HCPCS 99484

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

Evaluation and management Work RVU per service 0.61 (2020 fee schedule)

631
82nd percentile among 6,116 codes billed · 2020
$4.1M
82nd percentile among 6,116 codes billed · 2020
120K
86th percentile among 6,116 codes billed · 2020
75
84th percentile among 6,116 codes billed · 2020
718
85th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$10M2020: $4.1M paid20202021: $5.3M paid20212022: $6.2M paid20222023: $7.1M paid20232024: $17M paid2024$17M$0$10M2020: $4.1M paid20202021: $5.3M paid20212022: $6.2M paid20222023: $7.1M paid20232024: $17M paid2024$17M$0$10M2020: $4.1M paid20202021: $5.3M paid20212022: $6.2M paid20222023: $7.1M paid20232024: $17M paid2024$17M$0$10M2020: $4.1M paid20202021: $5.3M paid20212022: $6.2M paid20222023: $7.1M paid20232024: $17M paid2024$17M

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

Billers

05001,0002020: 631 providers20202021: 765 providers20212022: 727 providers20222023: 845 providers20232024: 1,218 providers20241,21805001,0002020: 631 providers20202021: 765 providers20212022: 727 providers20222023: 845 providers20232024: 1,218 providers20241,21805001,0002020: 631 providers20202021: 765 providers20212022: 727 providers20222023: 845 providers20232024: 1,218 providers20241,21805001,0002020: 631 providers20202021: 765 providers20212022: 727 providers20222023: 845 providers20232024: 1,218 providers20241,218

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
20241,218$16,598,989+134%422,066861,2800.93
2023845$7,107,680+14%238,840911,2040.61
2022727$6,243,540+17%206,3161071,1010.61
2021765$5,332,279+30%162,884827360.61
2020631$4,100,767first year in data120,466757180.61

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
California59$498,58213,906146648
Pennsylvania72$417,25111,61385276
Texas41$321,4909,467531,248
Maryland23$317,3608,7201261,319
Florida52$273,6468,18054526
Colorado56$254,2187,22180353
Ohio32$202,7106,458451,040
New York33$200,7355,553141455
Missouri11$158,0584,9652591,529
New Jersey34$122,8483,34765270
Illinois24$114,3333,18190370
Michigan20$112,7723,14528905
Oklahoma11$105,3593,079240947
Oregon12$83,3242,816127625
Arizona27$82,6503,15744531

Not listed: 25 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
Baltimore-Columbia-Towson, MD17$250,7136,862135
Denver-Aurora-Centennial, CO54$250,0897,06580
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD51$221,0525,82170
Los Angeles-Long Beach-Anaheim, CA28$190,5656,101175
New York-Newark-Jersey City, NY-NJ27$140,6143,73296
Chicago-Naperville-Elgin, IL-IN22$129,6783,55890
Detroit-Warren-Dearborn, MI12$94,7102,56123
Houston-Pasadena-The Woodlands, TX13$85,9332,64248
Phoenix-Mesa-Chandler, AZ19$74,1312,84067
Tampa-St. Petersburg-Clearwater, FL16$63,4361,84240
Dallas-Fort Worth-Arlington, TX11$56,7851,61437
Cleveland, OH14$38,0801,22356

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 12 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 99484 nationally

Nurse Practitioner accounts for 28% of payment for 99484 nationally in 2020, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner18129%$1,159,23428%37,888209
Internal Medicine11017%$715,46617%19,240175
Pain Management396.2%$566,86914%15,563399
Family Practice10817%$526,52613%14,651136
Anesthesiology284.4%$241,3755.9%6,534233
Physician Assistant497.8%$185,4934.5%5,977122
Psychiatry264.1%$168,1644.1%4,939190
Psychologist, Clinical203.2%$145,7183.6%5,018251
General Practice132.1%$84,4242.1%2,210170
Interventional Pain Management182.9%$79,5071.9%2,189122

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 2020.

Top billers of 99484 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