E&M Coding Patterns by Specialty

Medicare Data Report

Evaluation and Management code distribution (99213, 99214, 99215) across specialties, identifying potential undercoding and revenue optimization opportunities.

Code 99213

Level 3

low complexity

Code 99214

Level 4

moderate complexity

Code 99215

Level 5

high complexity

E&M Distribution by Specialty

Endocrinology

99213: 13%99214: 77%99215: 10%

Cardiology

99213: 16%99214: 75%99215: 8%

Rheumatology

99213: 19%99214: 73%99215: 8%

Nephrology

99213: 15%99214: 72%99215: 13%

Pulmonology

99213: 23%99214: 65%99215: 12%

Family Medicine

99213: 33%99214: 63%99215: 4%

Critical Care

99213: 21%99214: 62%99215: 17%

Internal Medicine

99213: 31%99214: 62%99215: 7%

Geriatric Medicine

99213: 19%99214: 61%99215: 20%

Infectious Disease

99213: 28%99214: 59%99215: 12%

Neurology

99213: 20%99214: 58%99215: 22%

Physical Medicine

99213: 39%99214: 56%99215: 4%

Gastroenterology

99213: 38%99214: 56%99215: 5%

Hematology/Oncology

99213: 20%99214: 55%99215: 25%

Urology

99213: 42%99214: 55%99215: 3%

Psychiatry

99213: 40%99214: 55%99215: 5%

General Practice

99213: 47%99214: 48%99215: 5%

Orthopedics

99213: 57%99214: 41%99215: 2%

OB/GYN

99213: 56%99214: 39%99215: 5%

Dermatology

99213: 74%99214: 26%99215: 0%

All Specialties Revenue Gap by Specialty E&M Coding Guide

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