA-MD-WV23$35,48385728
Baltimore-Columbia-Towson, MD18$31,74075131

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 2021.

Specialties billing 99347 nationally

Podiatry accounts for 74% of payment for 99347 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry64250%$4,627,51874%107,079167
Nurse Practitioner35928%$699,44411%19,38654
Internal Medicine907.0%$308,3784.9%6,98278
Family Practice776.0%$272,5984.3%6,40983
Psychiatry110.85%$141,6172.3%3,326302
Physician Assistant624.8%$109,2681.7%2,99348
General Practice221.7%$50,3330.80%1,27758
Geriatric Medicine151.2%$37,4440.60%80854

Not listed: 10 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 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