Evaluation and management codes by Medicare payment, 2020
Every code billed to Original Medicare Part B, with how many providers bill it and what it paid.
Top 103 evaluation and management codes
| observed | calculated | calculated | calculated | calculated | calculated | ||
|---|---|---|---|---|---|---|---|
| 99214 | Descriptor not shown (CPT code) | 427,811 | $6,217,850,436 | 24% | 87,626,387 | 102 | |
| 99213 | Descriptor not shown (CPT code) | 442,931 | $3,641,690,420 | 14% | 74,817,627 | 82 | |
| 99232 | Descriptor not shown (CPT code) | 172,753 | $2,261,919,758 | 8.6% | 38,917,470 | 93 | |
| 99233 | Descriptor not shown (CPT code) | 129,015 | $2,028,050,351 | 7.8% | 23,969,727 | 93 | |
| 99223 | Descriptor not shown (CPT code) | 131,506 | $1,463,534,404 | 5.6% | 9,060,604 | 42 | |
| 99285 | Descriptor not shown (CPT code) | 58,816 | $1,294,974,635 | 5.0% | 9,187,779 | 123 | |
| 99291 | Descriptor not shown (CPT code) | 68,223 | $1,097,626,171 | 4.2% | 5,952,087 | 47 | |
| 99204 | Descriptor not shown (CPT code) | 165,869 | $879,474,824 | 3.4% | 7,780,468 | 31 | |
| 99215 | Descriptor not shown (CPT code) | 107,887 | $786,264,171 | 3.0% | 7,848,467 | 35 | |
| 99309 | Descriptor not shown (CPT code) | 26,044 | $646,293,211 | 2.5% | 9,727,635 | 172 | |
| 99203 | Descriptor not shown (CPT code) | 160,873 | $599,868,920 | 2.3% | 8,427,867 | 31 | |
| 99308 | Descriptor not shown (CPT code) | 27,702 | $538,231,168 | 2.1% | 10,516,143 | 145 | |
| 99222 | Descriptor not shown (CPT code) | 98,326 | $528,723,342 | 2.0% | 4,835,349 | 28 | |
| 99239 | Descriptor not shown (CPT code) | 56,028 | $376,041,147 | 1.4% | 4,395,652 | 56 | |
| 99284 | Descriptor not shown (CPT code) | 59,468 | $348,455,248 | 1.3% | 3,888,994 | 51 | |
| 99205 | Descriptor not shown (CPT code) | 53,673 | $285,584,548 | 1.1% | 1,912,999 | 25 | |
| 99212 | Descriptor not shown (CPT code) | 111,120 | $233,953,402 | 0.89% | 7,752,244 | 32 | |
| 99442 | Descriptor not shown (CPT code) | 96,404 | $226,023,691 | 0.86% | 4,522,663 | 28 | |
| 99443 | Descriptor not shown (CPT code) | 59,497 | $207,207,145 | 0.79% | 2,763,732 | 27 | |
| 99310 | Descriptor not shown (CPT code) | 10,266 | $155,743,177 | 0.60% | 1,589,034 | 68 | |
| 99231 | Descriptor not shown (CPT code) | 56,563 | $152,646,896 | 0.58% | 4,925,381 | 39 | |
| 99220 | Descriptor not shown (CPT code) | 29,384 | $152,136,368 | 0.58% | 1,055,799 | 24 | |
| 99336 | Descriptor not shown (CPT code) | 7,839 | $152,108,753 | 0.58% | 1,630,916 | 85 | |
| 99490 | Descriptor not shown (CPT code) | 12,468 | $142,842,027 | 0.55% | 4,635,002 | 156 | |
| 99306 | Descriptor not shown (CPT code) | 11,986 | $136,132,029 | 0.52% | 1,019,086 | 47 | |
| 99497 | Descriptor not shown (CPT code) | 22,389 | $124,117,391 | 0.47% | 1,793,292 | 41 | |
| 99238 | Descriptor not shown (CPT code) | 38,786 | $99,171,677 | 0.38% | 1,710,522 | 26 | |
| 99349 | Descriptor not shown (CPT code) | 6,054 | $93,213,619 | 0.36% | 1,029,604 | 67 | |
| 99202 | Descriptor not shown (CPT code) | 42,337 | $87,124,681 | 0.33% | 1,742,099 | 25 | |
| 99283 | Descriptor not shown (CPT code) | 49,550 | $86,045,070 | 0.33% | 1,827,500 | 29 | |
| 99221 | Descriptor not shown (CPT code) | 34,099 | $83,287,557 | 0.32% | 1,041,608 | 20 | |
| 99335 | Descriptor not shown (CPT code) | 7,404 | $79,143,833 | 0.30% | 1,178,750 | 68 | |
| 99305 | Descriptor not shown (CPT code) | 9,593 | $73,991,683 | 0.28% | 726,635 | 40 | |
| 99496 | Descriptor not shown (CPT code) | 14,423 | $71,790,461 | 0.27% | 388,295 | 20 | |
| 99307 | Descriptor not shown (CPT code) | 11,148 | $64,686,582 | 0.25% | 1,975,331 | 66 | |
| 99337 | Descriptor not shown (CPT code) | 3,116 | $64,490,422 | 0.25% | 479,647 | 54 | |
| 99350 | Descriptor not shown (CPT code) | 3,414 | $53,158,878 | 0.20% | 418,619 | 51 | |
| 99217 | Descriptor not shown (CPT code) | 29,759 | $49,559,807 | 0.19% | 879,043 | 22 | |
| 99211 | Descriptor not shown (CPT code) | 32,050 | $49,016,620 | 0.19% | 2,805,317 | 36 | |
| 99495 | Descriptor not shown (CPT code) | 15,204 | $47,155,507 | 0.18% | 345,557 | 18 | |
| 99441 | Descriptor not shown (CPT code) | 42,493 | $45,235,639 | 0.17% | 1,583,105 | 23 | |
| 99292 | Descriptor not shown (CPT code) | 8,354 | $38,785,757 | 0.15% | 426,052 | 29 | |
| 99219 | Descriptor not shown (CPT code) | 11,204 | $32,201,490 | 0.12% | 310,927 | 20 | |
| 99348 | Descriptor not shown (CPT code) | 4,208 | $29,055,311 | 0.11% | 469,244 | 45 | |
| 99358 | Descriptor not shown (CPT code) | 4,194 | $25,091,471 | 0.10% | 298,906 | 31 | |
| 99316 | Descriptor not shown (CPT code) | 6,423 | $22,840,735 | 0.09% | 295,216 | 31 | |
| 99354 | Descriptor not shown (CPT code) | 3,289 | $21,481,302 | 0.08% | 223,152 | 30 | |
| 99454 | Descriptor not shown (CPT code) | 1,601 | $20,364,405 | 0.08% | 408,147 | 104 | |
| 99334 | Descriptor not shown (CPT code) | 3,567 | $19,616,881 | 0.08% | 451,379 | 51 | |
| 99487 | Descriptor not shown (CPT code) | 2,139 | $18,345,910 | 0.07% | 266,015 | 39 |
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 2020.
Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed