HCPCS 99348

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

Evaluation and management Work RVU per service 1.56 (2022 fee schedule)

4,199
94th percentile among 6,326 codes billed · 2022
$29M
94th percentile among 6,326 codes billed · 2022
487K
93rd percentile among 6,326 codes billed · 2022
44
72nd percentile among 6,326 codes billed · 2022
413
79th percentile among 6,326 codes billed · 2022
-2.3%
Medicare payment on the code vs 2021; billers -0.7% · 2022

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
California353$5,086,17077,76760575
Florida485$4,267,11772,37764522
Illinois293$4,010,99164,134661,085
New York340$3,237,53046,76056534
Texas313$1,816,97232,57540327
Michigan227$1,555,80826,67743547
New Jersey221$1,540,74925,38954492
Pennsylvania192$809,86313,75040227
Ohio155$593,99211,30839257
Nevada72$550,1639,53754573
Maryland73$492,9358,29037536
Tennessee95$458,0618,59140147
Indiana70$415,1147,76951353
Massachusetts97$412,1007,41147226
Arizona89$303,2255,51731225

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

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ478$4,319,90164,52358
Chicago-Naperville-Elgin, IL-IN282$4,113,67665,78070
Los Angeles-Long Beach-Anaheim, CA186$3,927,53659,24377
Miami-Fort Lauderdale-West Palm Beach, FL184$2,397,90938,63088
Detroit-Warren-Dearborn, MI141$1,324,58122,25655
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD167$813,46013,34445
Houston-Pasadena-The Woodlands, TX70$586,5119,71332
Dallas-Fort Worth-Arlington, TX106$559,15910,24445
Las Vegas-Henderson-North Las Vegas, NV65$512,2998,86556
Orlando-Kissimmee-Sanford, FL59$453,1158,38870
Riverside-San Bernardino-Ontario, CA34$401,0956,29399
Washington-Arlington-Alexandria, DC-VA-MD-WV64$370,3386,42545
San Diego-Chula Vista-Carlsbad, CA40$345,2225,56842
Boston-Cambridge-Newton, MA-NH70$327,1495,85746
Nashville-Davidson--Murfreesboro--Franklin, TN38$317,0085,65542

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 60 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 99348 nationally

Podiatry accounts for 43% of payment for 99348 nationally in 2022, across 13 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry87721%$12,567,01943%195,631223
Nurse Practitioner2,09050%$8,085,52928%154,90774
Internal Medicine3929.3%$2,758,8149.4%43,523111
Family Practice2927.0%$1,677,5925.7%26,80692
Physician Assistant3087.3%$1,188,4844.1%21,63770
General Practice481.1%$363,1801.2%5,828121
Geriatric Medicine531.3%$159,5040.55%2,73252
General Surgery120.29%$133,2530.46%1,917160
Emergency Medicine220.52%$130,0470.44%1,99691
Psychiatry160.38%$113,1550.39%1,738109
Hospice and Palliative Care210.50%$92,1740.32%1,50572
Hospitalist130.31%$73,0700.25%1,19792
Certified Clinical Nurse Specialist120.29%$37,6320.13%74262

Not listed: 21 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 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