HCPCS 99441

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

Evaluation and management Work RVU per service 0.25 (2020 fee schedule)

42,493
99th percentile among 6,116 codes billed · 2020
$45M
96th percentile among 6,116 codes billed · 2020
1.6M
97th percentile among 6,116 codes billed · 2020
23
50th percentile among 6,116 codes billed · 2020
106
58th percentile among 6,116 codes billed · 2020

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
New York3,546$4,731,053138,63224112
California3,306$4,256,351135,08924116
Massachusetts2,187$2,685,64687,87125121
Pennsylvania2,513$2,238,40277,6612177
Illinois2,027$2,059,52369,7782299
Texas2,016$1,950,83372,0112399
Maryland1,225$1,914,00058,79127155
Ohio2,358$1,893,13077,3142387
Florida1,457$1,777,86357,15422123
Virginia1,437$1,689,12261,56126132
North Carolina1,756$1,575,33057,7522388
New Jersey1,117$1,478,12043,23023102
Michigan1,326$1,366,26952,24823120
Indiana1,315$1,207,31047,38423104
Kentucky738$1,071,57040,12927159

Not listed: 5 billers with an armed-forces or unknown state code (AE, XX, ZZ); they are in the national totals.

Not listed: 2 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-NJ2,725$4,329,300117,57525
Boston-Cambridge-Newton, MA-NH1,543$1,750,77357,72324
Los Angeles-Long Beach-Anaheim, CA1,180$1,745,51054,22326
Chicago-Naperville-Elgin, IL-IN1,427$1,396,51046,06721
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD1,230$1,288,15142,74823
Baltimore-Columbia-Towson, MD711$1,024,00931,32626
Washington-Arlington-Alexandria, DC-VA-MD-WV605$796,84823,79024
Minneapolis-St. Paul-Bloomington, MN-WI902$739,07524,88521
Detroit-Warren-Dearborn, MI573$642,81322,56722
Providence-Warwick, RI-MA458$623,13718,92427
Charlotte-Concord-Gastonia, NC-SC563$533,60019,35924
Miami-Fort Lauderdale-West Palm Beach, FL362$505,52115,51024
Houston-Pasadena-The Woodlands, TX566$463,43917,07821
Phoenix-Mesa-Chandler, AZ404$450,35116,15022
Dallas-Fort Worth-Arlington, TX482$434,80318,17323

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 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 99441 nationally

Internal Medicine accounts for 21% of payment for 99441 nationally in 2020, across 56 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine7,56318%$9,316,01421%305,68040
Family Practice7,90919%$7,868,21417%281,74736
Nurse Practitioner7,01917%$6,001,09513%245,02735
Cardiology2,2715.3%$2,842,8536.3%95,80842
Physician Assistant3,2927.7%$2,638,4685.8%106,29932
Urology1,2502.9%$1,468,0743.2%47,80838
Hematology-Oncology1,0752.5%$1,372,8683.0%47,54244
Psychiatry6051.4%$1,022,3972.3%33,52255
Pulmonary Disease8612.0%$985,2502.2%31,31136
Gastroenterology9302.2%$937,8872.1%29,29031
Nephrology7861.8%$900,3362.0%29,29737
Neurology9392.2%$899,6532.0%30,30332
Rheumatology7061.7%$898,5212.0%29,84642
Endocrinology7321.7%$831,3571.8%27,80138
Physical Medicine and Rehabilitation3770.89%$560,6701.2%16,99545

Not listed: 15 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 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