HCPCS 99350

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

Evaluation and management Work RVU per service 3.28 (2020 fee schedule)

3,414
93rd percentile among 6,116 codes billed · 2020
$53M
96th percentile among 6,116 codes billed · 2020
419K
93rd percentile among 6,116 codes billed · 2020
51
77th percentile among 6,116 codes billed · 2020
493
81st percentile among 6,116 codes billed · 2020

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
Texas378$7,696,31263,38473684
California297$6,557,59347,55160670
New York260$5,294,81037,04348544
Florida310$5,172,06940,96158496
Illinois182$4,193,59930,66966648
New Jersey197$3,732,83328,73874581
Michigan186$3,154,84824,68451540
Pennsylvania118$1,914,27715,18359522
South Carolina169$1,598,72814,11754259
Maryland75$1,306,15910,28755451
Nevada51$1,245,00510,26055843
Tennessee47$1,055,8479,36773703
Arizona98$1,034,6678,42646290
Massachusetts102$868,7666,98341192
Ohio107$791,6676,70843198

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

Not listed: 16 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-NJ344$6,913,08448,87751
Chicago-Naperville-Elgin, IL-IN164$4,017,17829,08066
Los Angeles-Long Beach-Anaheim, CA147$3,704,77326,72667
Dallas-Fort Worth-Arlington, TX156$3,457,63728,31695
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD125$2,672,83821,00674
Detroit-Warren-Dearborn, MI104$2,189,42516,87072
Houston-Pasadena-The Woodlands, TX88$1,905,36115,76646
Tampa-St. Petersburg-Clearwater, FL59$1,582,76012,566131
Las Vegas-Henderson-North Las Vegas, NV47$1,179,9809,70755
San Diego-Chula Vista-Carlsbad, CA48$1,065,3877,83975
Miami-Fort Lauderdale-West Palm Beach, FL71$1,011,2827,79955
Columbia, SC106$868,3317,76048
Phoenix-Mesa-Chandler, AZ73$816,9676,63445
Baltimore-Columbia-Towson, MD48$773,2086,23863
Washington-Arlington-Alexandria, DC-VA-MD-WV56$767,7985,83139

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 58 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 99350 nationally

Nurse Practitioner accounts for 55% of payment for 99350 nationally in 2020, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner2,17064%$29,489,13855%247,854114
Internal Medicine43513%$8,194,64915%57,403132
Family Practice3259.5%$5,965,82611%42,549131
Physician Assistant1895.5%$3,159,8985.9%26,265139
General Practice571.7%$2,046,2023.8%14,418253
Geriatric Medicine892.6%$872,5031.6%6,44872
Cardiology140.41%$395,9250.74%2,734195
Hospice and Palliative Care240.70%$354,7620.67%2,473103
Emergency Medicine170.50%$318,2820.60%2,232131
Certified Clinical Nurse Specialist110.32%$100,7170.19%92884

Not listed: 30 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 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