HCPCS 99348

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

Evaluation and management Work RVU per service 1.50 (2024 fee schedule)

11,456
98th percentile among 6,471 codes billed · 2024
$90M
97th percentile among 6,471 codes billed · 2024
1.7M
97th percentile among 6,471 codes billed · 2024
64
77th percentile among 6,471 codes billed · 2024
567
80th percentile among 6,471 codes billed · 2024
+1.5%
Medicare payment on the code vs 2023; billers -0.8% · 2024

Trend

Medicare payment on the code

$0$50M2020: $29M paid20202021: $30M paid20212022: $29M paid20222023: $88M paid20232024: $90M paid2024$90M$0$50M2020: $29M paid20202021: $30M paid20212022: $29M paid20222023: $88M paid20232024: $90M paid2024$90M$0$50M2020: $29M paid20202021: $30M paid20212022: $29M paid20222023: $88M paid20232024: $90M paid2024$90M$0$50M2020: $29M paid20202021: $30M paid20212022: $29M paid20222023: $88M paid20232024: $90M paid2024$90M

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

Billers

05,00010K2020: 4,208 providers20202021: 4,227 providers20212022: 4,199 providers20222023: 12K providers20232024: 11K providers202411K05,00010K2020: 4,208 providers20202021: 4,227 providers20212022: 4,199 providers20222023: 12K providers20232024: 11K providers202411K05,00010K2020: 4,208 providers20202021: 4,227 providers20212022: 4,199 providers20222023: 12K providers20232024: 11K providers202411K05,00010K2020: 4,208 providers20202021: 4,227 providers20212022: 4,199 providers20222023: 12K providers20232024: 11K providers202411K

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
202411,456$89,572,022+1%1,740,229645671.50
202311,547$88,286,604+202%1,687,132635431.50
20224,199$29,255,004-2%487,423444131.56
20214,227$29,936,510+3%487,639464151.56
20204,208$29,055,311first year in data469,244454071.56

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
Florida1,318$15,905,830303,44896840
California948$13,885,961253,7861041,019
New York627$8,721,277143,93193896
Illinois515$4,690,59588,16170625
Texas769$4,464,79591,98062407
New Jersey495$4,274,74477,10968593
Ohio617$3,453,38173,84761405
Michigan432$3,401,27466,85669568
Virginia429$2,918,23960,43971534
Pennsylvania530$2,740,56654,24752308
Maryland305$2,531,48549,27475572
North Carolina383$2,062,84744,56949459
Arizona282$1,770,64735,62549434
Indiana308$1,480,84232,90358353
Tennessee245$1,434,03131,20954447

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

Not listed: 4 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-NJ907$11,758,665197,73088
Los Angeles-Long Beach-Anaheim, CA524$8,296,516150,978129
Miami-Fort Lauderdale-West Palm Beach, FL430$6,780,698122,074110
Chicago-Naperville-Elgin, IL-IN469$4,591,82386,10779
Detroit-Warren-Dearborn, MI245$2,207,07842,07676
Tampa-St. Petersburg-Clearwater, FL215$2,201,67743,21184
San Diego-Chula Vista-Carlsbad, CA119$2,123,15238,54097
Washington-Arlington-Alexandria, DC-VA-MD-WV261$2,116,06440,59775
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD318$1,841,51435,13450
Orlando-Kissimmee-Sanford, FL155$1,630,36832,48587
Dallas-Fort Worth-Arlington, TX222$1,569,75132,12965
Baltimore-Columbia-Towson, MD176$1,421,07128,06660
Riverside-San Bernardino-Ontario, CA79$1,370,61925,186143
Phoenix-Mesa-Chandler, AZ212$1,349,66526,93752
Jacksonville, FL102$1,249,68925,066144

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 96 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 99348 nationally

Nurse Practitioner accounts for 45% of payment for 99348 nationally in 2024, across 17 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner6,49757%$40,186,79445%851,254131
Podiatry1,29811%$18,844,28321%330,251254
Internal Medicine1,18410%$10,162,24611%181,182153
Family Practice8467.4%$6,760,7617.5%121,737144
Physician Assistant8397.3%$6,139,6976.9%125,468150
Psychiatry1321.2%$1,761,9582.0%30,702233
General Practice970.85%$1,314,4971.5%22,713234
Geriatric Medicine1711.5%$1,046,0971.2%18,990111
Emergency Medicine800.70%$723,9790.81%12,554157
General Surgery420.37%$457,7260.51%7,443177
Hospitalist350.31%$319,9160.36%5,473156
Cardiology190.17%$225,8630.25%3,671193
Certified Clinical Nurse Specialist340.30%$149,2390.17%3,36599
Hospice and Palliative Care290.25%$137,8950.15%2,43584
Optometry330.29%$110,5050.12%1,91158

Not listed: 33 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 99348 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