HCPCS 99487

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

Evaluation and management Work RVU per service 1.81 (2022 fee schedule)

2,107
90th percentile among 6,326 codes billed · 2022
$29M
94th percentile among 6,326 codes billed · 2022
300K
91st percentile among 6,326 codes billed · 2022
41
70th percentile among 6,326 codes billed · 2022
560
82nd percentile among 6,326 codes billed · 2022
+68.3%
Medicare payment on the code vs 2021; billers +6.6% · 2022

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
Texas221$6,819,43871,140551,258
California151$3,762,13835,96554957
Florida217$2,537,37426,67048525
New Jersey67$1,850,55716,66143799
Georgia73$1,844,11217,98540325
New York102$1,178,62411,05248518
North Carolina172$1,023,44410,68630198
South Carolina120$985,15511,15156259
Michigan84$954,09410,08545205
Illinois43$902,8689,57767972
Pennsylvania85$863,2858,46035212
Maryland37$709,4177,47254939
Louisiana64$604,0216,25744350
Nevada26$490,1025,14750726
Massachusetts55$420,6334,22443211

Not listed: 2 billers with an armed-forces or unknown state code (XX, ZZ); they are in the national totals.

Not listed: 15 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
Dallas-Fort Worth-Arlington, TX76$2,858,39829,899200
New York-Newark-Jersey City, NY-NJ133$2,418,58721,91244
Los Angeles-Long Beach-Anaheim, CA69$2,013,10519,08758
Atlanta-Sandy Springs-Roswell, GA28$1,585,24715,22289
Houston-Pasadena-The Woodlands, TX43$1,234,38612,38432
Chicago-Naperville-Elgin, IL-IN41$889,2909,23463
Columbia, SC86$698,5678,20863
Detroit-Warren-Dearborn, MI40$653,6116,52937
Miami-Fort Lauderdale-West Palm Beach, FL41$545,4595,78456
Tampa-St. Petersburg-Clearwater, FL68$528,4025,41639
Orlando-Kissimmee-Sanford, FL23$496,6135,353215
Washington-Arlington-Alexandria, DC-VA-MD-WV32$488,3604,82453
San Antonio-New Braunfels, TX18$405,2924,43446
Baltimore-Columbia-Towson, MD19$405,1664,34459
Las Vegas-Henderson-North Las Vegas, NV23$393,6344,09749

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 48 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 99487 nationally

Internal Medicine accounts for 41% of payment for 99487 nationally in 2022, across 16 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine59628%$11,913,09941%118,731199
Family Practice57227%$7,232,57325%74,013129
Nurse Practitioner48223%$3,833,98713%44,56592
Cardiology472.2%$1,174,5114.0%11,338241
Neurology110.52%$714,6582.4%7,020638
Geriatric Medicine231.1%$659,9132.2%6,142267
Gastroenterology1225.8%$460,6571.6%4,64838
Physician Assistant633.0%$435,6281.5%4,70875
Emergency Medicine170.81%$420,2461.4%4,198247
General Practice281.3%$385,3341.3%3,764134
Hospitalist110.52%$272,4250.93%2,707246
Nephrology221.0%$236,2080.80%2,317105
Urology150.71%$143,8560.49%1,44296
Pulmonary Disease120.57%$125,8070.43%1,246104
Endocrinology110.52%$75,1140.26%87580

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 2022.

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