How much did commercial payers reimburse for patient visits in 2014? Here are 30 statistics on average reimbursement broken down by specialty and diagnostic code, according to the 2014 Fee Schedule Survey Results from Physicians Practice.
New patient visits
99201
• Primary care: $59.20
• Medical specialty: $73.40
• Surgical specialty: $72.90
99202
• Primary care: $77.80
• Medical specialty: $86
• Surgical specialty: $87.50
99203
• Primary care: $98.90
• Medical specialty: $104.60
• Surgical specialty: $109.30
99204
• Primary care: $125.30
• Medical specialty: $140.60
• Surgical specialty: $133.60
99205
• Primary care: $140.90
• Medical specialty: $161.70
• Surgical specialty: $147.70
Existing patient visits
99211
• Primary care: $42.80
• Medical specialty: $50.10
• Surgical specialty: $48.30
99212
• Primary care: $54.70
• Medical specialty: $61.90
• Surgical specialty: $60.30
99213
• Primary care: $75.30
• Medical specialty: $81.20
• Surgical specialty: $78.30
99214
• Primary care: $96.80
• Medical specialty: $108.10
• Surgical specialty: $97.10
99215
• Primary care: $118.90
• Medical specialty: $128.10
• Surgical specialty: $120.60