HCPCS 99347

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

Evaluation and management Work RVU per service 0.90 (2023 fee schedule)

4,509
95th percentile among 6,405 codes billed · 2023
$16M
91st percentile among 6,405 codes billed · 2023
522K
93rd percentile among 6,405 codes billed · 2023
43
70th percentile among 6,405 codes billed · 2023
474
79th percentile among 6,405 codes billed · 2023
+203.3%
Medicare payment on the code vs 2022; billers +258.7% · 2023

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 York380$2,598,07970,07370693
Florida486$2,597,19182,08853693
California353$1,786,52152,84653625
Illinois208$1,016,14631,37649657
Texas253$954,86732,61341565
New Jersey260$923,43926,70939465
Pennsylvania259$786,80725,24744351
Michigan211$727,32823,34750448
Ohio194$500,72917,37237351
Virginia152$460,03515,37245432
North Carolina161$395,72814,46137410
Maryland129$338,90911,08845308
Oklahoma61$262,2128,95044406
Massachusetts93$236,9217,72643249
Missouri88$218,1678,10944343

Not listed: 2 billers with an armed-forces or unknown state code (AE, XX); they are in the national totals.

Not listed: 12 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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ509$3,233,76087,75760
Miami-Fort Lauderdale-West Palm Beach, FL167$1,344,05940,61069
Los Angeles-Long Beach-Anaheim, CA187$1,217,90136,03172
Chicago-Naperville-Elgin, IL-IN196$990,91530,38757
Detroit-Warren-Dearborn, MI129$503,97115,70357
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD172$393,17511,91139
Houston-Pasadena-The Woodlands, TX72$364,55311,85747
Washington-Arlington-Alexandria, DC-VA-MD-WV106$338,80210,53543
Tampa-St. Petersburg-Clearwater, FL86$329,66610,56851
Dallas-Fort Worth-Arlington, TX57$203,3947,02935
Cleveland, OH61$197,9416,93736
Boston-Cambridge-Newton, MA-NH72$194,2576,24348
Baltimore-Columbia-Towson, MD69$191,0996,27645
San Antonio-New Braunfels, TX30$184,2986,40559
Riverside-San Bernardino-Ontario, CA31$176,8475,19257

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 73 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing 99347 nationally

Podiatry accounts for 41% of payment for 99347 nationally in 2023, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry1,22327%$6,756,99041%200,833164
Nurse Practitioner1,87842%$4,608,05428%164,64188
Internal Medicine4439.8%$1,536,4229.3%45,745103
Family Practice3387.5%$1,106,3716.7%33,994101
Psychiatry1032.3%$840,5295.1%24,280236
Physician Assistant2716.0%$665,2514.0%23,39586
Geriatric Medicine711.6%$167,8521.0%5,21773
General Practice370.82%$113,5240.69%3,62698
Emergency Medicine230.51%$90,3540.55%2,610113
General Surgery170.38%$74,4160.45%2,097123
Hospitalist120.27%$29,3010.18%92177
Certified Clinical Nurse Specialist160.35%$29,0890.18%1,11470
Optometry130.29%$17,6050.11%55943

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 2023.

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