HCPCS 99487

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

Evaluation and management Work RVU per service 1.00 (2020 fee schedule)

2,139
91st percentile among 6,116 codes billed · 2020
$18M
92nd percentile among 6,116 codes billed · 2020
266K
91st percentile among 6,116 codes billed · 2020
39
69th percentile among 6,116 codes billed · 2020
443
80th percentile among 6,116 codes billed · 2020

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
Texas219$3,276,49447,69145923
California188$2,302,03631,15167672
Florida240$1,970,29628,81435498
New York171$1,755,37222,70745594
North Carolina138$828,14812,32250273
Illinois50$685,58910,158371,112
New Jersey39$659,9358,84674678
Georgia68$573,44510,15239281
Arizona47$422,6646,27434556
Pennsylvania93$385,2035,80129231
Massachusetts73$380,0375,30447221
Washington21$339,0344,40528806
Maryland47$316,5054,30641292
Michigan77$309,2534,57428287
Mississippi50$291,6875,53244362

Not listed: 13 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
New York-Newark-Jersey City, NY-NJ143$1,818,48923,11254
Los Angeles-Long Beach-Anaheim, CA80$920,96512,36268
Dallas-Fort Worth-Arlington, TX65$912,41013,22461
Chicago-Naperville-Elgin, IL-IN50$666,2499,70534
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD54$641,1969,03649
Miami-Fort Lauderdale-West Palm Beach, FL60$518,1207,48943
Houston-Pasadena-The Woodlands, TX43$496,8696,82631
San Diego-Chula Vista-Carlsbad, CA22$431,2705,917104
Atlanta-Sandy Springs-Roswell, GA33$423,6037,73547
Tampa-St. Petersburg-Clearwater, FL43$327,3484,85045
Phoenix-Mesa-Chandler, AZ34$308,5354,57127
San Antonio-New Braunfels, TX21$276,8354,28454
Washington-Arlington-Alexandria, DC-VA-MD-WV42$271,6393,56937
Greensboro-High Point, NC35$264,7103,84482
Orlando-Kissimmee-Sanford, FL17$258,7233,84129

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 44 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 99487 nationally

Internal Medicine accounts for 40% of payment for 99487 nationally in 2020, across 14 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine70233%$7,307,62440%104,865149
Family Practice68632%$5,802,02332%82,868121
Nurse Practitioner33216%$1,808,4769.9%30,40692
Cardiology592.8%$814,2904.4%11,218190
General Practice351.6%$467,2452.5%6,160176
Emergency Medicine120.56%$385,5602.1%5,206434
Physician Assistant663.1%$378,1512.1%5,69086
Geriatric Medicine281.3%$201,1981.1%2,972106
Gastroenterology653.0%$146,5180.80%2,08432
Neurology140.65%$124,3000.68%1,549111
Urology190.89%$99,8360.54%1,42975
Nephrology140.65%$76,6840.42%1,04575
Endocrinology150.70%$61,3080.33%82955
Interventional Cardiology200.94%$50,0530.27%73137

Not listed: 25 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 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