HCPCS 99348

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

Evaluation and management Work RVU per service 1.56 (2020 fee schedule)

4,208
94th percentile among 6,116 codes billed · 2020
$29M
94th percentile among 6,116 codes billed · 2020
469K
93rd percentile among 6,116 codes billed · 2020
45
74th percentile among 6,116 codes billed · 2020
407
79th percentile among 6,116 codes billed · 2020

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
Florida500$5,200,95485,84571595
Illinois311$4,032,27261,705581,017
New York375$3,503,58649,88755402
California322$3,123,48146,98258633
Michigan264$1,961,11231,88549515
New Jersey269$1,854,58429,05950409
Texas290$1,541,53126,73645349
Pennsylvania158$844,80213,68249302
Ohio173$691,17912,24337222
South Carolina171$589,38310,61734170
Nevada54$560,7519,88142798
Massachusetts101$537,1518,87347308
Indiana81$501,6828,92754493
Tennessee77$446,4768,05049331
Maryland94$442,3627,15737248

Not listed: 13 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-NJ536$4,704,76268,61557
Chicago-Naperville-Elgin, IL-IN293$4,154,08963,43165
Miami-Fort Lauderdale-West Palm Beach, FL211$2,698,59942,94076
Los Angeles-Long Beach-Anaheim, CA169$2,017,80529,68476
Detroit-Warren-Dearborn, MI178$1,644,55726,38253
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD159$1,015,93616,02549
Orlando-Kissimmee-Sanford, FL57$631,23710,94473
Las Vegas-Henderson-North Las Vegas, NV53$544,3119,57341
Dallas-Fort Worth-Arlington, TX102$502,9118,74548
Boston-Cambridge-Newton, MA-NH79$449,7537,38149
Washington-Arlington-Alexandria, DC-VA-MD-WV71$413,4776,67540
Columbia, SC106$403,4287,27638
Houston-Pasadena-The Woodlands, TX65$403,2636,53334
Deltona-Daytona Beach-Ormond Beach, FL18$392,6506,883241
San Diego-Chula Vista-Carlsbad, CA38$385,8256,01355

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 62 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 99348 nationally

Podiatry accounts for 40% of payment for 99348 nationally in 2020, across 12 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry87121%$11,665,58440%176,153202
Nurse Practitioner1,92546%$9,181,43532%165,70386
Internal Medicine50212%$2,894,52110.0%44,16688
Family Practice3789.0%$2,134,9967.3%32,88087
Physician Assistant2275.4%$983,6413.4%17,58677
General Practice731.7%$609,4262.1%9,407129
Geriatric Medicine721.7%$263,9790.91%4,12357
General Surgery160.38%$161,6280.56%2,333146
Psychiatry220.52%$158,4120.55%2,370108
Hospice and Palliative Care180.43%$80,6290.28%1,20867
Cardiology130.31%$61,5980.21%91570
Certified Clinical Nurse Specialist140.33%$39,7200.14%74253

Not listed: 27 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 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