HCPCS 99350

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

Evaluation and management Work RVU per service 3.60 (2024 fee schedule)

7,440
96th percentile among 6,471 codes billed · 2024
$152M
98th percentile among 6,471 codes billed · 2024
1.2M
96th percentile among 6,471 codes billed · 2024
63
77th percentile among 6,471 codes billed · 2024
629
81st percentile among 6,471 codes billed · 2024
+7.3%
Medicare payment on the code vs 2023; billers +1.9% · 2024

Trend

Medicare payment on the code

$0$100M2020: $53M paid20202021: $57M paid20212022: $59M paid20222023: $142M paid20232024: $152M paid2024$152M$0$100M2020: $53M paid20202021: $57M paid20212022: $59M paid20222023: $142M paid20232024: $152M paid2024$152M$0$100M2020: $53M paid20202021: $57M paid20212022: $59M paid20222023: $142M paid20232024: $152M paid2024$152M$0$100M2020: $53M paid20202021: $57M paid20212022: $59M paid20222023: $142M paid20232024: $152M paid2024$152M

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

Billers

05,0002020: 3,414 providers20202021: 3,641 providers20212022: 3,833 providers20222023: 7,304 providers20232024: 7,440 providers20247,44005,0002020: 3,414 providers20202021: 3,641 providers20212022: 3,833 providers20222023: 7,304 providers20232024: 7,440 providers20247,44005,0002020: 3,414 providers20202021: 3,641 providers20212022: 3,833 providers20222023: 7,304 providers20232024: 7,440 providers20247,44005,0002020: 3,414 providers20202021: 3,641 providers20212022: 3,833 providers20222023: 7,304 providers20232024: 7,440 providers20247,440

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
20247,440$151,994,708+7%1,238,110636293.60
20237,304$141,699,448+139%1,130,847576043.60
20223,833$59,173,114+4%490,943554893.28
20213,641$56,819,436+7%456,576534633.28
20203,414$53,158,878first year in data418,619514933.28

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
Florida740$26,277,253213,895931,241
California590$25,114,024184,308841,336
Texas745$18,417,660154,20293783
New York303$6,352,98446,17162525
New Jersey321$6,222,64250,69583536
Illinois344$5,939,67846,53564550
Maryland199$5,131,01940,61774809
North Carolina299$4,725,95741,62962523
Arizona277$4,049,95735,11769418
Pennsylvania298$4,017,57032,78352401
Nevada101$3,532,19430,3141131,054
Tennessee176$3,163,09128,24656799
Georgia149$3,103,47325,80575663
Michigan243$3,055,68425,05048389
Virginia221$2,821,64323,40643352

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

Not listed: 7 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
Los Angeles-Long Beach-Anaheim, CA257$12,846,41593,14076
New York-Newark-Jersey City, NY-NJ414$8,663,78163,13266
Dallas-Fort Worth-Arlington, TX264$7,578,44662,254102
Miami-Fort Lauderdale-West Palm Beach, FL163$6,127,72847,343107
Chicago-Naperville-Elgin, IL-IN291$5,057,37238,94064
San Diego-Chula Vista-Carlsbad, CA116$4,820,78036,548153
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD262$4,803,45240,94274
Naples-Marco Island, FL40$4,458,09436,839338
Houston-Pasadena-The Woodlands, TX188$4,348,53036,11387
Tampa-St. Petersburg-Clearwater, FL133$4,178,21633,61379
Washington-Arlington-Alexandria, DC-VA-MD-WV166$3,875,21630,48070
Riverside-San Bernardino-Ontario, CA45$3,433,04824,93289
Las Vegas-Henderson-North Las Vegas, NV79$3,229,28227,638142
Phoenix-Mesa-Chandler, AZ210$3,226,18927,91476
Baltimore-Columbia-Towson, MD115$2,748,82022,04470

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 87 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 99350 nationally

Nurse Practitioner accounts for 62% of payment for 99350 nationally in 2024, across 15 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner5,17970%$94,643,53862%813,958157
Internal Medicine7359.9%$21,090,57414%151,424206
Family Practice5026.7%$12,900,6988.5%94,187188
Physician Assistant4576.1%$8,245,6245.4%70,677155
General Practice751.0%$4,425,5972.9%31,237416
Emergency Medicine380.51%$2,331,4031.5%16,615437
Geriatric Medicine1642.2%$2,160,0491.4%15,71096
Hospice and Palliative Care470.63%$800,1780.53%5,504117
Podiatry360.48%$595,5500.39%4,343121
General Surgery120.16%$555,0240.37%3,922327
Psychiatry370.50%$440,8600.29%3,16385
Certified Clinical Nurse Specialist220.30%$347,5930.23%3,057139
Optometry170.23%$342,5720.23%2,357139
Hospitalist310.42%$327,5490.22%2,42178
Cardiology140.19%$209,6670.14%1,434102

Not listed: 28 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 99350 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