99425CPTSave

99425 - Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month

CPT section: Evaluation and Management (E/M)

Medicare Physician Fee Schedule

Facility

Medicare Payment

$40.02

Submitted Charge$106.03
Medicare Allowed$50.36
Providers18
Beneficiaries75
Total Services90
Office

Medicare Payment

$46.03

Submitted Charge$121.67
Medicare Allowed$58.83
Providers261
Beneficiaries4,195
Total Services12,567

Source: CMS Medicare Physician & Other Practitioners public use file (national averages). Amounts are averages across providers, not a fee schedule lookup for a specific locality.