Medicare payment for office visit

Medicare Payment details from June


Before June
After June

CPT
Billed
Allowed
Allowed
Percentage Allowed
higher
99203
 $ 155.00
 $           99.10
 $   101.28
2.19%
99204
 $ 240.00
 $         154.59
 $   157.99
2.20%
99212
 $   60.00
 $           39.13
 $     39.99
2.20%
99213
 $ 100.00
 $           65.75
 $     67.20
2.21%
99214
 $ 150.00
 $           96.61
 $   100.53
4.05%
99222
 $ 250.00
 $         132.47
 $   135.38
2.19%
99232
 $ 110.00
 $           69.63
 $     71.16
2.21%
45378
 $ 580.00
 $         223.57
 $   228.49
2.20%

Check your local medicare for fee schedule .

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