HCPCS 99484

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

Evaluation and management Work RVU per service 0.61 (2021 fee schedule)

765
83rd percentile among 6,253 codes billed · 2021
$5.3M
84th percentile among 6,253 codes billed · 2021
163K
88th percentile among 6,253 codes billed · 2021
82
84th percentile among 6,253 codes billed · 2021
736
85th percentile among 6,253 codes billed · 2021
+30.0%
Medicare payment on the code vs 2020; billers +21.2% · 2021

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
Florida81$1,024,75031,11669788
Pennsylvania112$596,05118,08396477
California67$516,37514,696119553
Texas39$345,39410,3151031,199
Maryland27$344,48310,3201951,041
New Jersey43$264,5777,16888650
Colorado52$185,1135,85979352
Ohio31$178,8745,80550794
Massachusetts11$164,3585,0122701,195
New York32$156,7734,57289349
Oregon14$128,4734,124175755
Kentucky32$119,7094,11532681
Arizona32$92,0003,30035364
Nevada15$88,1442,92963652
Tennessee19$81,9812,73751831

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

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 2021.

Top metro areas

observed calculated calculated calculated calculated
Baltimore-Columbia-Towson, MD20$304,6449,123293
New York-Newark-Jersey City, NY-NJ35$257,6067,015142
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD53$246,8316,81082
Denver-Aurora-Centennial, CO51$184,5425,84480
Los Angeles-Long Beach-Anaheim, CA31$164,7825,544113
San Francisco-Oakland-Fremont, CA11$134,0253,412238
Tampa-St. Petersburg-Clearwater, FL21$105,8033,21246
Phoenix-Mesa-Chandler, AZ28$86,9933,14736
Las Vegas-Henderson-North Las Vegas, NV14$86,4772,88585
Chicago-Naperville-Elgin, IL-IN15$74,2302,06072
Orlando-Kissimmee-Sanford, FL14$57,4901,87156
Williamsport, PA11$53,1791,624107
Miami-Fort Lauderdale-West Palm Beach, FL11$39,6651,17496
Minneapolis-St. Paul-Bloomington, MN-WI12$35,0091,13930
Toledo, OH12$17,64752041

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 16 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing 99484 nationally

Nurse Practitioner accounts for 35% of payment for 99484 nationally in 2021, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner26835%$1,872,59435%61,502229
Psychiatry283.7%$731,76114%21,987785
Internal Medicine11215%$711,40413%19,825177
Family Practice12817%$478,1609.0%13,863108
Pain Management385.0%$406,7107.6%11,551304
Physician Assistant618.0%$244,7004.6%7,968131
Anesthesiology222.9%$221,8964.2%6,447293
Psychologist, Clinical314.1%$150,7422.8%5,556179
Interventional Pain Management162.1%$143,7102.7%3,893243
Physical Medicine and Rehabilitation121.6%$120,7882.3%3,345279
General Practice121.6%$83,1901.6%2,314193

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 2021.

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