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 2018 Medicare Part B data).

Remember that the data is useful with some precautions. It 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.

E/M Utilization Benchmarking Tool

Enter the CPT units per 12 month period.

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