HCPCS 99441

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

Evaluation and management Work RVU per service 0.70 (2023 fee schedule)

10,645
97th percentile among 6,405 codes billed · 2023
$17M
92nd percentile among 6,405 codes billed · 2023
499K
93rd percentile among 6,405 codes billed · 2023
23
48th percentile among 6,405 codes billed · 2023
134
61st percentile among 6,405 codes billed · 2023
-21.3%
Medicare payment on the code vs 2022; billers -28.4% · 2023

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 York1,235$3,184,58075,71526206
California1,535$3,102,09185,22324166
New Jersey463$1,097,16228,70827189
Florida541$945,75726,88827145
Texas688$873,89127,79424113
Illinois517$716,56121,10822102
Pennsylvania463$533,97616,1171986
Maryland274$493,75513,78626168
Massachusetts389$488,99314,85121110
Washington193$420,15613,23822117
Virginia307$386,85411,62722106
Michigan306$341,33810,7602389
Arizona237$328,2189,94222128
Oklahoma84$301,7568,98327277
Ohio364$277,2669,4361963

Not listed: 2 billers with an armed-forces or unknown state code (AE, ZZ); they are in the national totals.

Not listed: 4 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
New York-Newark-Jersey City, NY-NJ1,188$3,563,20183,87728
Los Angeles-Long Beach-Anaheim, CA666$1,619,32044,23224
Chicago-Naperville-Elgin, IL-IN399$567,75516,56022
Washington-Arlington-Alexandria, DC-VA-MD-WV164$368,7419,55626
Houston-Pasadena-The Woodlands, TX276$342,14211,19324
Miami-Fort Lauderdale-West Palm Beach, FL150$318,2388,35927
Boston-Cambridge-Newton, MA-NH226$303,2038,88220
Detroit-Warren-Dearborn, MI193$267,5927,89025
Baltimore-Columbia-Towson, MD153$259,8007,52525
San Diego-Chula Vista-Carlsbad, CA164$245,7006,21225
Seattle-Tacoma-Bellevue, WA85$245,3577,78220
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD147$242,2026,66024
San Francisco-Oakland-Fremont, CA118$207,0145,02423
Phoenix-Mesa-Chandler, AZ128$193,4055,84724
Dallas-Fort Worth-Arlington, TX155$185,2256,29522

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 2023.

Specialties billing 99441 nationally

Internal Medicine accounts for 27% of payment for 99441 nationally in 2023, across 48 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine1,91918%$4,607,43027%119,90262
Nurse Practitioner2,07419%$2,561,65215%87,21742
Family Practice1,40213%$2,109,88312%62,33044
Physician Assistant1,16211%$1,075,8166.2%36,75632
Cardiology3353.1%$677,3973.9%17,28752
Urology4834.5%$673,3453.9%18,59739
Hematology-Oncology3373.2%$511,1562.9%15,25445
Orthopedic Surgery2462.3%$308,1041.8%8,67035
Gastroenterology1841.7%$298,4591.7%7,59941
Psychiatry1141.1%$297,6511.7%8,17672
Diagnostic Radiology260.24%$286,9991.7%9,070349
Geriatric Medicine460.43%$282,9361.6%6,722146
Emergency Medicine490.46%$269,4711.6%8,242168
Physical Medicine and Rehabilitation1191.1%$259,0791.5%6,35253
Neurology1461.4%$225,8421.3%5,89040

Not listed: 17 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 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