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)

8,395
97th percentile among 6,405 codes billed · 2023
$76M
97th percentile among 6,405 codes billed · 2023
2.1M
97th percentile among 6,405 codes billed · 2023
82
83rd percentile among 6,405 codes billed · 2023
721
83rd percentile among 6,405 codes billed · 2023
+72.3%
Medicare payment on the code vs 2022; billers +35.3% · 2023

Trend

Medicare payment on the code

$0$50M$100M2021: $23M paid20212022: $44M paid20222023: $76M paid20232024: $107M paid2024$107M$0$50M$100M2021: $23M paid20212022: $44M paid20222023: $76M paid20232024: $107M paid2024$107M$0$50M$100M2021: $23M paid20212022: $44M paid20222023: $76M paid20232024: $107M paid2024$107M$0$50M$100M2021: $23M paid20212022: $44M paid20222023: $76M paid20232024: $107M paid2024$107M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2024.

Billers

05,00010K2021: 4,346 providers20212022: 6,204 providers20222023: 8,395 providers20232024: 11K providers202411K05,00010K2021: 4,346 providers20212022: 6,204 providers20222023: 8,395 providers20232024: 11K providers202411K05,00010K2021: 4,346 providers20212022: 6,204 providers20222023: 8,395 providers20232024: 11K providers202411K05,00010K2021: 4,346 providers20212022: 6,204 providers20222023: 8,395 providers20232024: 11K providers202411K

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
202410,926$106,566,352+40%2,958,539878340.70
20238,395$76,179,712+72%2,088,253827210.70
20226,204$44,201,252+96%1,206,999776980.70
20214,346$22,534,226not in the 2020 file780,294716590.54

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
Connecticut67$16,156,955381,84184413
New York457$6,310,718169,70191927
California508$6,260,051158,7441251,306
Texas758$5,579,485157,75487829
Florida540$4,718,851137,3491051,006
North Carolina496$2,990,35390,49887578
Georgia331$2,138,59763,37670623
New Jersey268$2,134,14053,728113581
Pennsylvania296$2,124,87462,066104590
Mississippi212$1,956,47059,618821,480
Illinois315$1,883,04251,59768654
Tennessee237$1,852,46455,523921,053
Arizona254$1,839,56753,28790657
Louisiana271$1,808,08554,53498653
Michigan182$1,519,86042,12357505

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, CT16$15,940,542375,910133
New York-Newark-Jersey City, NY-NJ489$6,843,222179,965100
Los Angeles-Long Beach-Anaheim, CA192$2,535,58964,533157
Chicago-Naperville-Elgin, IL-IN290$1,735,49847,60968
Phoenix-Mesa-Chandler, AZ187$1,579,66245,442103
Houston-Pasadena-The Woodlands, TX156$1,326,88836,369115
Detroit-Warren-Dearborn, MI100$1,255,92934,09175
Dallas-Fort Worth-Arlington, TX149$1,111,71332,01082
Las Vegas-Henderson-North Las Vegas, NV87$1,092,46431,102247
Charlotte-Concord-Gastonia, NC-SC132$1,088,04832,629125
Jackson, MS50$1,000,94430,262175
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD171$998,09526,918100
Miami-Fort Lauderdale-West Palm Beach, FL82$841,42924,66193
Atlanta-Sandy Springs-Roswell, GA136$788,78323,05663
Washington-Arlington-Alexandria, DC-VA-MD-WV147$763,55920,88956

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 Medicine400.48%$16,219,84321%383,2819,582
Internal Medicine1,91423%$15,165,40120%417,566218
Family Practice2,03724%$13,485,93918%380,944187
Gastroenterology5116.1%$7,514,0699.9%209,402410
Nurse Practitioner1,69720%$7,196,7589.4%235,735139
Cardiology2903.5%$4,267,5585.6%112,236387
Physician Assistant3624.3%$2,671,6823.5%84,266233
Nephrology2823.4%$2,135,0472.8%58,624208
Urology4475.3%$1,439,4981.9%39,33188
Interventional Cardiology971.2%$601,1500.79%16,126166
General Practice590.70%$550,3790.72%15,018255
Pain Management540.64%$549,9770.72%15,576288
Emergency Medicine410.49%$509,7720.67%14,358350
Anesthesiology400.48%$426,6610.56%11,526288
Pulmonary Disease730.87%$401,7400.53%10,896149

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