HCPCS 99487

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

Evaluation and management Work RVU per service 1.81 (2023 fee schedule)

2,701
92nd percentile among 6,405 codes billed · 2023
$42M
95th percentile among 6,405 codes billed · 2023
446K
93rd percentile among 6,405 codes billed · 2023
49
74th percentile among 6,405 codes billed · 2023
571
81st percentile among 6,405 codes billed · 2023
+44.7%
Medicare payment on the code vs 2022; billers +28.2% · 2023

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
Texas263$7,564,30378,289521,027
South Carolina352$5,509,89866,09983554
California216$4,948,54247,69594749
Florida271$4,187,19944,57451668
Georgia104$2,430,41924,85067781
New Jersey79$1,908,32018,987711,134
New York144$1,896,32417,61052565
Michigan95$1,429,55215,06684390
Illinois66$1,324,45913,63476675
Utah14$1,129,91410,349603,544
Pennsylvania99$1,043,26510,55340234
Maryland51$928,3649,43783890
North Carolina113$808,3208,79730179
Nevada63$771,3987,97842494
Louisiana38$601,6666,50938895

Not listed: 14 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
Columbia, SC243$4,336,86053,030105
Dallas-Fort Worth-Arlington, TX89$3,938,24440,370153
New York-Newark-Jersey City, NY-NJ155$2,879,75027,22963
Los Angeles-Long Beach-Anaheim, CA99$2,762,13926,995139
Atlanta-Sandy Springs-Roswell, GA48$1,481,40214,69463
Chicago-Naperville-Elgin, IL-IN63$1,384,35414,01477
Orlando-Kissimmee-Sanford, FL29$1,064,17111,582245
Houston-Pasadena-The Woodlands, TX64$1,052,10010,74942
Detroit-Warren-Dearborn, MI46$1,001,9509,91997
Miami-Fort Lauderdale-West Palm Beach, FL47$916,2239,64643
Tampa-St. Petersburg-Clearwater, FL89$748,6467,90343
Washington-Arlington-Alexandria, DC-VA-MD-WV43$719,0837,18243
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD47$706,2776,92849
Las Vegas-Henderson-North Las Vegas, NV47$657,2746,73851
San Francisco-Oakland-Fremont, CA21$491,9434,28271

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 51 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 99487 nationally

Internal Medicine accounts for 34% of payment for 99487 nationally in 2023, across 20 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine64924%$14,240,79034%144,464223
Family Practice67025%$9,300,79922%94,717141
Nurse Practitioner82531%$8,325,77520%100,152121
Emergency Medicine150.56%$1,616,0683.8%16,2271,082
Cardiology722.7%$1,548,2813.6%14,491201
Geriatric Medicine291.1%$1,163,3052.7%10,641367
Neurology120.44%$818,0831.9%8,181682
Physician Assistant963.6%$760,1711.8%8,68790
Hospitalist180.67%$712,0341.7%7,462415
General Practice331.2%$671,9161.6%6,904209
Anesthesiology150.56%$498,0421.2%4,738316
Nephrology411.5%$415,6440.98%5,041123
Physical Medicine and Rehabilitation210.78%$360,0850.85%3,678175
Urology521.9%$279,2920.66%2,72652
Pain Management170.63%$262,7080.62%2,495147

Not listed: 22 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 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