HCPCS 99487

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

Evaluation and management Work RVU per service 1.00 (2021 fee schedule)

1,977
90th percentile among 6,253 codes billed · 2021
$17M
91st percentile among 6,253 codes billed · 2021
253K
90th percentile among 6,253 codes billed · 2021
42
70th percentile among 6,253 codes billed · 2021
444
80th percentile among 6,253 codes billed · 2021
-4.9%
Medicare payment on the code vs 2020; billers -7.6% · 2021

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
Texas228$3,616,66352,99148822
California156$2,297,31730,67150772
Florida241$1,881,47327,64846363
New York145$1,147,70615,02245375
Georgia64$1,058,08814,99642222
New Jersey51$709,7059,26454439
North Carolina121$672,26910,07743242
Maryland45$615,0068,49663805
Illinois46$569,1838,68750710
Michigan67$455,4956,96934362
Pennsylvania64$392,7965,82034241
Massachusetts72$312,9084,52439174
Mississippi55$290,0885,64254234
Arizona60$235,9423,61233216
Indiana36$223,5663,44026341

Not listed: 12 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
New York-Newark-Jersey City, NY-NJ131$1,366,71217,18350
Dallas-Fort Worth-Arlington, TX81$1,174,71117,03677
Los Angeles-Long Beach-Anaheim, CA68$1,121,46615,26757
Atlanta-Sandy Springs-Roswell, GA24$910,03512,69960
Houston-Pasadena-The Woodlands, TX41$785,53611,29033
Chicago-Naperville-Elgin, IL-IN43$541,2338,11645
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD35$447,8976,25457
Orlando-Kissimmee-Sanford, FL34$370,0645,549101
Miami-Fort Lauderdale-West Palm Beach, FL38$356,8685,22170
Baltimore-Columbia-Towson, MD14$351,5874,974184
Washington-Arlington-Alexandria, DC-VA-MD-WV40$348,4844,58332
Tampa-St. Petersburg-Clearwater, FL51$338,2574,98941
Detroit-Warren-Dearborn, MI29$285,4074,07241
San Antonio-New Braunfels, TX23$261,2154,18335
San Diego-Chula Vista-Carlsbad, CA17$201,0472,57985

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 42 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 99487 nationally

Internal Medicine accounts for 42% of payment for 99487 nationally in 2021, across 11 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine61131%$7,333,30642%104,141170
Family Practice56729%$4,717,90727%68,146120
Nurse Practitioner35718%$1,959,21511%32,38691
Cardiology482.4%$618,2643.5%8,591179
Geriatric Medicine251.3%$356,9332.0%4,573183
Gastroenterology1356.8%$325,1651.9%4,65534
Physician Assistant683.4%$324,2101.9%4,99273
General Practice281.4%$297,5911.7%4,106147
Nephrology120.61%$141,6970.81%2,014168
Urology190.96%$91,4190.52%1,29468
Pulmonary Disease110.56%$26,4250.15%44440

Not listed: 23 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 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