CPT 99383 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 | • Evaluation and Management • Preventive Medicine Services |
| Common Place of Service | • 11 - Office • 50 - Federally Qualified Health Center |
| Common Modifiers | • None • 25 - Significant, separately identifiable E/M service same day • EP - Residential facility to Physician's office |
| Complexity Level | Low |
National average reimbursement for CPT 99383 by major payers:
$142.48
$137.57
$142.59
$181.82
| 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 99383 | ||||||
United | 99383 | $85.52 | 1952675811 - ROMEO SALIBA | 275305785 - (FL) LEGACY HEALTH MEDICAL GROUP LLC | FL | Internal Medicine Physician (207R00000X) |
United | 99383 | $118.61 | 1548271018 - MING XU | 923369823 - (IL) CHINESE PROVIDER GROUP OF ILLINOIS PLLC | IL | Psychiatry Physician (2084P0800X) |
United | 99383 | $95.75 | 1184377558 - DANIA MOLINA GARCIA | 352305118 - (FL) MEDICAL CONSULTANTS OF PALM BEACH, LLC | FL | General Practice Physician (208D00000X) |
United | 99383 | $173.50 | 1891180170 - SURYA SABHAPATHY | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | IL | Psychiatry Physician (2084P0800X) |
United | 99383 | $244.66 | 1114953650 - BASHAR MOHSEN | 521902711 - DIMENSIONS HEALTHCARE ASSOCIATES | FL | Neurology Physician (2084N0400X) |
United | 99383 | $124.54 | 1962664789 - JAMIE EVANS | 910844563 | VA | Psychiatry Physician (2084P0800X) |
United | 99383 | $124.54 | 1932374873 - ALEXANDER MORRILL | 934795021 - (IL) SKYLARK BEHAVIORAL HEALTH LLC | IL | Psychiatry Physician (2084P0800X) |
United | 99383 | $124.54 | 1114196995 - ANGELA GREEN | 910844563 | IL | Psychiatry Physician (2084P0800X) |
United | 99383 | $124.54 | 1962664789 - JAMIE EVANS | 853384814 | CA | Psychiatry Physician (2084P0800X) |
United | 99383 | $87.20 | 1104175009 - VICTOR NJOKU | 451834769 | TX | Internal Medicine Physician (207R00000X) |
United | 99383 | $205.10 | 1811068554 - JAMES MACKENZIE | 205547757 - (IL) LURIE CHILDRENS MEDICAL GROUP LLC | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 99383 | $94.55 | 1932566965 - JIREH MEDICAL CENTER CORP | 811065018 - (FL) JIREH MEDICAL CENTER CORP | FL | General Practice Physician (208D00000X) |
United | 99383 | $123.48 | 1992905335 - PARAG MERAI | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 99383 | $75.62 | 1346409778 - MIAMI PRIMARY CARE LLC | 650065093 - (FL) MIAMI PRIMARY CARE, LLC | FL | Family Medicine Physician (207Q00000X) |
United | 99383 | $108.15 | 1508354440 - ALYXANDRA BUI | 383852646 - OSF MULTI-SPECIALTY GROUP | MO | Psychiatry Physician (2084P0800X) |
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 99383 vs. Other Preventive Medicine Services Codes
The CPT 99383 code is part of the Evaluation and Management services used for Preventive Medicine Services. 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 99383 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 |
|---|---|---|
| 99382-CPT | Low | Initial Comprehensive Preventive Medicine Evaluation And Management Of An Individual Including An Age And Gender Appropriate History Examination Counseling/Anticipatory Guidance/Risk Factor Reduction Interventions And The Ordering Of Laboratory/Diagnostic Procedures New Patient; Early Childhood (Age 1 Through 4 Years) |
| 99383-CPT | Low | Initial Comprehensive Preventive Medicine Evaluation And Management Of An Individual Including An Age And Gender Appropriate History Examination Counseling/Anticipatory Guidance/Risk Factor Reduction Interventions And The Ordering Of Laboratory/ Diagnostic Procedures New Patient; Late Childhood (Age 5 Through 11 Years) |
| 99384-CPT | Low | Initial Comprehensive Preventive Medicine Evaluation And Management Of An Individual Including An Age And Gender Appropriate History Examination Counseling/Anticipatory Guidance/Risk Factor Reduction Interventions And The Ordering Of Laboratory/ Laboratory/Diagnostic Procedures New Patient; Adolescent (Age 12 Through 17 Years) |
| 99385-CPT | Low | Initial Comprehensive Preventive Medicine Evaluation And Management Of An Individual Including An Age And Gender Appropriate History Examination Counseling/Anticipatory Guidance/Risk Factor Reduction Interventions And The Ordering Of Laboratory/ Laboratory/Diagnostic Procedures New Patient; 18-39 Years |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99383. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99383 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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