Evaluation and management codes by Medicare payment, 2024

Every code billed to Original Medicare Part B, with how many providers bill it and what it paid.

86
of 6,471 codes · 2024
$29.6B
30% of all code payment · 2024
379.5M
14% of all services on codes · 2024
99214
$8.43B paid, 28% of category payment · 2024
+1.1%
Medicare payment on the code vs 2023 · 2024

Top 84 evaluation and management codes

Not listed: 2 codes billed by fewer than 11 providers (small cells; each has its own page with the count).

observed calculated calculated calculated calculated calculated
99214Descriptor not shown (CPT code)498,045$8,429,417,26028%102,377,857107
99213Descriptor not shown (CPT code)457,569$3,967,726,63413%67,927,93672
99233Descriptor not shown (CPT code)131,573$2,041,112,4556.9%22,309,09084
99232Descriptor not shown (CPT code)176,156$2,035,111,4466.9%33,827,45481
99215Descriptor not shown (CPT code)153,625$1,424,342,1884.8%11,827,81638
99204Descriptor not shown (CPT code)232,660$1,277,271,5154.3%11,508,27432
99223Descriptor not shown (CPT code)140,980$1,255,751,5124.2%9,607,21639
99285Descriptor not shown (CPT code)64,318$1,175,277,4574.0%8,984,062104
99309Descriptor not shown (CPT code)30,091$1,101,657,0913.7%14,712,800224
99291Descriptor not shown (CPT code)73,484$897,202,6503.0%5,457,11844
99308Descriptor not shown (CPT code)26,213$618,183,0452.1%11,622,162157
99203Descriptor not shown (CPT code)155,883$538,312,7231.8%7,685,96431
99222Descriptor not shown (CPT code)115,957$528,263,7611.8%5,366,12227
99239Descriptor not shown (CPT code)64,431$454,832,6921.5%5,221,36357
99205Descriptor not shown (CPT code)67,958$377,969,7431.3%2,462,62825
99284Descriptor not shown (CPT code)65,448$374,843,1741.3%4,389,22753
99490Descriptor not shown (CPT code)18,757$303,492,3271.0%6,682,760149
99349Descriptor not shown (CPT code)14,815$294,272,8690.99%3,553,733100
99310Descriptor not shown (CPT code)13,634$225,517,1560.76%2,124,06371
99212Descriptor not shown (CPT code)90,889$216,133,3830.73%5,819,45531
99306Descriptor not shown (CPT code)13,288$174,665,1040.59%1,280,39052
99497Descriptor not shown (CPT code)29,529$156,798,9790.53%2,539,17044
99350Descriptor not shown (CPT code)7,440$151,994,7080.51%1,238,11063
99231Descriptor not shown (CPT code)44,310$125,911,6780.43%3,401,22936
99439Descriptor not shown (CPT code)10,926$106,566,3520.36%2,958,53987
99305Descriptor not shown (CPT code)10,676$100,870,5740.34%1,020,75046
99457Descriptor not shown (CPT code)6,982$93,814,8310.32%2,500,830146
99496Descriptor not shown (CPT code)16,135$90,283,1340.31%456,30120
99348Descriptor not shown (CPT code)11,456$89,572,0220.30%1,740,22964
99238Descriptor not shown (CPT code)32,198$82,599,7040.28%1,349,02324
99454Descriptor not shown (CPT code)6,419$74,901,1550.25%2,027,677146
99489Descriptor not shown (CPT code)2,003$73,995,0970.25%1,389,391100
99458Descriptor not shown (CPT code)4,522$63,275,8000.21%2,066,989158
99495Descriptor not shown (CPT code)18,207$58,418,8580.20%414,89718
99487Descriptor not shown (CPT code)2,946$58,385,6970.20%599,99960
99442Descriptor not shown (CPT code)17,592$57,900,8000.20%954,19325
99443Descriptor not shown (CPT code)12,074$54,753,7740.19%618,67926
99307Descriptor not shown (CPT code)8,117$42,916,8950.15%1,476,72867
99283Descriptor not shown (CPT code)26,054$36,284,3600.12%744,46420
99221Descriptor not shown (CPT code)18,351$34,109,1870.12%555,57820
99316Descriptor not shown (CPT code)6,848$30,484,3990.10%333,30132
99202Descriptor not shown (CPT code)17,327$24,468,8640.08%554,11621
99483Descriptor not shown (CPT code)2,003$24,051,2310.08%127,35335
99292Descriptor not shown (CPT code)4,826$21,449,0280.07%261,84132
99426Descriptor not shown (CPT code)1,927$21,186,8530.07%453,609113
99345Descriptor not shown (CPT code)3,513$19,097,5980.06%142,63924
99344Descriptor not shown (CPT code)5,042$18,741,6950.06%200,19224
99304Descriptor not shown (CPT code)3,429$18,715,2320.06%313,20344
99491Descriptor not shown (CPT code)1,405$16,858,0770.06%275,17783
99484Descriptor not shown (CPT code)1,218$16,598,9890.06%422,06686

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Descriptions of HCPCS Level II codes are the official CMS descriptors, shown verbatim; CPT codes show a ClaimLight category in place of the descriptor. Data year 2024.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed