CPT 99387 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 • None |
| Common Modifiers | • None • 25 - Significant, separately identifiable E/M service same day • GY - Notice of Liability Not Issued, Not Required Under Payer Policy. |
| Complexity Level | Moderate |
National average reimbursement for CPT 99387 by major payers:
$197.71
$195.26
$195.56
$249.57
| 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 99387 | ||||||
United | 99387 | $97.59 | 1134601073 - PREMIER SPECIALTY PHYSICIANS | 830567752 - (TX) PREMIER SPECIALTY PHYSICIANS | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $339.66 | 1861592685 - MIGUEL VILLAMIL | 752896138 - MEDHEALTH | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $152.32 | 1013982149 - ARSHAD AHMED | 760458535 - BAYLOR ST LUKES MEDICAL GROUP | TX | Neurology Physician (2084N0400X) |
United | 99387 | $523.57 | 1538470562 - ASHISH GAJJAR | 941156581 - SUTTER BAY MEDICAL FOUNDATION | TX | Neurology Physician (2084N0400X) |
United | 99387 | $162.66 | 1861021974 - KEYABEN PATEL | 922465140 | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $258.92 | 1295176253 - SIDRAH SHEIKH | 300520570 - (TX) METHODIST HOSPITAL | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $191.46 | 1760417026 - AMIT GUTTIGOLI | 814094395 - (TX) PREMIER CARDIOVASCULAR CARE OF DALLAS PLLC | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 99387 | $224.85 | 1740857291 - LEAH GATDULA | 752616977 - CHRISTUS TRINITY CLINIC | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $136.27 | 1710652003 - HEALTH FOCUS PLLC | 871338079 - (TX) HEALTH FOCUS PLLC | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $141.28 | 1043615503 - STEVEN MERCADO | 742844785 - (TX) MEDCARE ASSOCIATES PA | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $124.87 | 1972015683 - ARMSTRONG MEDICAL GROUP, PLLC, ARMSTRONG MEDICAL GROUP | 822909923 - (TX) ARMSTRONG MEDICAL GROUP | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $105.95 | 1689968133 - LAURA DURLING | 814211994 - GENESIS MEDICAL GROUP | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $260.82 | 1316070576 - BATOOL KIRMANI | 208544021 - (PA) ST JOSEPH MEDICAL GROUP | TX | Neurology Physician (2084N0400X) |
United | 99387 | $169.41 | 1710097456 - MONALISA MITRA | 752867667 - (TX) INPATIENT PHYSICIAN ASSOCIATES | TX | Internal Medicine Physician (207R00000X) |
United | 99387 | $153.30 | 1215199229 - SHAMAIL MAHMOOD | 812692405 - (TX) IPC PAC HEALTHCARE SERVICES OF TEXAS PLLC | TX | Internal Medicine Physician (207R00000X) |
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 99387 vs. Other Preventive Medicine Services Codes
The CPT 99387 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 99387 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 |
|---|---|---|
| 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 |
| 99386 | 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; 40-64 Years |
| 99387 | 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; 65 Years And Over |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99387. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99387 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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