HCPCS 99441

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

Evaluation and management Work RVU per service 0.70 (2024 fee schedule)

9,208
97th percentile among 6,471 codes billed · 2024
$15M
90th percentile among 6,471 codes billed · 2024
415K
92nd percentile among 6,471 codes billed · 2024
24
49th percentile among 6,471 codes billed · 2024
140
61st percentile among 6,471 codes billed · 2024
-11.6%
Medicare payment on the code vs 2023; billers -13.5% · 2024

Trend

Medicare payment on the code

$0$20M$40M2020: $45M paid20202021: $27M paid20212022: $22M paid20222023: $17M paid20232024: $15M paid2024$15M$0$20M$40M2020: $45M paid20202021: $27M paid20212022: $22M paid20222023: $17M paid20232024: $15M paid2024$15M$0$20M$40M2020: $45M paid20202021: $27M paid20212022: $22M paid20222023: $17M paid20232024: $15M paid2024$15M$0$20M$40M2020: $45M paid20202021: $27M paid20212022: $22M paid20222023: $17M paid20232024: $15M paid2024$15M

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

Billers

020K40K2020: 42K providers20202021: 20K providers20212022: 15K providers20222023: 11K providers20232024: 9,208 providers20249,208020K40K2020: 42K providers20202021: 20K providers20212022: 15K providers20222023: 11K providers20232024: 9,208 providers20249,208020K40K2020: 42K providers20202021: 20K providers20212022: 15K providers20222023: 11K providers20232024: 9,208 providers20249,208020K40K2020: 42K providers20202021: 20K providers20212022: 15K providers20222023: 11K providers20232024: 9,208 providers20249,208

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
20249,208$15,340,821-12%415,036241400.70
202310,645$17,356,767-21%499,248231340.70
202214,864$22,059,717-19%630,191231240.70
202120,316$27,232,077-40%815,591231170.70
202042,493$45,235,639first year in data1,583,105231060.25

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
California1,338$3,064,07277,61124205
New York1,082$2,748,68066,09027207
Florida551$1,109,01228,95124167
Texas694$991,98328,30923115
New Jersey346$817,07220,50928221
Illinois442$523,37314,9232195
Maryland257$500,22412,78827171
Pennsylvania327$459,22413,09421111
Massachusetts294$393,49410,67622124
Virginia286$383,85010,93224114
Arizona222$373,52410,47026155
Michigan302$349,08210,1692299
North Carolina226$238,9927,6972076
Washington191$228,9886,4472382
Ohio280$226,2907,4882063

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 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,043$3,040,97071,45429
Los Angeles-Long Beach-Anaheim, CA603$1,598,04839,34225
Chicago-Naperville-Elgin, IL-IN361$420,51211,57921
Houston-Pasadena-The Woodlands, TX275$401,58711,00122
Miami-Fort Lauderdale-West Palm Beach, FL144$390,9969,50126
Washington-Arlington-Alexandria, DC-VA-MD-WV158$338,0758,45229
Detroit-Warren-Dearborn, MI186$259,1567,12626
Baltimore-Columbia-Towson, MD139$245,0706,37323
Phoenix-Mesa-Chandler, AZ137$236,1196,56325
San Francisco-Oakland-Fremont, CA118$225,4435,28224
Dallas-Fort Worth-Arlington, TX156$218,6416,33724
San Jose-Sunnyvale-Santa Clara, CA49$207,3535,74526
Boston-Cambridge-Newton, MA-NH155$206,6015,47221
Riverside-San Bernardino-Ontario, CA123$190,1115,21024
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD117$186,9475,00025

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 95 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 99441 nationally

Internal Medicine accounts for 26% of payment for 99441 nationally in 2024, across 48 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine1,56117%$3,966,91826%101,28665
Nurse Practitioner1,81320%$2,131,06914%67,85937
Family Practice1,10212%$1,736,31011%47,40643
Physician Assistant97511%$947,3976.2%30,02031
Urology4705.1%$810,9075.3%20,58144
Cardiology3163.4%$764,8365.0%18,59359
Hematology-Oncology3043.3%$456,7383.0%13,01543
Geriatric Medicine530.58%$312,6342.0%7,361139
Orthopedic Surgery2402.6%$267,5661.7%7,07129
Physical Medicine and Rehabilitation1251.4%$249,9951.6%5,95148
Pulmonary Disease1121.2%$228,4731.5%5,69751
Gastroenterology1251.4%$211,8091.4%5,32043
General Practice600.65%$207,0581.3%5,23287
Vascular Surgery1371.5%$203,4691.3%5,13037
Neurology1091.2%$202,9481.3%4,99446

Not listed: 19 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 99441 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