HCPCS 99441

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

Evaluation and management Work RVU per service 0.70 (2022 fee schedule)

14,864
98th percentile among 6,326 codes billed · 2022
$22M
93rd percentile among 6,326 codes billed · 2022
630K
94th percentile among 6,326 codes billed · 2022
23
48th percentile among 6,326 codes billed · 2022
124
60th percentile among 6,326 codes billed · 2022
-19.0%
Medicare payment on the code vs 2021; billers -26.8% · 2022

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 York1,596$3,584,68784,60025168
California1,831$3,508,22292,92226153
New Jersey569$1,390,12333,94226210
Texas828$1,210,22537,35624122
Florida633$1,014,16628,15525133
Illinois686$808,42422,4852283
Massachusetts644$800,96023,98323110
Pennsylvania715$778,01423,9842184
Maryland346$657,56518,04226175
Virginia430$627,03918,59324139
Arizona340$551,25415,61723117
Michigan459$506,69716,78022110
Washington257$500,39415,03623220
Ohio616$491,04917,4322069
North Carolina486$444,89813,9262068

Not listed: 1 billers with an armed-forces or unknown state code (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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ1,353$3,882,85687,79329
Los Angeles-Long Beach-Anaheim, CA744$1,680,86944,01525
Chicago-Naperville-Elgin, IL-IN517$605,41316,36421
Boston-Cambridge-Newton, MA-NH378$457,41313,24922
Washington-Arlington-Alexandria, DC-VA-MD-WV203$450,05711,27526
Houston-Pasadena-The Woodlands, TX292$437,90213,31025
Miami-Fort Lauderdale-West Palm Beach, FL174$358,9159,53827
Detroit-Warren-Dearborn, MI257$339,33410,50624
Baltimore-Columbia-Towson, MD185$336,3119,48326
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD258$327,9339,17822
San Diego-Chula Vista-Carlsbad, CA221$314,7998,19325
Denver-Aurora-Centennial, CO107$293,7858,88433
San Francisco-Oakland-Fremont, CA154$292,7976,81025
Dallas-Fort Worth-Arlington, TX190$285,9649,28624
Riverside-San Bernardino-Ontario, CA168$235,1707,10724

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 94 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing 99441 nationally

Internal Medicine accounts for 26% of payment for 99441 nationally in 2022, across 49 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine2,72018%$5,834,19326%149,53255
Nurse Practitioner2,99920%$3,439,34316%115,55439
Family Practice2,39816%$3,138,57914%91,03038
Physician Assistant1,54010%$1,649,8337.5%54,51835
Cardiology4713.2%$800,0583.6%20,87944
Hematology-Oncology4503.0%$763,8273.5%22,80851
Urology5063.4%$691,3293.1%19,76539
Psychiatry2041.4%$419,5041.9%11,98359
Gastroenterology2321.6%$366,6421.7%9,61741
Neurology1991.3%$320,7441.5%8,47243
Pulmonary Disease2031.4%$314,0201.4%8,32741
Orthopedic Surgery2551.7%$302,1591.4%8,13632
Interventional Pain Management570.38%$300,8421.4%6,850120
Geriatric Medicine670.45%$269,5441.2%6,40596
Physical Medicine and Rehabilitation1470.99%$254,8311.2%6,36043

Not listed: 18 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 2022.

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