35 statistics on commercial reimbursement by geographic region

Here are 35 statistics on average commercial reimbursement for new patient visits by diagnostic code across the United States, according to the 2014 Fee Schedule Survey Results from Physicians Practice.

Advertisement

Reimbursement for new patient visits

99201
•    Mid-Atlantic: $55.20
•    Northeast: $69.80
•    Plains & Rockies/North Central: $67.60
•    West: $66.60
•    South Central: $64.80
•    Southeast: $66.10
•    Average: $65.90

99202
•    Mid-Atlantic: $82.90
•    Northeast: $77.40
•    Plains & Rockies/North Central: $85
•    West: $85.40
•    South Central: $77.20
•    Southeast: $80.20
•    Average: $81.30

99203
•    Mid-Atlantic: $101.40
•    Northeast: $95
•    Plains & Rockies/North Central: $111

•    South Central: $94.80
•    Southeast: $100.30
•    Average: $101.30

99204
•    Mid-Atlantic: $127.30
•    Northeast: $123.30
•    Plains & Rockies/North Central: $138.70
•    West: $133.10
•    South Central: $128.90
•    Southeast: $131.20
•    Average: $130.20

99205
•    Mid-Atlantic: $149.50
•    Northeast: $133.30
•    Plains & Rockies/North Central: $153.60
•    West: $148.20
•    South Central: $149.60
•    Southeast: $149.70
•    Average: $147.30

More articles on coding and billing:
Computer-assisted coding market to reach $3.5B by 2019
KLAS names Precyse best in transcription services
KLAS names Precyse best in transcription services

Advertisement

Next Up in ASC Coding, Billing & Collections

  • Here are four payer-related headlines in the last two weeks for ASCs to know.  1. Medical practices and hospitals saw…

  • Here are six updates to know on Dallas-based United Surgical Partners International, as reported by Becker’s so far in 2025:

Advertisement

Comments are closed.