HCPCS 99439
Evaluation and management service (ClaimLight category; the code descriptor is not shown)
Evaluation and management Work RVU per service 0.70 (2023 fee schedule)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2024.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2024.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2024 | 10,926 | $106,566,352 | +40% | 2,958,539 | 87 | 834 | 0.70 |
| 2023 | 8,395 | $76,179,712 | +72% | 2,088,253 | 82 | 721 | 0.70 |
| 2022 | 6,204 | $44,201,252 | +96% | 1,206,999 | 77 | 698 | 0.70 |
| 2021 | 4,346 | $22,534,226 | not in the 2020 file | 780,294 | 71 | 659 | 0.54 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2024.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Connecticut | 67 | $16,156,955 | 381,841 | 84 | 413 | |
| New York | 457 | $6,310,718 | 169,701 | 91 | 927 | |
| California | 508 | $6,260,051 | 158,744 | 125 | 1,306 | |
| Texas | 758 | $5,579,485 | 157,754 | 87 | 829 | |
| Florida | 540 | $4,718,851 | 137,349 | 105 | 1,006 | |
| North Carolina | 496 | $2,990,353 | 90,498 | 87 | 578 | |
| Georgia | 331 | $2,138,597 | 63,376 | 70 | 623 | |
| New Jersey | 268 | $2,134,140 | 53,728 | 113 | 581 | |
| Pennsylvania | 296 | $2,124,874 | 62,066 | 104 | 590 | |
| Mississippi | 212 | $1,956,470 | 59,618 | 82 | 1,480 | |
| Illinois | 315 | $1,883,042 | 51,597 | 68 | 654 | |
| Tennessee | 237 | $1,852,464 | 55,523 | 92 | 1,053 | |
| Arizona | 254 | $1,839,567 | 53,287 | 90 | 657 | |
| Louisiana | 271 | $1,808,085 | 54,534 | 98 | 653 | |
| Michigan | 182 | $1,519,860 | 42,123 | 57 | 505 |
Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.
Not listed: 10 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 | |
|---|---|---|---|---|---|
| Bridgeport-Stamford-Danbury, CT | 16 | $15,940,542 | 375,910 | 133 | |
| New York-Newark-Jersey City, NY-NJ | 489 | $6,843,222 | 179,965 | 100 | |
| Los Angeles-Long Beach-Anaheim, CA | 192 | $2,535,589 | 64,533 | 157 | |
| Chicago-Naperville-Elgin, IL-IN | 290 | $1,735,498 | 47,609 | 68 | |
| Phoenix-Mesa-Chandler, AZ | 187 | $1,579,662 | 45,442 | 103 | |
| Houston-Pasadena-The Woodlands, TX | 156 | $1,326,888 | 36,369 | 115 | |
| Detroit-Warren-Dearborn, MI | 100 | $1,255,929 | 34,091 | 75 | |
| Dallas-Fort Worth-Arlington, TX | 149 | $1,111,713 | 32,010 | 82 | |
| Las Vegas-Henderson-North Las Vegas, NV | 87 | $1,092,464 | 31,102 | 247 | |
| Charlotte-Concord-Gastonia, NC-SC | 132 | $1,088,048 | 32,629 | 125 | |
| Jackson, MS | 50 | $1,000,944 | 30,262 | 175 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 171 | $998,095 | 26,918 | 100 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | 82 | $841,429 | 24,661 | 93 | |
| Atlanta-Sandy Springs-Roswell, GA | 136 | $788,783 | 23,056 | 63 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 147 | $763,559 | 20,889 | 56 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 89 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 99439 nationally
Geriatric Medicine accounts for 21% of payment for 99439 nationally in 2023, across 26 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Geriatric Medicine | 40 | 0.48% | $16,219,843 | 21% | 383,281 | 9,582 |
| Internal Medicine | 1,914 | 23% | $15,165,401 | 20% | 417,566 | 218 |
| Family Practice | 2,037 | 24% | $13,485,939 | 18% | 380,944 | 187 |
| Gastroenterology | 511 | 6.1% | $7,514,069 | 9.9% | 209,402 | 410 |
| Nurse Practitioner | 1,697 | 20% | $7,196,758 | 9.4% | 235,735 | 139 |
| Cardiology | 290 | 3.5% | $4,267,558 | 5.6% | 112,236 | 387 |
| Physician Assistant | 362 | 4.3% | $2,671,682 | 3.5% | 84,266 | 233 |
| Nephrology | 282 | 3.4% | $2,135,047 | 2.8% | 58,624 | 208 |
| Urology | 447 | 5.3% | $1,439,498 | 1.9% | 39,331 | 88 |
| Interventional Cardiology | 97 | 1.2% | $601,150 | 0.79% | 16,126 | 166 |
| General Practice | 59 | 0.70% | $550,379 | 0.72% | 15,018 | 255 |
| Pain Management | 54 | 0.64% | $549,977 | 0.72% | 15,576 | 288 |
| Emergency Medicine | 41 | 0.49% | $509,772 | 0.67% | 14,358 | 350 |
| Anesthesiology | 40 | 0.48% | $426,661 | 0.56% | 11,526 | 288 |
| Pulmonary Disease | 73 | 0.87% | $401,740 | 0.53% | 10,896 | 149 |
Not listed: 24 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 99439 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