Check your local medicare for exact amount. Here is the amount for Florida.
CPT Code |
Description |
Mod |
POS |
Medicare Allowed Amount for Office |
Medicare Allowed Amount for Hospital |
99203 |
OFFICE VISIT NEW PATIENT LVL 3 |
– |
Office |
99.1 |
74.95 |
99204 |
OFFICE VISIT NEW PATIENT LVL 4 |
– |
Office |
154.59 |
126.94 |
99205 |
OFFICE VISIT NEW PATIENT LVL 5 |
– |
Office |
193.65 |
163.21 |
99211 |
OFFICE VISIT ESTABLISHED LVL 1 |
– |
Office |
19.02 |
9.22 |
99212 |
OFFICE VISIT ESTABLISHED LVL 2 |
– |
Office |
39.13 |
25.13 |
99213 |
OFFICE VISIT ESTABLISHED LVL 3 |
– |
Office |
65.75 |
49.31 |
99214 |
OFFICE VISIT ESTABLISHED LVL 4 |
– |
Office |
98.37 |
75.62 |
99215 |
OFFICE VISIT ESTABLISHED LVL 5 |
– |
Office |
133.09 |
106.84 |
99219 |
23 HOUR OBS ADMIT LVL 2 |
25 |
Hospital |
107.58 |
– |
99221 |
HOSP ADMISSION LVL 1 |
– |
Hospital |
98.01 |
– |
99222 |
HOSP ADMISSION LVL 2 |
– |
Hospital |
132.47 |
– |
99223 |
HOSP ADMISSION LVL 3 |
– |
Hospital |
194.32 |
– |
99231 |
HOSP SUB LVL 1 |
– |
Hospital |
38.66 |
– |
99232 |
HOSP SUB LVL 2 |
– |
Hospital |
69.63 |
– |
99233 |
HOSP SUB LVL 3 |
– |
Hospital |
100.15 |
– |
99234 |
OBS OR INPAT LVL 1 |
– |
Hospital |
133.11 |
– |
99235 |
OBS OR INPAT LVL 2 |
– |
Hospital |
173.15 |
– |
99236 |
OBS OR INPAT LVL 3 |
– |
Hospital |
215.05 |
– |
99238 |
HOSPITAL DISCHARGE 30 MINS OR LESS |
– |
Hospital |
68.19 |
– |
99239 |
HOSPITAL DISCHARGE ADDITIONAL 30 MINS |
– |
Hospital |
100.12 |
– |
99283 |
ER CONSULT LVL 3 |
– |
Hospital |
62.85 |
– |
99284 |
ER CONSULT LVL 4 |
– |
Hospital |
119.81 |
– |
99291 |
CRITICAL CARE 1ST HOUR |
– |
Hospital |
262.25 |
221.3 |
99292 |
CRITICAL CARE ADDITIONAL 1 2 HOUR |
– |
Hospital |
119.36 |
110.96 |
G0372 |
MD SERVICE REQUIRED FOR PMD |
– |
Office |
10.96 |
8.51 |