CPT 99384 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 | Moderate |
National average reimbursement for CPT 99384 by major payers:
$155.45
$153.78
$160.97
$203.79
| 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 99384 | ||||||
United | 99384 | $131.25 | 1124084967 - SANDEEP GAONKAR | 450478340 - (IL) CONVENTIONS PSYCHIATRY COUNSELING PC | IL | Psychiatry Physician (2084P0800X) |
United | 99384 | $140.19 | 1679719777 - SUPARNA BASU | 853384814 | CA | Psychiatry Physician (2084P0800X) |
United | 99384 | $140.19 | 1700992799 - EMAD AMER | 320077033 - (IL) AMER ASSOCIATES SC | IL | Psychiatry Physician (2084P0800X) |
United | 99384 | $126.00 | 1881918415 - TUSHAR ADVANI | 910545036 - TRI-STATE MEMORIAL HOSPITAL | MT | Psychiatry Physician (2084P0800X) |
United | 99384 | $207.38 | 1245674159 - KHOA NGUYEN | 390817529 - ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS | TX | Psychiatry Physician (2084P0800X) |
United | 99384 | $133.52 | 1205975448 - CHRISTOPHER JOHNSON | 371305510 - TOUCHETTE REGIONAL HOSPITAL INC | IL | Psychiatry Physician (2084P0800X) |
United | 99384 | $272.14 | 1003049792 - FERNANDO ESPI FORCEN | 42807148 - MASS GENERAL BRIGHAM INCORPORATED | IL | Psychiatry Physician (2084P0800X) |
United | 99384 | $105.00 | 1033347125 - DAVID HANRAHAN | 50540914 - SPECIALTY PHYSICIANS OF ILLINOIS, LLC | CA | Psychiatry Physician (2084P0800X) |
United | 99384 | $131.25 | 1225087752 - MARK SHUKHMAN | 823570273 | IL | Psychiatry Physician (2084P0800X) |
United | 99384 | $131.25 | 1942330576 - NASIR SYED | 270810751 - (IL) MIDWEST BEHAVIORAL HEALTH LLC | IL | Psychiatry Physician (2084P0800X) |
United | 99384 | $241.42 | 1962791343 - JEREMY WONG | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 99384 | $164.05 | 1134623812 - MOSHE BITTERMAN | 363738206 - NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | IL | Psychiatry Physician (2084P0800X) |
United | 99384 | $109.98 | 1225171614 - RUBEENA MIAN | 362709982 - (IL) PRESENCE BEHAVIORAL HEALTH | IL | Psychiatry Physician (2084P0800X) |
United | 99384 | $168.17 | 1821391442 - ROCKFORD PSYCHIATRIC MEDICAL SERVICES, S.C. | 272583676 - ROCKFORD PSYCHIATRIC SERVICES, SC | WI | Psychiatry Physician (2084P0800X) |
United | 99384 | $168.17 | 1871153262 - FRANCESCO INCANDELA | 272583676 - ROCKFORD PSYCHIATRIC SERVICES, SC | IL | 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 99384 vs. Other Preventive Medicine Services Codes
The CPT 99384 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 99384 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 | 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 | 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 | 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 | 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 99384. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99384 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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