HCPCS 99349

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

Evaluation and management Work RVU per service 2.44 (2023 fee schedule)

14,284
98th percentile among 6,405 codes billed · 2023
$284M
99th percentile among 6,405 codes billed · 2023
3.3M
98th percentile among 6,405 codes billed · 2023
93
85th percentile among 6,405 codes billed · 2023
906
85th percentile among 6,405 codes billed · 2023
+207.7%
Medicare payment on the code vs 2022; billers +110.9% · 2023

Trend

Medicare payment on the code

$0$200M2020: $93M paid20202021: $97M paid20212022: $92M paid20222023: $284M paid20232024: $294M paid2024$294M$0$200M2020: $93M paid20202021: $97M paid20212022: $92M paid20222023: $284M paid20232024: $294M paid2024$294M$0$200M2020: $93M paid20202021: $97M paid20212022: $92M paid20222023: $284M paid20232024: $294M paid2024$294M$0$200M2020: $93M paid20202021: $97M paid20212022: $92M paid20222023: $284M paid20232024: $294M paid2024$294M

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

Billers

010K2020: 6,054 providers20202021: 6,485 providers20212022: 6,773 providers20222023: 14K providers20232024: 15K providers202415K010K2020: 6,054 providers20202021: 6,485 providers20212022: 6,773 providers20222023: 14K providers20232024: 15K providers202415K010K2020: 6,054 providers20202021: 6,485 providers20212022: 6,773 providers20222023: 14K providers20232024: 15K providers202415K010K2020: 6,054 providers20202021: 6,485 providers20212022: 6,773 providers20222023: 14K providers20232024: 15K providers202415K

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
202414,815$294,272,869+4%3,553,7331009252.44
202314,284$284,172,388+208%3,339,308939062.44
20226,773$92,345,900-5%1,070,155676042.33
20216,485$96,793,231+4%1,078,669696392.33
20206,054$93,213,619first year in data1,029,604676972.33

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
Florida1,566$42,875,989494,2831441,178
California868$27,516,137293,5461051,452
New York794$21,715,475215,1511001,174
Texas1,053$20,494,924249,115102924
South Carolina533$16,185,444202,9072361,199
Illinois728$15,064,217165,76797904
North Carolina601$14,494,904182,7471201,258
New Jersey575$11,901,375132,091102840
Michigan542$9,727,492117,12393869
Pennsylvania696$9,619,645110,28572552
Virginia457$9,241,548109,92990949
Ohio696$7,877,280103,76475528
Arizona374$6,711,74382,22690808
Maryland345$6,673,60375,20687876
Indiana420$5,722,86274,03785649

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

Not listed: 3 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-NJ1,044$29,087,626294,292117
Chicago-Naperville-Elgin, IL-IN672$14,905,824164,100106
Miami-Fort Lauderdale-West Palm Beach, FL456$13,689,292149,279143
Los Angeles-Long Beach-Anaheim, CA432$13,579,049141,778112
Columbia, SC312$12,514,860156,695379
Tampa-St. Petersburg-Clearwater, FL313$8,944,574105,125146
Dallas-Fort Worth-Arlington, TX337$7,558,50292,034126
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD485$7,337,83283,62384
Washington-Arlington-Alexandria, DC-VA-MD-WV309$6,475,46771,85096
Phoenix-Mesa-Chandler, AZ285$5,516,13467,52397
Detroit-Warren-Dearborn, MI253$5,391,06663,451101
Houston-Pasadena-The Woodlands, TX260$5,375,36263,61298
Orlando-Kissimmee-Sanford, FL167$5,294,50361,125138
San Diego-Chula Vista-Carlsbad, CA145$5,053,80656,308105
Minneapolis-St. Paul-Bloomington, MN-WI249$4,676,95658,78193

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 98 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 99349 nationally

Nurse Practitioner accounts for 59% of payment for 99349 nationally in 2023, across 20 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner8,84362%$166,631,09959%2,076,988235
Internal Medicine1,68712%$39,207,06214%400,710238
Family Practice1,2298.6%$25,217,1218.9%265,820216
Physician Assistant1,0817.6%$22,426,4017.9%279,561259
Podiatry3742.6%$7,863,7712.8%80,643216
General Practice1471.0%$4,932,5931.7%51,836353
Geriatric Medicine2952.1%$3,960,1011.4%41,552141
Psychiatry1420.99%$2,763,4760.97%27,350193
Emergency Medicine770.54%$2,107,7950.74%22,478292
Optometry380.27%$877,2410.31%9,206242
Hospitalist600.42%$831,1240.29%8,810147
Cardiology250.18%$702,2910.25%7,110284
General Surgery240.17%$565,5120.20%5,504229
Hospice and Palliative Care480.34%$474,2190.17%4,939103
Certified Clinical Nurse Specialist460.32%$468,3800.16%5,894128

Not listed: 34 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 99349 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