CPT 95700 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Neurology and Neuromuscular Procedures |
| Common Place of Service | • 11 - Office • 15 - Mobile Unit |
| Common Modifiers | • None • 59 - Distinct Procedural Service • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Moderate |
National average reimbursement for CPT 95700 by major payers:
$294.96
$281.15
$281.23
$432.72
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 95700 | ||||||
United | 95700 | $889.21 | 1578721858 - THOMAS KALEY | 133278548 - (NY) MEMORIAL DEVELOPMENTAL CHEMO GROUP | NY | Neurology Physician (2084N0400X) |
United | 95700 | $572.01 | 1295949279 - OLGA FISHMAN | 133843560 - CRYSTAL RUN HEALTHCARE PHYSICIANS, LLP | NY | Neurology Physician (2084N0400X) |
United | 95700 | $468.23 | 1548581275 - RONI SHARON | 850105601 - PRESBYTERIAN HEALTHCARE SERVICES | NY | Neurology Physician (2084N0400X) |
United | 95700 | $139.39 | 1760598833 - ROBERT APRIL | 133011127 - ROBERT S. APRIL, MD, PC | NY | Neurology Physician (2084N0400X) |
United | 95700 | $475.67 | 1699152447 - STEVEN XIAN | 113492255 | NY | Neurology Physician (2084N0400X) |
United | 95700 | $241.19 | 1184615692 - MAITE TALBOTT | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | Neurology Physician (2084N0400X) |
United | 95700 | $889.21 | 1477721140 - ELI DIAMOND | 133278548 - (NY) MEMORIAL DEVELOPMENTAL CHEMO GROUP | NY | Neurology Physician (2084N0400X) |
United | 95700 | $220.69 | 1548756588 - ARAVIND REDDY | 270898372 - WELLMONT MEDICAL ASSOCIATES INC | OH | Neurology Physician (2084N0400X) |
United | 95700 | $396.48 | 1114313210 - SHAYAN KHAZAEI | 454434822 - (IL) UNITED ELITE HOSPITALISTS LLC | NY | Neurology Physician (2084N0400X) |
United | 95700 | $294.25 | 1427400746 - ABHISHEK ACHAR | 331075317 - NCHMD INC | NY | Neurology Physician (2084N0400X) |
United | 95700 | $419.26 | 1184078461 - DIMITRIOS MANOU | 160743209 - UNIVERSITY OF ROCHESTER | NY | Neurology Physician (2084N0400X) |
United | 95700 | $598.91 | 1073761789 - NUMTHIP CHITRAVAS | 930386793 - LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PAYROLL DEPT | NY | Neurology Physician (2084N0400X) |
United | 95700 | $834.65 | 1720379969 - LINN KATUS | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Neurology Physician (2084N0400X) |
United | 95700 | $276.64 | 1548352594 - INTAZAM KHAN | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | Neurology Physician (2084N0400X) |
United | 95700 | $220.58 | 1609063486 - ELLIOTT SALAMON | 113340826 - (NY) NEW YORK NEUROLOGIC ASSOCIATES | NY | Neurology Physician (2084N0400X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 95700 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95700 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95700 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95700-CPT | Moderate | Electroencephalogram (Eeg) Continuous Recording With Video When Performed Setup Patient Education And Takedown When Performed Administered In Person By Eeg Technologist Minimum Of 8 Channels |
| 95705-CPT | Moderate | Electroencephalogram (Eeg) Without Video Review Of Data Technical Description By Eeg Technologist 2-12 Hours; Unmonitored |
| 95706-CPT | Moderate | Electroencephalogram (Eeg) Without Video Review Of Data Technical Description By Eeg Technologist 2-12 Hours; With Intermittent Monitoring And Maintenance |
| 95707-CPT | Moderate | Electroencephalogram (Eeg) Without Video Review Of Data Technical Description By Eeg Technologist 2-12 Hours; With Continuous Real-Time Monitoring And Maintenance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95700 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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