EBM billing codes by specialty: which codes does your specialty group bill?
See the most common billing codes (GOP) of your specialty group in 2 minutes, and spot where you are leaving fees on the table.
Free · GDPR-compliant · Result in 2 minutes
Based on nationwide billing data from the KBV (National Association of Statutory Health Insurance Physicians), prepared by MediPulse. Data as of: KBV service frequencies per billing code (GOP) for the first quarter of 2025, the latest published evaluation. Changes to the EBM fee schedule since then are not included, such as the revalued standby flat fee for GPs (Vorhaltepauschale) from 2026 and the care flat fee (Versorgungspauschale) 03100 from July 1, 2026. Euro values: points under EBM 4/2026 times the orientation value (Orientierungswert) of the current year. A deviation from your specialty is an indication, not a finding. Not billing advice.
What the overview gives you
Top codes of your specialty group
You see the most frequently billed codes of the uniform value scale (EBM), the fee schedule items (GOP), for your specialty, sorted by frequency. So you can see which services are standard in your specialty group.
Find billing gaps
The comparison shows which codes colleagues bill regularly that have so far been missing in your billing. That is often exactly where unused fees lie.
Based on KBV data
It is based on nationwide billing frequencies per specialty group from the National Association of Statutory Health Insurance Physicians (KBV). So you compare yourself with the actual billing behavior of your specialty, not with an estimate.
How the overview works
Choose your specialty
Select your specialty group. The calculator then loads the matching billing data for your comparison.
Contact details
Leave your contact details to unlock the analysis. Details from another MediPulse tool are already filled in.
Get your result
You get the top GOP ranking of your specialty group. The analysis is available on screen and as a PDF.
Optimizing billing: which EBM codes are you leaving unbilled?
In many practices, fees are left on the table, not through incorrect billing, but through services that are provided but not billed. Looking at your own billing behavior compared with your specialty group makes such gaps visible. Here are the basics.
How EBM billing works
Services for statutory health insurance patients are billed using the uniform value scale (Einheitlicher Bewertungsmaßstab, EBM). Each service corresponds to a fee schedule item (GOP) with a number of points. The points are converted into euros using the orientation value and paid via the statutory health insurance association (KV).
Why fees are left on the table
Typical reasons are forgotten surcharges, consultation or care codes that are not billed, and services that get lost in day-to-day work. Over a quarter, these gaps add up. Because each GOP seems small on its own, the total loss often goes unnoticed.
What the comparison with your specialty group shows
If a GOP is billed frequently in your specialty group nationwide but is missing in your billing, that is a signal. Either you do not provide the service, or you do not bill it. The second case can usually be corrected quickly.
Correct, not maximal
The point is not to bill more than was provided. The goal is complete billing, in line with the rules, of the services actually provided. That is permitted, sensible and has a direct effect on fees.
Regular checks pay off
The EBM changes, and so does a practice's range of services. If you regularly check your own billing against your specialty group, you keep it up to date and spot new potential early. A check once per quarter is enough as a routine.
Frequently asked questions
What is the EBM, simply explained?
The uniform value scale (Einheitlicher Bewertungsmaßstab, EBM) is the fee schedule for treating patients with statutory health insurance. It lists all billable services with a fee schedule item (GOP) and a number of points; the orientation value is 12.7404 cents per point in 2026 and 13.0207 cents from 2027.
What is an EBM code or GOP?
An EBM code – the fee schedule item (GOP) – stands for a specific medical service. Each GOP has a fixed number of points, which is converted into euros using the point value.
What do I gain from the overview of EBM codes by specialty?
You see which codes are common in your specialty group and spot possible billing gaps. If a frequently used GOP is missing from your billing, that can mean unused fees.
Where does the data come from?
The frequencies come from nationwide KBV billing data. They show how often a GOP is billed on average per specialty group.
Is the check free?
Yes, the overview is free and non-binding. You don't need a subscription, only valid contact details to unlock it.
What happens to my data?
Your data is processed in compliance with the GDPR and used solely to get in touch with you. It is not passed on to third parties.
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