HCPCS 99347

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

Evaluation and management Work RVU per service 1.00 (2022 fee schedule)

1,257
87th percentile among 6,326 codes billed · 2022
$5.4M
84th percentile among 6,326 codes billed · 2022
132K
87th percentile among 6,326 codes billed · 2022
40
69th percentile among 6,326 codes billed · 2022
458
80th percentile among 6,326 codes billed · 2022
-13.4%
Medicare payment on the code vs 2021; billers -2.7% · 2022

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 York196$1,618,25234,65995630
New Jersey115$597,50913,64843559
California104$510,43112,16738548
Florida125$444,19911,15341345
Pennsylvania95$400,77010,43343496
Illinois79$398,5179,87552444
Texas61$316,4148,64430864
Michigan92$272,4047,17046219
Ohio41$189,0705,28939468
Maryland26$63,0571,44935203
Massachusetts27$58,9301,4723294
Tennessee16$50,1411,34345264
Washington27$42,0841,25622205
Utah11$37,7961,06657280
Indiana17$31,46091837123

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

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ269$2,052,54744,24369
Chicago-Naperville-Elgin, IL-IN74$375,7989,26352
Los Angeles-Long Beach-Anaheim, CA57$334,5717,86243
Miami-Fort Lauderdale-West Palm Beach, FL50$267,3286,55354
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD71$224,7265,17738
Detroit-Warren-Dearborn, MI68$215,0735,63050
Houston-Pasadena-The Woodlands, TX16$169,5974,68394
Scranton--Wilkes-Barre, PA20$130,1263,68385
Dallas-Fort Worth-Arlington, TX20$60,9291,56323
Cleveland, OH19$58,3581,61438
San Diego-Chula Vista-Carlsbad, CA14$56,6211,44919
Riverside-San Bernardino-Ontario, CA12$53,6011,24223
Washington-Arlington-Alexandria, DC-VA-MD-WV23$51,0631,17024
Boston-Cambridge-Newton, MA-NH17$50,0471,23639
Tampa-St. Petersburg-Clearwater, FL24$48,0781,31936

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 19 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 99347 nationally

Podiatry accounts for 74% of payment for 99347 nationally in 2022, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry61349%$4,036,71174%95,463156
Nurse Practitioner35128%$619,16511%17,29549
Internal Medicine927.3%$257,7564.7%6,09266
Family Practice675.3%$215,1204.0%5,27079
Physician Assistant624.9%$109,3832.0%3,00849
Psychiatry110.88%$99,4241.8%2,389217
General Practice171.4%$32,7160.60%90153
Geriatric Medicine131.0%$16,7040.31%41032
Emergency Medicine110.88%$11,3270.21%26224

Not listed: 13 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 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