HCPCS 99484

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

Evaluation and management Work RVU per service 0.61 (2023 fee schedule)

845
85th percentile among 6,405 codes billed · 2023
$7.1M
86th percentile among 6,405 codes billed · 2023
239K
90th percentile among 6,405 codes billed · 2023
91
85th percentile among 6,405 codes billed · 2023
1,204
88th percentile among 6,405 codes billed · 2023
+13.8%
Medicare payment on the code vs 2022; billers +16.2% · 2023

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
Pennsylvania197$1,523,60853,3151021,023
California91$1,043,24731,7581741,080
Texas56$427,71414,14373810
Florida60$369,95212,77986872
Nevada14$367,22112,2442244,058
New York24$342,83010,7201591,795
New Jersey32$298,1139,125651,152
Maryland28$277,4328,6761741,219
Arizona24$195,6026,436361,307
Virginia15$149,5355,3521771,012
Illinois24$145,9584,60745899
Ohio15$145,2155,183391,766
Georgia18$143,4574,845142629
Kentucky36$142,1655,94259542
Oregon15$99,6483,255139685

Not listed: 24 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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD63$478,21516,07387
New York-Newark-Jersey City, NY-NJ33$424,63613,005162
Los Angeles-Long Beach-Anaheim, CA41$323,78910,524174
Harrisburg-Carlisle, PA29$323,56511,421150
Baltimore-Columbia-Towson, MD20$229,4807,130141
San Francisco-Oakland-Fremont, CA19$194,2315,689236
Dallas-Fort Worth-Arlington, TX16$166,1525,165142
Chicago-Naperville-Elgin, IL-IN22$145,1574,57747
Pittsburgh, PA23$115,0834,39144
Tampa-St. Petersburg-Clearwater, FL11$99,8993,22060
Houston-Pasadena-The Woodlands, TX15$94,6073,56172
Phoenix-Mesa-Chandler, AZ15$89,0453,00834
Washington-Arlington-Alexandria, DC-VA-MD-WV15$61,5751,88261
Williamsport, PA15$55,6911,823110
Miami-Fort Lauderdale-West Palm Beach, FL12$54,8641,90374

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 18 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 99484 nationally

Nurse Practitioner accounts for 44% of payment for 99484 nationally in 2023, across 10 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner35342%$3,159,46244%114,701325
Psychiatry333.9%$685,2029.6%21,952665
Internal Medicine10212%$609,1548.6%18,423181
Family Practice11313%$589,9148.3%18,212161
Psychologist, Clinical435.1%$517,7807.3%17,337403
Pain Management394.6%$415,0705.8%12,790328
Anesthesiology323.8%$326,0814.6%9,738304
Physician Assistant526.2%$266,2513.7%9,654186
Physical Medicine and Rehabilitation192.2%$142,4542.0%4,150218
Interventional Pain Management141.7%$43,2520.61%1,34196

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 2023.

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