30 statistics on average commercial reimbursement by specialty in 2014

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.

Advertisement

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

More articles on coding and billing:
Epic Systems wins 11 awards in EHR rankings
Coalition for ICD-10 to host briefing on Capitol Hill
Push for healthcare price transparency in Washington State makes progress

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.