HCPCS 99487

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

Evaluation and management Work RVU per service 1.81 (2024 fee schedule)

2,946
93rd percentile among 6,471 codes billed · 2024
$58M
96th percentile among 6,471 codes billed · 2024
600K
94th percentile among 6,471 codes billed · 2024
60
76th percentile among 6,471 codes billed · 2024
792
83rd percentile among 6,471 codes billed · 2024
+37.5%
Medicare payment on the code vs 2023; billers +9.1% · 2024

Trend

Medicare payment on the code

$0$25M$50M2020: $18M paid20202021: $17M paid20212022: $29M paid20222023: $42M paid20232024: $58M paid2024$58M$0$25M$50M2020: $18M paid20202021: $17M paid20212022: $29M paid20222023: $42M paid20232024: $58M paid2024$58M$0$25M$50M2020: $18M paid20202021: $17M paid20212022: $29M paid20222023: $42M paid20232024: $58M paid2024$58M$0$25M$50M2020: $18M paid20202021: $17M paid20212022: $29M paid20222023: $42M paid20232024: $58M paid2024$58M

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

Billers

02,0002020: 2,139 providers20202021: 1,977 providers20212022: 2,107 providers20222023: 2,701 providers20232024: 2,946 providers20242,94602,0002020: 2,139 providers20202021: 1,977 providers20212022: 2,107 providers20222023: 2,701 providers20232024: 2,946 providers20242,94602,0002020: 2,139 providers20202021: 1,977 providers20212022: 2,107 providers20222023: 2,701 providers20232024: 2,946 providers20242,94602,0002020: 2,139 providers20202021: 1,977 providers20212022: 2,107 providers20222023: 2,701 providers20232024: 2,946 providers20242,946

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
20242,946$58,385,697+37%599,999607921.81
20232,701$42,471,158+45%445,681495711.81
20222,107$29,357,312+68%300,219415601.81
20211,977$17,446,432-5%253,333424441.00
20202,139$18,345,910first year in data266,015394431.00

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
Texas296$10,226,453105,316841,378
California274$8,100,66876,327811,239
South Carolina275$8,039,16887,7251191,341
Florida252$5,094,43353,591601,004
New York217$4,118,74137,92150533
New Jersey92$3,007,63929,481571,818
Georgia152$2,876,44330,04585676
Illinois94$1,963,18719,77797647
Michigan134$1,562,20016,96882381
North Carolina93$1,226,04713,03243391
Maryland100$1,112,19311,06327454
Pennsylvania99$873,4499,05143270
Indiana27$801,6358,35466933
Nevada66$762,3437,95848343
Virginia62$665,5466,44230250

Not listed: 10 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 2024.

Top metro areas

observed calculated calculated calculated calculated
Columbia, SC204$6,196,11768,179115
New York-Newark-Jersey City, NY-NJ232$5,055,16147,37653
Dallas-Fort Worth-Arlington, TX94$4,901,22050,093129
Los Angeles-Long Beach-Anaheim, CA116$4,709,55344,793118
Chicago-Naperville-Elgin, IL-IN84$2,002,26320,111106
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD67$1,925,26318,42546
Orlando-Kissimmee-Sanford, FL32$1,526,63916,395228
Houston-Pasadena-The Woodlands, TX69$1,303,47513,09156
Washington-Arlington-Alexandria, DC-VA-MD-WV65$1,152,42910,97246
Atlanta-Sandy Springs-Roswell, GA69$1,104,89611,01042
Miami-Fort Lauderdale-West Palm Beach, FL43$1,035,06210,701126
San Diego-Chula Vista-Carlsbad, CA22$974,3239,212161
Waco, TX16$930,8809,143571
Macon-Bibb County, GA27$927,4449,877137
San Francisco-Oakland-Fremont, CA39$904,9917,67166

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 52 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing 99487 nationally

Internal Medicine accounts for 32% of payment for 99487 nationally in 2024, across 19 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine68823%$18,714,48132%188,286274
Family Practice61921%$12,914,05422%128,422207
Nurse Practitioner93132%$10,945,67619%126,464136
Cardiology852.9%$2,324,6174.0%22,434264
Emergency Medicine200.68%$1,712,7022.9%17,022851
Geriatric Medicine250.85%$1,533,5402.6%13,818553
General Practice391.3%$1,163,6242.0%11,767302
Hospitalist170.58%$1,140,3662.0%11,015648
Physician Assistant963.3%$994,6131.7%11,613121
Anesthesiology200.68%$679,9961.2%6,758338
Interventional Cardiology220.75%$647,9511.1%6,287286
Neurology140.48%$608,6741.0%6,658476
Physical Medicine and Rehabilitation260.88%$606,6621.0%6,021232
Urology1224.1%$551,6320.94%5,23543
Nephrology541.8%$543,4240.93%6,803126

Not listed: 24 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 2024.

Top billers of 99487 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