E/M Utilization Benchmarking Tool

This tool is provided to compare a physician's, or an entire practice's, evaluation and management (E/M) CPT code utilization to peers in the same specialty. The distribution of utilization by code within each E/M subcategory is benchmarked to the distribution of paid Medicare claims for physicians in the same specialty nationally (based on published 2010 Medicare Part B data).

Remember that the data is useful with some precautions. The data is provided by specialty and shows how physicians are using E/M codes. The expected use of any E/M code range is a bell-shaped curve. If the physician(s) in your practice are outside the expected use of E/M codes, there is some risk of audit. If you should find that your data deviates significantly from national and local norms, an appropriate next step may be a focused coding assessment.

Please correct the errors noted below (in red):

Select a specialty: Allergy/Immunology Cardiology Colorectal surgery Cardiac Surgery Dermatology Diagnostic Radiology: Non Invasive Endocrinology ENT Family Practice Gastroenterology General Surgery Geriatric Medicine Gynecological Oncology Hematology/Oncology Internal Medicine Interventional: Pain Mgmnt Nephrology Neurosurgery Neurology OB/GYN Ophthalmology Orthopaedic Surgery Pain Management Pediatric Medicine Plastic and Reconstructive Surgery Physiatry (PM&R) Podiatry Pulmonary Radiation Oncology Rheumatology Urology Vasular Surgery

New Patient Office Visits	Utilization/Units (12 Month Period)
99201 New Patient - Focused *
99202 New Patient - Expanded *
99203 New Patient - Detailed *
99204 New Patient - Comprehensive *
99205 New Patient - Complex *
Office Visits - Established	Utilization/Units (12 Month Period)
99211 Est Patient - Minimal *
99212 Est Patient - Focused *
99213 Est Patient - Expanded *
99214 Est Patient - Detailed *
99215 Est Patient - Comprehensive *