HCPCS 99484

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

Evaluation and management Work RVU per service 0.61 (2022 fee schedule)

727
83rd percentile among 6,326 codes billed · 2022
$6.2M
85th percentile among 6,326 codes billed · 2022
206K
89th percentile among 6,326 codes billed · 2022
107
87th percentile among 6,326 codes billed · 2022
1,101
89th percentile among 6,326 codes billed · 2022
+17.1%
Medicare payment on the code vs 2021; billers -5.0% · 2022

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
Pennsylvania162$1,299,44643,164115976
California81$792,39823,185119781
Florida62$585,87319,269129949
Texas49$424,90913,969981,001
New Jersey42$385,51011,2411121,055
Maryland23$268,3638,340791,346
Massachusetts12$248,3038,0866821,475
Nevada12$231,9519,2662883,353
Kentucky31$173,1276,95550961
Arizona18$152,3105,220571,388
Tennessee20$138,6545,941223914
New York26$134,8644,24886465
Ohio12$117,1694,1301281,291
Oregon13$108,3123,713120794
Illinois17$88,8952,59452483

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 2022.

Top metro areas

observed calculated calculated calculated calculated
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD68$536,00816,527112
New York-Newark-Jersey City, NY-NJ39$354,56310,538156
Los Angeles-Long Beach-Anaheim, CA39$234,6627,322101
Baltimore-Columbia-Towson, MD17$233,6427,094210
San Francisco-Oakland-Fremont, CA16$162,6994,593285
Pittsburgh, PA11$153,9755,557517
Dallas-Fort Worth-Arlington, TX15$132,8854,15881
Chicago-Naperville-Elgin, IL-IN18$94,4262,78070
Harrisburg-Carlisle, PA16$91,9682,975110
Houston-Pasadena-The Woodlands, TX11$89,1763,02165
Phoenix-Mesa-Chandler, AZ14$83,8063,15866
Williamsport, PA18$78,1342,55497
Tampa-St. Petersburg-Clearwater, FL18$75,8162,32530
Miami-Fort Lauderdale-West Palm Beach, FL11$62,8732,032237
Detroit-Warren-Dearborn, MI16$29,31296030

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 2022.

Specialties billing 99484 nationally

Nurse Practitioner accounts for 47% of payment for 99484 nationally in 2022, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner28439%$2,940,84147%103,450364
Internal Medicine8812%$570,4169.1%16,686190
Psychiatry334.5%$533,7248.5%18,602564
Family Practice10514%$454,0577.3%13,992133
Pain Management365.0%$351,9635.6%10,460291
Anesthesiology182.5%$326,4895.2%9,412523
Psychologist, Clinical334.5%$238,4393.8%8,148247
Physician Assistant527.2%$216,6883.5%7,732149
Physical Medicine and Rehabilitation162.2%$160,0272.6%4,671292
Interventional Pain Management121.7%$81,0761.3%2,452204

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 2022.

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