99426CPTSave

99426 - Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month

CPT section: Evaluation and Management (E/M)

Medicare Physician Fee Schedule

Facility

Medicare Payment

$35.11

Submitted Charge$131.20
Medicare Allowed$44.32
Providers227
Beneficiaries2,831
Total Services7,991
Office

Medicare Payment

$46.86

Submitted Charge$141.13
Medicare Allowed$60.31
Providers5,290
Beneficiaries115,228
Total Services477,903

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.